文章摘要

基于保护动机理论的延续性护理干预对酒精所致精神障碍患者自我效能、复饮和社会功能的影响

作者: 1陈娟, 1张玉芹
1 阜阳市第三人民医院重症医学科,安徽 阜阳 236000
通讯: 陈娟 Email: 252265775@qq.com
DOI: 10.3978/j.issn.2095-6959.2022.12.029

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% vs 68.89%,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。
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

Effect of continuous nursing intervention based on protective motivation theory on self-efficacy, re-drinking, and social function of patients with alcohol-induced psychotic disorder

Authors: 1CHEN Juan, 1ZHANG Yuqin
1 Department of Critical Care Medicine, Third People’s Hospital of Fuyang, Fuyang Anhui 236000, China

CorrespondingAuthor: CHEN Juan Email: 252265775@qq.com

DOI: 10.3978/j.issn.2095-6959.2022.12.029

Abstract

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.

Keywords: protection motivation theory; continuous nursing; alcohol; mental disorders; self-efficacy; social function

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