延续性护理干预在酒精所致精神障碍患者中的应用

肖远奇 许静

【摘要】目的：探讨延续性护理干预对酒精所致精神障碍患者的护理效果。方法：选择我院2012年1月至2013年7月收治的68例酒精所致精神障碍患者为研究对象，随机分为对照组34例，观察组34例，对照组行常规护理，观察组行延续性护理，对两组患者护理结果进行分析。结果：观察组患者的主观支持、客观支持、支持利用度显著高于对照组，且出院8个月后MCMQ各项因子显著优于对照组，患者满意度高，差异有统计学意义（P＜0.05）。结论：对酒精引发的精神障碍患者实施延续性护理，是一种安全、有效的护理方式，能提高患者与家属满意度。

【关键词】延续性护理；酒精；精神障碍

【Abstract】Objective: To investigate the effect of continuous nursing intervention on nursing care of patients with alcohol induced mental disorders.Methods: 68 cases of patients with alcohol induced mental disorders in our hospital from 2012 January to 2013 July in our hospital as the research object, randomly divided into the control group of 34 cases, 34 cases in observation group, the control group received routine nursing care,observation group for continuing nursing care, the patients in the two group of nursing were analyzed. Results: the subjective support, objective supportgroup of patients, support utilization was significantly higher than the control group, and was discharged from the hospital after 8 months in all factors of MCMQ was significantly higher than that of control group, patient satisfaction was high, the difference has statistical significance. Conclusion: the continuitynursing for patients with mental disorder caused by the alcohol, is a safe,effective nursing mode, can improve the satisfaction of patients and their families.

【key words 】continuing nursing care; alcohol; mental disorders;

【中圖分类号】R473.74 【文献标识码】B【文章编号】1004-4949(2014)07-0025-01

近年来，因酒精所引发的精神障碍发生率呈逐年上升趋势，因酒精失败率高，患者的酒精依赖性高，导致复饮率极高［1］。从国内研究数据中显示［2］，酒精所引发的精神障碍患者复饮率达84.3%。对酒精所引发精神障碍患者实施延续性护理，主要在于对患者重建健康生活方式，克服对酒精的依赖性。护理服务可以从短信、电话等方式进行，必要时也开始上门为患者提供指导，提高患者、家属的护理能力，提高患者的健康意识。报告如下。

1.资料与方法

1.1一般资料

选择我院2012年1月至2013年7月收治的68例酒精所致精神障碍患者进行研究，所有患者均为男性，年龄28~64岁，平均年龄（43.6±5.9）岁，所有患者均有8年以上饮酒史，均为初中以上文化程度。纳入标准：符合《中国精神障碍分类与诊断》中酒精所致精神障碍诊断标准。……