酒中毒患者戒酒相关因素的分析

An Analysis of Relation Factors about Temperance from alcoholism

目的:探讨酒中毒患者维持戒酒状态的相关因素。方法:30例住院的酒中毒病人(饮酒组)和13例出院以后戒酒二年以上的酒中毒病人(戒酒组)以明尼苏达多项个性调查表(MMPI),汉密顿抑郁量表(HAMD),汉密顿焦虑量表(HAMA),以及有关酒中毒认识方面自编问卷,并调查入院记录及出院以后采取措施等进行对照研究。结果:饮酒组MMPI量表中L、Hs、D、Hy、Pt分高于戒酒组,Pd分饮酒组高于戒酒组,并出现1,2,4,6测图,HAMD,HAMA量表饮酒组高于戒酒组,说明有明显的躯体不适感和抑郁焦虑,强迫症特征和人格障碍特征,戒酒组对酒中毒认识分高于饮酒组,主动住院和出院以后坚持戒酒康复活动(简称AA活动),戒酒组多高于饮酒组。结论:对酒中毒认识程度越深刻,戒酒效果越好,出院以后坚持AA活动是成功戒酒的有效措施。

Objective:To explore the relation factors of maintenance of temperance from alcoholism.Methods:30 inpatients (drink group) and 13 discharged patients who had been no drinking over two years (abstinence group) have been checked with MMPI,HAMD,HAMA,test on recognizing about alcoholism edited by ourselves. We have investigated the admission records and the measures which had been taken after discharge.Results: The fractions of L,Hs,D,Hy,Pt,Pd in MMPI from the drink group were higher than that from the abstinence group. And the statistical charts 1,2,4,6 have been drawn. The fractions in HAMD and HAMA from the drink group were also higher than that from the abstinence group. All of these indicated that the drink group has obvious uncomfortable somatic feelings, depression, anxiety,obsessive-compulsive features and personality disturbence. The scores of active hospitalization of the abstinence group (8 patients, 62%) was more than that of the drink group (7 patients,23%; 2 =5.83,P<0.05). And the scores about insisting on temperance recovery action (11 patients, 85%) of the abstinence group was also more than that of the drink group (no patients, 2 =4.12, P<0.05).Conclusion: It is conduced that the deeper recognition on alcoholism is, the better effect of abstinence will be. And insisting on A.A.(Alcoholics Anonymous, temperance recovery) action after discharge is the most effective measures of abstinence.