动机访谈对酒依赖患者自我效能感、负性情绪及预后的影响

Effects of motivational interviewing on self-efficacy,negative emotions and prognosis of alcohol dependent patients

目的探讨动机访谈对酒精依赖综合征患者自我效能感、负性情绪及预后的影响。方法选取某院2017年10月~2019年10月收治的112名酒精依赖患者作为研究对象,采用随机数字表法将其分为对照组和观察组。对照组采用常规治疗,观察组采用动机访谈治疗,比较两组患者治疗前后的一般自我效能感量表(GSES)评分、汉密尔顿抑郁量表(HRSD)评分、汉密尔顿焦虑量表(HAMA)评分及复饮和再住院的随访情况。结果动机访谈治疗后,观察组患者的GSES评分高于对照组,HRSD和HAMA评分低于对照组;观察组患者6个月内的复饮率及再住院率低于对照组(上述差异均具有统计学我意义)。结论动机访谈能有效提高酒瘾患者的自我效能感,缓解焦虑抑郁情绪,降低复饮率改善预后,适合临床推广。

Objective To investigate the effects of motivational interviewing on self-efficacy,negative emotions and prognosis of patients with alcohol dependence syndrome.Methods A total of 112 alcohol dependent patients admitted to a hospital from October 2017 to October 2019 were selected as the research object and divided into control group and observation group by random number table method.Control group was treated with conventional treatment,while observation group was treated motivational interviewing.We compared general self-efficacy scale(GSES)scores,hamilton rating scale for depression(HRSD)scores,and hamilton anxiety scale(HAMA)scores of the two groups before and after the motivational interviewing,also the follow-up of relapse and readmission.Results After motivational interviewing treatment,GSES score of observation group was significantly higher than the controls,HRSD score and HAMA score were significantly lower than control group.The 6-month relapse rate and readmission rate in observation group were significantly lower than those in control group.Conclusion Motivational interview can effectively improve the self-efficacy of alcoholics,relieve anxiety and depression,reduce the relapse rate,improve the prognosis,and is suitable for clinical promotion.