心理干预对海洛因依赖者的康复效果

EFFICACY OF PSYCHOTHERAPY INTERVENTIONS ON PATIENTS WITH HEROIN DEPENDENCE

目的:探讨心理干预对海洛因依赖者的康复效果。方法:按抛硬币分组法将120例海洛因依赖者分为研究组和对照组,各60例,两组均按常规药物治疗和护理,对照组参加日常的军事训练、学习、劳动卫生、体育锻炼等工疗活动,研究组在此基础上进行为期8周以健康教育、音乐治疗和书画训练为主要内容的心理干预。采用抑郁自评量表(SAS)、焦虑自评量表(SDS)和症状自评定量表(SCL-90)进行效果评定,并且分别于出院后2周、4周和8周后进行随访和尿检,评价复吸情况。结果:干预前,SAS、SDS和SCL-90等量表的评分,两组间比较差异无显著性(均P>0.05)。干预后,SAS、SDS和SCL-90等量表的评分,研究组均明显低于对照组(P<0.05或P<0.01)。复吸率比较,研究组明显好于对照组(P<0.05或P<0.01)。结论:心理干预能够改善海洛因依赖者的不良情绪和心理障碍,提高其心理健康水平,对预防复吸和保持操守有一定的促进作用。

Objective： To explore the efficacy heroin dependence. Methods ： One hundred and twenty of psychotherapy interventions on patients with patients with heroin dependence were randomly divided into study group（n =60） and control group（n = 60）. Both groups had drag treatment, nursing and routine therapy such as daily military training, study, labour, hygiene, sports, while besides these, the study group was given psychotherapy such as health education, music treatment and art treatment for 8 weeks. All subjects were estimated by SDS, SAS, and SCL -90. After they left the hospital, they were visited and had urine tested at the end of two weeks, 4 weeks and 8 weeks to evaluate their drug use situation. Results： Before the intervention, there was no significant difference in the scores of SDS, SAS, and SCL -90 between the two groups （P 〉 0.05 or P 〈 0.01 ）. After 8 week psychotherapy interventions, greater changes were observed in the study group, and the relapse rate was much lower, showing significant difference when compared with the control group （P 〈 0. 05 or P 〈 0. 01 ）. Conclusion：Psychotherapy intervention can change the negative emotions of drug users, improve their mental health, which is good for keeping drug free and preventing drug relapse.