动机性访谈对男性酒精依赖综合征患者心理渴求应对方式及家庭疾病负担的影响  

Effect of motivational interview on psychological craving,coping style and family burden of disease in male patients with alcohol dependence syndrome

作　　者：刘志伟 王艳清 郭美好 严芳[1] 职晓燕[1] Liu Zhiwei;Wang Yanqing;Guo Meihao;Yan Fang;Zhi Xiaoyan(The Second Affiliated Hospital of Xinxiang Medical University,Xinxiang 453002,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453002

出　　处：《临床心身疾病杂志》2025年第2期41-47,共7页Journal of Clinical Psychosomatic Diseases

基　　金：精神心理疾病防治河南省协同创新中心开放课题(编号XTkf12);新乡医学院第二附属医院精神神经开放课题(编号XYEFYJSSJ-2023-01)。

摘　　要：目的 探讨动机性访谈对男性酒精依赖综合征(ADS)患者心理渴求、应对方式和家庭疾病负担的影响。方法 将104例男性ADS患者按照随机数字表法分为研究组和对照组,各52例。对照组患者给予奥沙西泮替代治疗、标准化健康教育及出院后电话随访,研究组患者在对照组基础上,接受4次动机性访谈和3次动机性随访(出院后)。于干预前采用临床酒精戒断状态评定量表评估两组患者的酒精戒断反应程度;于干预前、出院当天、干预3个月后采用视觉模拟评分法(VAS)、简单应对方式问卷(SCSQ)、家庭疾病负担量表(FBS)评估两组患者的心理渴求程度、应对方式、家庭疾病负担;于两组患者出院后的第1、2、3个月末分别统计其复饮率。结果 出院当天及干预3个月后,两组患者VAS评分、SCSQ消极维度评分较干预前降低,SCSQ积极应对维度评分较干预前升高,且研究组优于于对照组(P<0.05或0.01)。出院当天及干预3个月后,两组患者FBS总分及各维度评分较干预前降低,且研究组FBS总分及家庭经济负担、家庭日常活动、家庭关系及家庭成员躯体健康维度评分低于对照组(P<0.01)。出院第2、3个月末,研究组患者复饮率低于对照组(P<0.05)。结论 动机性访谈在男性ADS患者中的应用效果较好,值得临床推广。Objective To explore the effect of motivational interviewing on psychological craving,coping styles and family burden of disease in male patients with alcohol dependence syndrome(ADS).Methods A total of 104 male ADS patients were divided into research and control group according to random number table,with 52 ones in each.Controls received oxazepam replacement therapy,standardized health education and telephone follow-up and research group did 4 motivational interviews and 3 motivational follow-ups(after discharge).Before and after intervention,degrees of alcohol withdrawal reaction were assessed for both groups using the Clinic Institute Alcohol Withdrawal Syndrome Scale(CIWA-Ar);psychological craving,coping styles and family burden of disease were assessed using the Visual Analogue Scale(VAS),Simplified C opi n g St yle s Q ue st ion n a i re(SC SQ)a nd Family Burden Scale of Disease(FBS)before intervention,on discharge day and after 3 month intervention,respectively.Relapse rates of both groups were counted at the ends of the 1st,2nd,3rd month after discharge.Results Compared with pre-intervention,VAS scores and the negative coping scores of the SCSQ lowered,the positive coping scores of the SCSQ elevated in both groups on discharge day and after 3 month intervention,and research group was superior to controls(P<0.05 or 0.01).Compared with pre-intervention,the total and each dimension scores of the FBS in both groups on discharge day and after 3 month intervention lowered,the total,family financial burden,daily activities,family relationships,and family members'somatic health score of the FBS were lower in research than control group(P<0.01).Relapse rates were lower in research than control group at the ends of the 2nd and 3rd month(P<0.05).Conclusion Application effect of motivational interview in male ADS patients is better and worthy of clinical promotion.

关 键 词：酒精依赖综合征 动机性访谈 心理渴求 应对方式 家庭疾病负担 

分 类 号：R749.62[医药卫生—神经病学与精神病学] R749.055[医药卫生—临床医学]