内观认知疗法对酒依赖患者治疗依从性的影响.docVIP

内观认知疗法对酒依赖患者治疗依从性的影响 　　doi：10.3969/j.issn.1007-614x.2014.15.50 　　摘 要 目的：探讨内观认知疗法对酒依赖患者治疗依从性的影响。方法：收治酒依赖男性患者60例，随机分为研究组和对照组，各30例。两组患者均给予药物治疗及护理，研究组在此基础上接受内观认知疗法8周，于8周末对两组患者症状自评量表（SCL-90）、患者满意度及治疗依从性进行比较。结果：治疗后研究组SCL-90各因子分均显著低于对照组（P0.01），患者满意度及治疗依从性均显著高于对照组（P0.01）。结论：内观认知疗法能降低酒依赖患者的饮酒渴求，提高患者满意度及治疗依从性，降低复发率。 　　关键词 酒依赖患者 内观认知疗法 治疗依从性 　　Influence of Naikan cognitive therapy on the compliance of patients with alcohol dependence 　　Zou Lijun 　　The Second Peoples Hospital of Shangqiu City，Henan 476000 　　Abstract Objective：To explore the influence of Naikan cognitive therapy？on the compliance of patients with alcohol dependence.Methods：60 alcohol dependent male patients were selected.They were divided into the study group and the control group with 30 cases in each.Two groups of patients were given drug treatment and nursing，while the study group received Naikan cognitive therapy for 8 weeks on the basis of conventional treatment.At the end of the 8 week，the symptom checklist 90（SCL-90） and patient satisfaction and compliance of treatment of the two groups were compared.Results：After treatment，the factors of SCL-90 in study group were significantly lower than those in the control group（P0.01）.Patient satisfaction and compliance to treatment were higher than the control group（P0.01）.Conclusion： Naikan cognitive therapy can reduce alcohol craving of patients with alcohol dependence，improve the satisfaction of patients and treatment compliance and reduce the recurrence rate. 　　Key words Patients with alcohol dependence； Naikan cognitive therapy；Treatment compliance 　　酒依赖是长期饮酒对酒产生一种渴求的异常心理状态，在认知情感和行为方面都有变化。近年来，随着生活水平的提高，人际交往的增加以及社会压力的增大，对酒依赖者有逐年增高趋势，这不仅严重危害人们的心身健康，而且还给家庭社会带来严重的负担[1]，为此我院引进了国外学者提出的“内观认知疗法”对酒依赖患者进行治疗，以观察酒依赖者住院满意度和治疗依从性，降低复发率，现报告如下。 　　资料与方法 　　2013年1月-2014年1月收治酒依赖男性患者60例，随机分为研究组和对照组各30例。研究组年龄29～63岁，平均（44±9）岁，酒龄3～40年；对照组年龄30～63岁，平均（43±8）岁，酒龄4～39年。两组年龄、饮酒年限差异无统计学意义（P0.05）。 　　入组标准：①符合《中国精神障碍分类与诊断标准》（第3版）酒依赖诊断标准；②自知力大部分恢复；③无严重躯体疾病。 　　方法：两组均给予药物治疗及护理，研究组