混合模式正念干预对精神分裂症患者控烟的效果  

Effect of mixed-mode mindfulness intervention on smoking cessation in patients with schizophrenia

作　　者：孙萍 单义辉 Sun Ping;Shan Yihui(The Third Hospital of Daqing,Daqing,Heilongjiang 163000,China)

机构地区：[1]大庆市第三医院,黑龙江大庆163000

出　　处：《齐齐哈尔医学院学报》2024年第19期1841-1845,共5页Journal of Qiqihar Medical University

基　　金：大庆市指导性科技项目(zdy-2023-30)。

摘　　要：目的探讨混合模式的正念干预对精神分裂症患者吸烟程度、自我效能水平、吸烟渴求程度及尼古丁依赖水平的影响,以期望为提高精神分裂症患者戒烟率及自我效能,减少其尼古丁依赖水平及吸烟渴求程度,促进其全面康复提供一种简便、有效的方法。方法选择2023年5—12月本院收治的80例精神分裂症患者作为研究对象,按随机列表法分为研究组和对照组两组,每组各40例。研究组给予混合模式正念干预及常规治疗,对照组给予常规治疗,于治疗前、治疗4周后及治疗8周结束时,采用一般自我效能量表(General Self-Efficacy Scale,GSES)、尼古丁依赖检验量表(Fagerstrom Test for Nicotine Dependence,FTND)、吸烟渴求量表(Tobacco craving questionnaire,TCQ)进行评估,并记录近48小时吸烟量(Smoking Volume,SV)。结果重复测量方差分析显示:各变量组间效应(F=10.618、7.457、143.765、7.971,均P<0.01)、时间效应(F=146.998、42.059、111.658、76.330,均P<0.01)、分组×时间(F=151.933、44.588、107.516、75.109,均P<0.01)交互效应显著。简单效应分析显示:研究组GSES评分有所提升,而FTND评分、TCQ评分及SV均有所下降,变化均有统计学意义(均P<0.01)。研究组治疗4周后及治疗8周结束时GSES评分高于基线,而FTND评分、TCQ评分及SV低于基线,差异均有统计学意义(均P<0.01)。研究组治疗4周后及治疗8周结束时GSES评分高于对照组,而FTND评分、TCQ评分及SV低于对照组,差异均有统计学意义(均P<0.01)。结论混合模式正念干预能有效提升精神分裂症患者自我效能,降低其吸烟量、吸烟渴求程度及尼古丁依赖水平,促进患者全面康复。Objective To explore the impact of mixed-mode mindfulness intervention on the smoking behavior,self-efficacy,craving levels,and nicotine dependence in patients with schizophrenia,with the goal of providing an effective method to enhance smoking cessation rates and self-efficacy,and to reduce nicotine dependence and cravings in these patients,thus promoting their overall recovery.Methods Eighty patients with schizophrenia admitted to our hospital from May 2023 to December 2023 were selected and randomly divided into a study group and a control group,each with 40 participants.The study group received mixed-mode mindfulness intervention in addition to standard care,while the control group received standard care alone.Assessments were conducted using the General Self-Efficacy Scale(GSES),Fagerstr m Test for Nicotine Dependence(FTND),and Tobacco Craving Questionnaire(TCQ)before treatment,after 4 weeks,and at the end of 8 weeks.Smoking Volume(SV)over the previous 48 hours was also recorded.Results The repeated measures analysis of variance showed that the inter group effects(F=10.618,7.457,143.765,7.971;all P<0.01),time effects(F=146.998,42.059,111.658,76.330;all P<0.01),and interaction effects between groups and time(F=151.933,44.588,107.516,75.109;all P<0.01)were statistically significant.Simple effect analysis showed that the GSES score of the study group improved,while the FTND score,TCQ score,and SV score all decreased,and the changes were statistically significant(all P<0.01).After 4 weeks of treatment and at the end of 8 weeks of treatment,the GSES score of the study group was higher than baseline,while the FTND score,TCQ score,and SV score were lower than baseline,and the differences were statistically significant(all P<0.01).After 4 weeks of treatment and 8 weeks at the end of treatment,the GSES score of the study group was higher than baseline,while the FTND score,TCQ score,and SV score were lower than baseline,with statistical significance(all P<0.01).Conclusions The mixed-mode mindfulness intervention effec

关 键 词：精神分裂症 正念 自我效能 尼古丁依赖 吸烟 

分 类 号：R749.3[医药卫生—神经病学与精神病学]