社会支持和应对方式对酒依赖患者生活质量的影响

EFFECT OF SOCIAL SUPPORT AND COPING STYLES ON THE QUALITY OF LIFE IN PATIENTS WITH ALCOHOLIC DEPENDENCE

目的:探讨酒依赖患者生活质量、社会支持和应对方式状况,并分析其相关性,为采取针对性干预措施提供依据。方法:对43例酒依赖患者(研究组)和45名正常体检人群(对照组)采用社会支持评定量表(SSRS)、应对方式问卷(CSQ)和生活质量综合评定问卷(GQOLI-74)进行测定,并进行相关性分析。结果:(1)研究组GQOLI-74各维度和客观状态总分除物质生活外均显著低于对照组,差异有统计学意义(P<0.01);研究组社会支持总分及各维度分均显著低于对照组(P<0.01);研究组应对方式为自责、幻想、退避和合理化。(2)研究组GQOLI-74总分与解决问题、求助呈正相关,有统计学意义(P<0.01或P<0.05);与合理化、退避呈负相关,并有统计学意义(P<0.01);研究组GQOLI-74总分与社会支持总分及各维度分呈正相关(P<0.01)。结论:酒依赖患者生活质量下降,获得的社会支持比正常人群低,且应对方式不良。应给与积极的支持和心理干预,以提高酒依赖患者的生活质量。

Objective：ctjveTo investigate effects of the social support and coping styles on the quality of life in patients with alcoholic dependence. Methods： Forty three cases with patients of alcoholic dependence （ study group） and forty five eases of local citizens without a history of alcohol abuse （ control group） were surveyed with Social Support Rating Scale （SSRS） Coping Styles Questionnaire （CSQ） and the Generic Quality of Life Inventory 74 （ GQOLI - 74 ）, and the relevant factors were analyzed. Results ： （ 1 ） The total scores and the scores of all dimensions except material life in GQOLI - 74 in study group were significantly lower than those of the control group（ P 〈0.01 ） ;The scores of total social support and three sub - dimensions in study group were significantly lower than those of control group（ P 〈 0.01 ） ;The coping styles in study group were self accusation, mirage, retreat and rationalization ; （ 2 ） It was revealed that SSRS total score and three sub -dimensions and the total score of GQOLI -74 in study group had positive correlation （ P 〈 0.01 ） ; the total score of GQOLI - 74 and solving difficulties had positive correlation （P 〈 0.05） in study group , and there were negative correction between the GQOLI -74 total score and the rationalization and retreat （P 〈0.01 ）. Conclusion：The quality of life in patients with alcoholic dependence decreased obviously, the patients with alcoholic dependence received less social support than the normal population, and their coping style were in a bad way. It is necessary for alcohol dependent patients to receive the positive support and intervention in order to improve their aualitv of life.