【摘要】 目的 总结酒精依赖患者的护理特点和经验。 方法 2008年1月-2009年10月，对收治的60例酒精依赖患者，依据其临床特点采取针对性的护理措施，重点加强心理护理。 结果 60例患者症状明显改善，痊愈40例，无并发症发生。 结论 在药物治疗的基础上，配合施行各项有效的护理措施，特别是心理护理，可帮助患者减轻对酒品的依赖程度，恢复健康和正常生活。【Abstract】 Objective To summarize the characteristics and experiences of nursing for patients with alcohol dependence. Method From January 2008 to October 2009, 60 patients with alcohol dependence were admitted to our department. According to the clinical characteristics of those patients, corresponding nursing measures were applied. Mental nursing was enhanced. Results The symptoms of 60 inpatients were obviously improved without complications. The evaluation of treatment showed that 40 patients were cured. Conclusion On the base of medicine treatment, patients can lower their alcohol dependence and go back to normal life by effective measures of nursing, especially mental nursing.
ObjectiveTo explore the effect of motivation interview skill on the improvement of withdrawal motivation of amphetamine abusers. MethodsSeventy amphetamine abusers were divided into the experimental group and the control group randomly by random number table between January and July 2013. Both groups had 35 subjects. Amphetamine abusers in the control group received conventional medical treatment and nursing, while the amphetamine abusers in the experimental group were treated with motivation interview skill therapy in addition to conventional medical treatment and nursing. The questionnaires on withdrawal motivation were used to evaluate the effects for the improvement of withdrawal motivation of both groups in the first week and third week respectively. ResultsScores of the questionnaire on withdrawal motivation of the two groups showed significant differences after hospital treatment compared with before (P<0.05), but the experimental group was much better than the control group (P<0.05). ConclusionMotivation interview skill therapy has a remarkable therapeutic effect for the improvement of withdrawal motivation of amphetamine abusers.
Objective To probe into the influence of hospital-community seamless recovery mode on quality of life in schizophrenia patients. Methods Fifty-six patients with stable condition discharged from hospital in 2011 were recruited. All the patients accepted hospital-community seamless recovery mode based on rehabilitation inside the hospital. Personal and social performance scale (PSP) and family APGAR (adaptability, partnership, growth, affection, resolve) index were used to evaluate the change of social function and family APGAR index at the beginning of the study, 3 months and 6 months after this research. All the data were analyzed by SPSS 16.0 software. Results Scores of APGAR scale and PSP scale of patients 3 months and 6 months after rehabilitation training were significantly higher than those before the training (P<0.05). APGAR scale and PSP scale had positive correlation. As APGAR score increased, PSP score also increased (P<0.05). Conclusion Hospital-community seamless recovery mode can improve the quality of life and promote rehabilitation positively in patients with schizophrenia.
Objective To explore the characteristics of cognitive impairment in patients with alcohol dependence, and analyze the related influencing factors. Methods The Montreal Cognitive Assessment Scale (MoCA) was used to evaluate the cognitive function of 65 alcohol dependent patients hospitalized between January 1st and December 31st, 2014. The features of cognitive impairment and related influencing factors were analyzed. Results The differences of MoCA attention and delayed recall between different drinking year groups had statistical significance (P<0.05). The correlations of drinking year with MoCA attention (r=–0.250,P=0.044), and with delayed recall (r=–0.326,P=0.008) were both negative. MoCA scores, naming, attention and delayed recall were different statistically among different age groups (P<0.05). The correlations of ages with MoCA scores (r=–0.429,P<0.001), naming (r=–0.261,P=0.035), attention (r=–0.391,P=0.001) and delayed recall (r=–0.461,P<0.001) were all negative. MoCA scores, the visuoconstructional skills, language, abstraction and delayed recall were significantly different among different education level groups (P<0.05). The correlations of education level with MoCA scores (rs=0.650,P<0.001), the visuoconstructional skills (rs=0.540,P<0.001), language (rs=0.486,P<0.001), abstraction (r=0.602,P<0.001) and delayed recall (rs=0.593,P<0.001) were all positive. Ages had an effect on MoCA scores by multiple linear regression analysis (P<0.01). Conclusions For alcohol dependent patients with cognitive impairment, cognitive function is correlated with drinking year, age and education level. The cognitive function is much serious in patients with older age and longer drinking years. This kind of patients should be focused on and intervened early.