集体运动疗法对女性新型毒品戒毒者生命质量和情绪的影响研究

Group Exercise Therapy on Quality of Life and Emotions in Female New-type Drug Addicts

背景女性新型毒品成瘾者常遭受身心问题和社会功能障碍等困扰,而在我国新型毒品戒毒治疗主要以强制戒毒为主,缺乏针对女性新型毒品戒毒者身心特点的有效治疗和康复手段。目的探讨集体运动疗法对女性新型毒品戒毒者生命质量和情绪的影响。方法采用整群抽样方式选取2016年1月—2017年6月在天津市公安局安康医院戒毒中心接受戒毒治疗的女性新型毒品戒毒者73例。按研究时间分组,2016年1—9月入选的女性新型毒品戒毒者37例为对照组,2016年10月—2017年6月入选的女性新型毒品戒毒者36例为试验组。对照组接受常规戒毒治疗和护理,试验组在接受常规戒毒治疗和护理的基础上接受3个月的集体运动治疗。干预前后使用药物成瘾者生命质量测定量表(QOL-DA)V2.0、抑郁自评量表(SDS)和焦虑自评量表(SAS)对女性新型毒品戒毒者进行生命质量、抑郁、焦虑的评定。结果干预后,试验组戒毒者躯体功能、心理健康、社会功能、戒断症状及不良反应维度得分及QOL-DA V2.0总分较对照组升高(P<0.05)。对照组戒毒者干预后躯体功能、心理健康、社会功能、戒断症状及不良反应维度得分及QOL-DA V2.0总分较干预前升高(P<0.05);试验组戒毒者干预后躯体功能、心理健康、社会功能、戒断症状及不良反应维度得分及QOL-DA V2.0总分较干预前升高(P<0.05)。干预后,试验组戒毒者SDS和SAS评分较对照组降低(P<0.05)。对照组戒毒者干预后SDS和SAS评分较干预前降低(P<0.05);试验组戒毒者干预后SDS和SAS评分较干预前降低(P<0.05)。结论集体运动疗法可提高女性新型毒品戒毒者生命质量,有效缓解其抑郁、焦虑等负性情绪,值得在临床进一步推广。

Background Women addicted to new-type illegal drugs often suffer from physical and mental problems and undergo social dysfunctions.In China,the treatment of new-type drug addiction mainly focuses on compulsory rehabilitation and lacks effective treatments and rehabilitation methods for women.Objective To explore the effects of group exercise therapy on the quality of life and emotions in female new-type drug addicts.Methods A total of 73 female new-type drug addicts receiving detoxification treatment at Detoxification Center of Ankang Hospital of the Tianjin Public Security Bureau between January 2016 and June 2017 were enrolled in the study through cluster sampling.Thirty-seven female new-type drug addicts selected between January and September in 2016 were included in the control group,and 36 female new-type drug addicts enrolled between October 2016 and June 2017 were included in the test group.The control group received conventional detoxification treatment and nursing care,and the test group received 3 months of collective sports therapy based on conventional detoxification treatment and nursing care.Pre-and post-intervention,the Quality of Life Scale for Drug Addicts(QOL-DA V2.0),Self-Rating Depression Scale(SDS),and Self-Rating Anxiety Scale(SAS) were used to assess quality of life,and depression and anxiety in the new-type drug female addicts.Results After the intervention,the scores of physical function,mental health,social functioning,withdrawal dimensions,and QOL-DA V2.0 of the drug addicts in the test group were higher than those in the control group(P<0.05).The scores of physical function,mental health,social functioning,withdrawal dimensions,and QOL-DA V2.0 after intervention were higher than those before intervention in the control group(P<0.05).The scores of physical function,mental health,social functioning,withdrawal dimension,and QOL-DA V2.0 after intervention were higher than those before the intervention in the test group(P<0.05).After the intervention the SDS and SAS scores were lower in both the control and test groups(P<0.05).Furthermore,after the intervention the SDS and SAS scores were lower in the test group than in the control group(P<0.05).Conclusion Group exercise therapy can improve the quality of life and effectively relieve negative emotions such as depression and anxiety in female new-type drug addicts.This treatment is recommended for further clinical use.