酒精所致精神障碍患者家庭环境与生存质量的相关性研究

Correlation of family environment with quality of life in patients with alcohol-induced mental disorder

运用家庭环境量表中文版（FES-CV）和生存质量综合评定问卷（GQOLI-74）对55例酒精所致精神障碍患者（研究组）和43名无酗酒史的当地居民（对照组）进行问卷调查.结果示,研究组GQOLI-74各维度和总分除物质生活外均显著低于对照组（P＜0.05）.与对照组相比,研究组家庭表现为低亲密度、低情感表达、低娱乐性、低宗教道德观、低组织性和高矛盾性、高控制性（P＜0.05或0.01）.酒精所致精神障碍患者家庭环境与生存质量具有相关性.提示,酒精所致精神障碍患者家庭存在严重的家庭环境问题,因而影响其生存质量,加强家庭治疗可提高慢性酒精中毒患者的生存质量.

Fifty five patients with alcohol induced-mental disorder （study group） and 43 local inhabitants without history of alcohol abuse （control group） were surveyed with family environment scale （FES-CV） and generic quality of life inventory-74 （GQOLI-74）. The total score and the scores of all dimensions except material life in GQOLI-74 of study group were significantly lower than those of control group（P 〈0. 05）. Compared with control group, the scores in FES of study group were lower for factors of cohesion, expressiveness, active-recreational orientation, moral-religious emphasis and organization in the patient＇s family, while the scores for conflict and control were higher（ P 〈 0. 05 or P 〈 0. 01 ）. The results indicate that family environment is closely correlated with quality of life in patients with alcohol-induced mental disorder, and family therapy would improve their quality of life.