心理干预对酒精所致精神障碍的影响

Effect of psychological intervention on mental disorder due to use of alcohol

目的:研究健康教育心理干预对酒精所致精神障碍患者自知力、住院治疗依从性及复饮率的影响。方法:将69例酒精所致精神障碍患者随机分为两组。联合治疗组给予健康教育干预合并一般支持治疗(37例),一般治疗组予单纯支持治疗(32例)。于入院和出院时分别进行简明精神病评定量表(BPRS)、自知力与治疗态度问卷(ITAQ)及住院治疗依从性评定,并于出院后6个月、12个月时随访复饮情况。结果:出院时联合治疗组ITAQ评分明显高于一般治疗组,出院时联合治疗组依从性明显优于一般治疗组。出院12个月时联合治疗组复饮率明显低于一般治疗组。结论:对酒精所致精神障碍住院患者进行健康教育干预,可有效改善自知力和治疗依从性,降低复饮率。

Objective：To investigate the effect of psychological intervention （health education） on the insight recovering, treatment compliance and the rate of re-drink in mental disorder due to use of alcohol. Method： Sixtynine inpatients with mental disorders due to use of ＂alcohol were randomly assigned into two groups： combined treatment group（heahh education combining with general therapy group, n = 37） and general treatment group（only with general therapy, n = 32）. The brief psychiatric rate scale （BPRS）, the insight and treatment attitude questionnaire （ITAQ） and treatment compliance were used to assess all the patients before and after treatment. The situation of re-drink in these patients were followed up at the end of 6th month and 12th month after discharged from hospital. Results： After treatment, scores of ITAQ was significantly higher in combined treatment group than in general treatment group （ P 〈 0.01 ）,and the treatment compliance was significantly better in combined treatment group than in general treatment group （ P 〈 0.05）. The rate of re-drink in combined treatment group was significantly lower than that in general treatment group at the end of 12 th month after discharged （ P 〈 0.05 ）. Conclusion： Health education not only is beneficial to the insight and treatment compliance in the patients with mental disorders due to use of alcohol, but also can decrease the rate of re-drink.