阅读疗法联合正念疗法护理在酒精依赖所致精神障碍患者中的应用效果  

Application effects of reading therapy combined with mindfulness therapy nursing in patients with mental disorders caused by alcohol dependence

作　　者：王士贞 刘春宇[2] 刘英丽[2] WANG Shizhen;LIU Chunyu;LIU Yingli(Nursing Department of Jiamusi Welfare Center for Mental Patients,Jiamusi 154007 Heilongjiang,China;Ward 1 of Department of General Surgery of the First Affiliated Hospital of Jiamusi University,Jiamusi 154002 Heilongjiang,China)

机构地区：[1]佳木斯精神病人福利院护理部,黑龙江佳木斯154007 [2]佳木斯大学附属第一医院普通外科一病区,黑龙江佳木斯154002

出　　处：《中国民康医学》2025年第9期168-171,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察阅读疗法联合正念疗法护理在酒精依赖所致精神障碍患者中的应用效果。方法:选取2021年9月至2023年1月佳木斯精神病人福利院收治的82例酒精依赖所致精神障碍患者进行前瞻性研究,按照掷硬币法将其分为对照组和观察组各41例。对照组实施常规护理,观察组在对照组基础上实施阅读疗法联合正念疗法护理。比较两组护理前后精神障碍[简明精神病评定量表(BPRS)]、社会功能[个人与社会表现量表(PSP)]、生命质量[简明健康调查量表(SF-36)]评分,不良事件发生率,以及护理满意度。结果:护理后,两组BPRS评分均低于护理前,且观察组低于对照组,两组PSP评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);护理后,两组心理健康、生理健康、社会功能等SF-36各维度评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组不良事件发生率低于对照组,差异有统计学意义(P<0.05);观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:阅读疗法联合正念疗法护理应用于酒精依赖所致精神障碍患者可降低精神障碍评分和不良事件发生率,提高社会功能、生命质量评分和护理满意度,效果优于常规护理。Objective:To observe application effects of reading therapy combined with mindfulness therapy nursing in patients with mental disorders caused by alcohol dependence.Methods:A prospective study was conducted on 82 patients with mental disorders caused by alcohol dependence admitted to Jiamusi welfare center for mental patients from September 2021 to January 2023.According to the coin tossing method,they were divided into control group and observation group,41 cases in each group.The control group received routine nursing,while the observation group received reading therapy combined with mindfulness therapy on the basis of that of the control group.The scores of mental disorders[brief psychiatric rating scale(BPRS)],social function[personal and social performance scale(PSP)]and quality of life[the MOS 36-item short form health survey(SF-36)]before and after the nursing,the incidence of adverse events,and the nursing satisfaction were compared between the two groups.Results:After the nursing,the BPRS scores of the two groups were lower than those before the nursing,and that in the observation group was lower than that in the control group;the PSP scores of the two groups were higher than those before the nursing,and that in the observation group was higher than that in the control group;and the differences were statistically significant(P<0.05).After the nursing,the scores of SF-36 dimensions such as mental health,physical health and social function in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of adverse events in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusions:The reading therapy combined with the mindfulness therapy n

关 键 词：阅读疗法 正念疗法 酒精依赖 精神障碍 社会功能 生命质量 不良事件 

分 类 号：R473.74[医药卫生—护理学]