健康教育对酒精致精神障碍患者治疗依从性及复发的作用探讨

甘郁文++潘兴华++郑宇婷++潘瑞媚

[摘要]目的 探讨健康教育对酒精致精神障碍患者治疗依从性及复发的作用。方法 选取2013年7月～2015年7月于我院治疗的酒精致精神障碍患者70例，根据抽签的方法将其随机分为观察组与对照组，各35例。对照组患者仅采用常规医疗干预，观察组患者在其基础上实施健康教育。比较两组患者的心理状态、治疗依从性、复发情况以及生活满意度。结果 干预前，两组患者SAS、SDS评分结果比较，差异均无统计学意义（P>0.05）；干预后观察组SAS、SDS评分低于对照组，差异有统计学意义（P<0.05）。观察组患者的治疗依从性优于对照组，复发率低于对照组，生活满意度高于对照组，差异有统计学意义（P<0.05）。结论 对酒精致精神障碍患者采用健康教育干预，可改善其心理状态，提高其治疗依从性，降低复发率，效果显著，值得临床推广使用。

[关键词]健康教育；酒精致精神障碍；治疗依从性；复发

[中图分类号] R473.74 [文献标识码] A [文章编号] 1674-4721（2017）06（b）-0179-03

[Abstract]Objective To explore the efficacy of health education on the treatment compliance and recurrence in patients with alcohol induced mental disorders function.Methods 70 patients with alcohol induced mental disorders function in our hospital from July 2013 to July 2015 were selected and randomly divided into the observation group and the control group according to the draw method，with 35 cases in each group.The ontrol group was given routine medical intervention，while the observation group was given health education on the basis of the control group.The psychological states， treatment compliance，recurrence rate and life satisfaction were compared between two groups.Results Before intervention，there were no significantly different among the scores of SAS and SDS in two groups （P>0.05）；after intervention，the scores SAS and SDS in the observation group were lower than those in the control group，and the differences were statistically significant （P<0.05）.The treatment compliance in the observation group was better than that in the control group，the recurrence rate was lower than that in the control group，the life satisfaction was higher than that in the control group，and the differences were statistically significant （P<0.05）.Conclusion The alcohol induced mental disorders treating with health education intervention can improve their psychological state and treatment compliance，reduce the recurrence rate，and the efficacy is significant.It is worthy of clinical application.

[Key words]Health education；Alcohol induced mental disorder；Treatment compliance；Recurrence

近年來，随着社会经济的发展，饮酒人数呈逐年增加趋势[1]。酒精属于一种日常生活中极为常见的精神活性物质，一次性大量饮用可产生急性神经精神症状，因此不宜长时间饮用。目前，伴随着生活上、工作中以及情感上的压力增加，酗酒的现象日益普遍，导致酒精中毒出现精神障碍的患者越来越多[2]。长期饮用酒精易出现依赖性，引发戒断综合征以及精神病性症状，甚至可能对神经系统产生不可逆转的损害[3]。当前，酒精致精神障碍的发病率日益增长，对患者的身心健康均具有严重危害[4]。本次研究中，为改善酒精致精神障碍患者的治疗依从性，在常规医疗干预的基础上，对部分患者加用了健康教育进行干预，取得了良好的效果，现报道如下。

1资料与方法

1.1一般资料

选取2013年7月～2015年7月于我院治疗的酒精致精神障碍患者70例，均为男性，通过抽签的方法将所有患者简单随机分为观察组与对照组，各35例。本……