认知行为干预结合健康教育对急性酒精中毒患者心理应激的影响  

Effect of cognitive behavioral intervention combined with health education on psychological stress in patients with acute alcoholism

作　　者：王静 田丽 陈意飞[1] 葛勤 朱思遥 WANG Jing;TIAN Li;CHEN Yifei(Department of Emergency,West Branch,Affiliated Hospital of Yangzhou University,Jiangsu,Yangzhou 225009,China)

机构地区：[1]扬州大学附属医院西区分院急诊科,江苏省扬州市225009

出　　处：《河北医药》2024年第5期741-744,共4页Hebei Medical Journal

基　　金：扬州市软科学研究项目(编号:202168)。

摘　　要：目的探讨认知行为干预结合健康教育对急性酒精中毒患者心理应激的影响。方法选取2023年1~3月扬州大学附属医院西区分院急诊科收治的急性酒精中毒患者64例为研究对象,根据入院顺序进行分组,将2023年1月1~31日收治的32例急性酒精中毒患者作为对照组,将2023年3月1~31日收治的32例急性酒精中毒患者作为试验组。对照组实施急诊输液室常规干预,试验组在对照组基础上实施认知行为干预结合健康教育,对比2组间自我效能(GSES)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、疾病不确定感量表(MUIS-A)以及随访1个月时、2个月时与3个月时的饮酒次数。结果试验组患者干预后的SAS、SDS评分较对照组均明显降低(P<0.05)。干预后,2组患者自我效能(GSES)评分较干预前明显升高,但试验组更高(P<0.05)。2组患者干预后疾病不确定感(MUIS-A)评分均降低,且试验组降低更明显(P<0.05)。与对照组比较,试验组患者随访1个月、2个月与3个月时的饮酒次数明显减少(P<0.05)。结论对急性酒精中毒患者实施认知行为干预结合健康教育,可明显降低患者心理应激反应,提高患者自我效能感,减轻患者疾病不确定感,减少患者饮酒次数,对改善患者心理状态有正向影响,建议应用与推广。Objective To explore the effect of cognitive behavioral intervention combined with health education on psychological stress in patients with acute alcoholism.Methods Sixty-four patients with acute alcoholism admitted to Department of Emergency,West Branch,Affiliated Hospital of Yangzhou University were included in the study.Patients admitted to the hospital from January 1 to 31,2023,and from March 1 to 31,2023 were selected as the control group(n=32)and the experimental group(n=32),respectively.All patients were managed by routine intervention in the emergency infusion room,and those in the experimental group received additionally cognitive behavioral intervention combined with health education.The scores of General Self Efficacy Scale(GSES),Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),the Mishel Uncertainty in Illness Scale for Adults(MUIS-A),1-month,2-month,3-month follow-up of drinking frequency were included as comparators.Results After intervention,SAS and SDS scores were significantly lower in the experimental group than those in the control group(P<0.05).After intervention,GSES scores in the both groups were significantly increased(P<0.05),which increased notably in the experimental group compared with the control group(P<0.05).MUIS-A scores in the both groups were significantly decreased(P<0.05),the decrease in the experimental group was more prevalent(P<0.05).The 1-month,2-month,3-month follow-up of drinking frequency was significantly lower in the experimental group than in the control group(P<0.05).Conclusion For patients with acute alcoholism,cognitive behavioral intervention combined with health education can significantly reduce psychological stress response,improve self-efficacy,reduce uncertainty in illness and drinking frequency,and which can positively improve psychological state.It is recommended to apply and promote.

关 键 词：急性酒精中毒 认知行为干预 健康教育 心理应激 

分 类 号：R749.62[医药卫生—神经病学与精神病学]