基于随访系统的延续性护理干预在酒精依赖患者中的应用  

Application of continuous nursing intervention based on follow-up system in alcohol-dependent patients

作　　者：李君利[1] 尚超娜 严芳[1] LI Junli;SHANG Chaona;YAN Fang(The Second Affiliated Hospital of Xinxiang Medical College&Henan Collaborative Innovation Center of Prevention and Treatment of Mental Disorder,Xinxiang 453000,Henan,China)

机构地区：[1]新乡医学院第二附属医院精神心理疾病防治河南省协同创新中心,河南新乡453000

出　　处：《护士进修杂志》2024年第8期883-887,893,共6页Journal of Nurses Training

基　　金：河南省医学科技攻关计划项目(编号:RKX202202038);新乡医学院第二附属医院精神神经开放课题资助项目(编号:XYEFYJSSJ-2023-01)。

摘　　要：目的探讨基于随访系统的延续性护理干预在酒精依赖患者中的应用效果。方法采用方便抽样法,选取2021年3月-2022年8月在我院成瘾医学科住院治疗的酒精依赖患者120例,采用随机数字表法分为对照组和干预组,各60例。对照组出院后接受常规药物治疗,干预组在对照组基础上接受为期6个月的基于随访系统的延续性护理干预。比较2组患者干预前后对酒精的渴求程度和生活质量,以及干预后1个月、3个月和6个月对酒精的依赖状态和复饮率。结果干预前,2组患者对酒精的渴求程度和生活质量比较,差异无统计学意义(P>0.05);干预后,干预组对酒精的渴求程度和生活质量显著优于对照组(P<0.05)。干预后1个月、3个月、6个月,干预组对酒精的依赖状态和复饮率均显著优于对照组(P<0.05)。结论基于随访系统的延续性护理干预能降低酒精依赖患者对酒精的渴求和依赖程度,降低复饮率,改善患者生活质量,为酒精依赖患者院外康复管理提供了新的护理理念及干预方法。Objective To investigate the effect of continuous nursing intervention based on follow-up system in alcohol-dependent patients.Methods A total of 120 alcohol-dependent patients who were hospitalized in addiction medicine department of our hospital from March 2021 to August 2022 were selected by convenient sampling method and divided into the experimental group and the control group by random number table method,with 60 cases in each group.Patients of the control group received conventional drug treatment after discharge,while patients of the experimental group received 6-month continuous nursing intervention based on follow-up system on the basis of the control group.The degree of alcohol craving and quality of life before and after intervention,and the state of alcohol dependence and relapse rate at the 1st,3rd,and 6th month after intervention were compared between 2 groups.Results There was no significant difference in the degree of alcohol craving and quality of life between 2 groups before intervention(P>0.05),After intervention,the degree of alcohol craving and quality of life in the experimental group were significantly better those in the control group(P<0.05).The state of alcohol dependence and relapse rate in the experimental group were significantly better than those in the control group at the 1 st,3 rd,and 6 th month after intervention(P<0.05).Conclusion Continuous nursing intervention based on follow-up system can reduce the craving and dependence on alcohol in alcohol-dependent patients,lower their relapse rate,improve patients'quality of life,and provide a new nursing concept and intervention method for extramural rehabilitation management of alcohol-dependent patients.

关 键 词：随访系统 延续性护理 酒精渴求程度 生活质量 酒精依赖状态 复饮 

分 类 号：R471[医药卫生—护理学]