动机强化团体干预对康复期男性苯丙胺依赖者复吸倾向及自尊的影响  

Effects of motivational enhancement group intervention on relapse tendency and self-esteem of male recovering amphetamine addicts

作　　者：吴媛媛 武昆利 张雄 赵娜[3] 伍力 谭澍 尹文卅 WU Yuanyuan;wU Kunl;ZHANG Xiong;ZHAO Na;WU Li;TAN Shu;YIN Wensa(College of Nursing,Dali University,Dali 671013,Yunnan Province,China;Kunming Third People's Hospital,Kunming 650041,China;Mental Health Center Affiliated to Kunming Medical University,Kunming 650225,China)

机构地区：[1]大理大学护理学院,云南大理671013 [2]昆明市第三人民医院,昆明650041 [3]昆明医科大学附属精神卫生中心,昆明650225

出　　处：《中国心理卫生杂志》2024年第12期1028-1033,共6页Chinese Mental Health Journal

摘　　要：目的:探索护士为主要实施者的动机强化团体干预对康复期男性苯丙胺依赖者改变动机、复吸倾向和自尊的效果。方法:选取公安强制戒毒所医院内98例男性苯丙胺类康复期强制隔离戒毒人员,随机分为对照组54例,动机强化组44例。对照组接受常规教育,动机强化组在此基础上接受为期12周,护士为主要实施者的动机强化团体干预。在基线及干预后采用改变准备阶段和治疗迫切性量表(SOCRATES)、复吸倾向问卷、中文版Rosenberg自尊量表(RSES-T)进行测评。结果:12周干预后,两组的RSES-T得分、复吸倾向问卷总分及戒毒信心维度得分均低于基线(P<0.05),且动机强化组得分低于对照组(P<0.05)。结论:与常规教育相比,护士为主要实施者的动机强化团体干预更有助于提升康复期男性苯丙胺类强制隔离戒毒人员戒毒信心和降低复吸倾向,但对其自尊的提高存在局限性。Objective:To explore the effect of motivational enhancement group intervention conducted by nur-ses on the motivation of self-improvement,relapse tendency and self-esteem in the recovering male amphetamine addicts.Methods:Ninety-eight recovering male amphetamine addicts in the Compulsory Detoxification Center were randomly divided into control group(n=54)and motivational enhancement group(n=44).The addicts in the con-trol group received routine education while those in the motivational enhancement group received routine education combined with a 12-week motivational enhancement group intervention conducted by nurses.The Stages of Change Readiness and Treatment Eagerness Scale(SOCRATES),Relapse Tendency Questionnaire,and Rosenberg Self-es-teem Scale(RSES-T)were applied to measure the effect,before and after the intervention.Results:In both two groups,the scores of RSEST,questionnaire of relapse tendency,and self-confidence of detoxification were lower af-ter 12-week intervention than at the baseline(Ps<0.05).After 12-week intervention,all the above scores were lower in the motivational enhancement group than in the control group(Ps<0.05).Conclusion:Compared with routine education,the motivational enhancement group intervention conducted by nurses may be more effective to improve their self-confidence in drug rehabilitation and prevention of relapse in recovering male amphetamine ad-dicts,however,the improvement on self-esteem is limited.

关 键 词：动机强化干预 苯丙胺 毒品成瘾 戒毒动机 自尊 复吸倾向 

分 类 号：R595.5[医药卫生—内科学]