家庭功能、健康促进生活方式与酒精使用障碍的关系

Effects of family function and health promoting lifestyle on alcohol abuse

目的探讨家庭功能、健康促进生活方式与酒精使用障碍的关系。方法采用便利抽样法连续入组80例酒精使用障碍患者(研究组)和80例健康者(对照组),施测家庭关怀度指数、健康促进生活方式量表、饮酒问卷。结果除营养因子外,病例组APGAR总分、HPLP-ⅡR其他因子分显著低于对照组(P<0.05或0.01)。APGAR总分、HPLP-ⅡR各因子分与AUQ总分显著负相关(P<0.01);多元回归分析显示,APGAR、健康责任对病例组酒精使用障碍有显著预测效应(P<0.05或0.01)。由直接效应到中介模型,APGAR对AUQ无显著预测效应(P=0.053)。结论家庭功能、健康促进生活方式是酒精使用障碍的预测因子,健康促进生活方式在家庭功能、酒精使用障碍之间起完全中介效应。

Objective To explore the effects of family function and health-promoting lifestyle on alcohol abuse disorder(AUD).Methods The total of 80 patients of alcohol use disorder(AUD)(study group)and 80 healthy volunteers(control group)were enrolled by convenience sampling.Family APGAR Index(APGAR),Health Promoting Lifestyle Profile-Ⅱ,revise(HPLP-ⅡR),and Alcohol Use Questionnaire(AUQ)were employed for psychological assessment.Results Total score of APGAR and factor scores of HPLP-ⅡR except nutrition in study group were lower than those of control group(P<0.05 and P<0.01,respectively).Total score of APGAR and all factors scores of HPLP-ⅡR negatively correlated with total score of AUQ(P<0.01).Multiple regression analysis suggested that APGAR,health responsibility had significant predictive effects on AUD(P<0.05 and P<0.01,respectively).The mediating effect test showed that APGAR had no significant predictive effects on AUQ from the direct effect to mediating model(P=0.053).Conclusion Family function and health-promoting lifestyle are predictors of AUD and health-promoting lifestyle has a complete mediating effect between family function and AUD.