摘要
目的:探究基于保护动机理论(protective motivation theory,PMT)的延续性护理干预对酒精所致精神障碍(alcohol-induced psychotic disorder,AIPD)患者自我效能、复饮和社会功能的影响。方法:选取2020年6月至2021年6月阜阳市第三人民医院收治的100例AIPD患者,按干预方法分为对照组(n=45)与观察组(n=55)。对照组接受常规护理,观察组接受基于PMT的延续性护理。比较两组复饮情况及干预前后阳性与阴性症状量表(Positive and Negative Syndrome Scale,PANSS)、一般自我效能感量表(General Self-Efficacy Scale,GSES)、自尊量表(Self-Esteem Scale,SES)、社会支持评定量表(Social Support Rating Scale,SSRS)、社会功能缺陷筛选量表(Social Disability Screening Scale,SDSS)、日常生活能力量表(Activity of Daily Living,ADL)评分。结果:观察组复饮率明显低于对照组(49.09%vs68.89%,P<0.05)。观察组干预后PANSS中阴性症状、一般精神病理学症状评分均明显低于对照组(均P<0.05)。观察组干预后GSES评分、SES评分均明显高于对照组(均P<0.05)。观察组干预后SSRS中客观支持、主观支持、支持利用度评分均明显高于对照组(均P<0.05)。观察组干预后SDSS评分、ADL评分均明显低于对照组(均P<0.05)。结论:基于PMT的延续性护理干预可有效改善AIPD患者的精神症状,提高其自我效能、自尊感及社会支持水平,进而改善其社会功能,降低复饮率。
Objective:To explore the effect of continuous nursing intervention based on the protective motivation theory(PMT)on self-efficacy,re-drinking,and social function of patients with alcohol-induced psychotic disorder(AIPD).Methods:A total of 100 patients with AIPD admitted to Third People’s Hospital of Fuyang from June 2020 to June 2021 were selected and divided into a control group(n=45)and an observation group(n=55)according to the intervention methods.The control group received routine nursing,and the observation group received continuous nursing based on PMT.The scores of Positive and Negative Syndrome Scale(PANSS),General Self-Efficacy Scale(GSES),Self-Esteem Scale(SES),Social Support Rating Scale(SSRS),Social Disability Screening Scale(SDSS),and Activity of Daily Living(ADL)scale before and after the intervention were compared between the 2 groups.Results:The re-drinking rate of the observation group was significantly lower than that of the control group(49.09%vs 68.89%,P<0.05).The scores of negative symptoms and general psychopathological symptoms in PANSS in the observation group after the intervention were significantly lower than those in the control group(both P<0.05).After the intervention,the GSES score and SES score in the observation group were significantly higher than those in the control group(both P<0.05).The scores of objective support,subjective support,and support utilization in the observation group after the intervention were significantly higher than those of the control group(all P<0.05).After the intervention,the SDSS score and ADL score in the observation group were significantly lower than those in the control group(both P<0.05).Conclusion:The continuous nursing intervention based on PMT can effectively improve the mental symptoms of AIPD patients,improve their self-efficacy,self-esteem,and social support levels,thereby improving their social functions and reducing the re-drinking rate.
作者
陈娟
张玉芹
CHEN Juan;ZHANG Yuqin(Department of Critical Care Medicine,Third People’s Hospital of Fuyang,Fuyang Anhui 236000,China)
出处
《临床与病理杂志》
CAS
2022年第12期3055-3062,共8页
Journal of Clinical and Pathological Research
关键词
保护动机理论
延续性护理
酒精
精神障碍
自我效能
社会功能
protection motivation theory
continuous nursing
alcohol
mental disorders
self-efficacy
social function
