| 王昊,李薇,甄文歌,李媛媛,刘杰.基于时机理论的“互联网+”赋能教育对酒精依赖患者心理渴求、焦虑症状及复饮率的影响[J].四川精神卫生杂志,2025,38(1):34-40.Wang Hao,Li Wei,Zhen Wen'ge,Li Yuanyuan,Liu Jie,Impact of "Internet +" empowerment education based on timing it right on psychological craving， anxiety symptoms and relapse rates in patients with alcohol dependence[J].SICHUAN MENTAL HEALTH,2025,38(1):34-40 |
| 基于时机理论的“互联网+”赋能教育对酒精依赖患者心理渴求、焦虑症状及复饮率的影响 |
| Impact of "Internet +" empowerment education based on timing it right on psychological craving， anxiety symptoms and relapse rates in patients with alcohol dependence |
| 投稿时间：2024-07-22 |
| DOI：10.11886/scjsws20240722003 |
| 中文关键词: 互联网+ 时机理论 赋能教育 酒精依赖 |
| 英文关键词:Internet + Timing it right Empowerment education Alcohol dependence |
| 基金项目:2023年度河北省医学科学研究课题计划（项目名称：酒精使用障碍虚拟现实技术治疗的临床疗效研究，项目编号：20231537） |
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| 中文摘要: |
| 背景 酒精依赖患者戒酒后易复饮，严重影响患者的身心健康，给患者及家庭带来沉重负担。目前，赋能教育越来越多地应用于慢性疾病患者的康复管理中，但基于时机理论的“互联网+”赋能教育在酒精依赖患者中的应用较有限。目的 探讨基于时机理论的“互联网+”赋能教育对酒精依赖患者的影响，以期降低患者的复饮率和对酒精的渴求，改善焦虑症状。方法 选取2022年5月—2023年4月在河北省精神卫生中心成瘾医学科住院治疗的、符合《国际疾病分类（第10版）》（ICD-10）酒精依赖诊断标准的患者为研究对象（n=120），采用随机数字表法分为研究组（n=62）和对照组（n=58）。两组均接受药物治疗和常规护理，研究组在此基础上接受为期6个月的基于时机理论的“互联网+”赋能教育。基线期，采用宾夕法尼亚酒精渴求量表（PACS）和焦虑自评量表（SAS）进行评定；干预3个月和6个月后，采用PACS、SAS和密西根酒精筛查量表（MAST）进行评定。结果 干预3个月和6个月后，研究组复饮率均低于对照组（χ2=8.575、8.828，P均<0.01）。重复测量方差分析结果显示，两组PACS总评分和各条目评分的时间效应、组间效应以及时间与组间的交互效应均有统计学意义（F=159.714~837.751、84.645~393.606、24.302~137.896，P均<0.01）。两组SAS评分的时间效应、组间效应以及时间与组间的交互效应均有统计学意义（F=166.237、65.325、24.724，P均<0.01）。结论 基于时机理论的“互联网+”赋能教育可能有助于降低酒精依赖患者的复饮率及其对酒精的渴求程度，并有助于改善焦虑症状。 |
| 英文摘要: |
| Background Alcohol dependence patients are prone to relapse after their attempts to quit drinking， which poses a considerable threat to their physical and mental health and creates a heavy burden on their families. Currently， empowerment education is increasingly being utilized in the rehabilitation management of chronic diseases， but there remains a striking lack of empirical research on the application of "Internet +" empowerment education based on timing it right in alcohol dependence patients.Objective To explore the impact of "Internet +" empowerment education based on timing it right on patients with alcohol dependence， in order to maximize the reduction in relapse rates， craving for alcohol and severity of anxiety symptoms.Methods A total of 120 patients who were hospitalized in the Department of Addiction Medicine， Hebei Provincial Mental Health Center from May 2022 to April 2023 and met the diagnostic criteria for alcohol dependence in the International Classification of Diseases， tenth edition （ICD-10） were enrolled， and they were classified into study group （n=62） and control group （n=58） using random number table methods. Both groups received standard medication and routine care. Additionally， study group underwent a 6-month "Internet +" empowerment education based on timing it right. At baseline， all subjects were assessed using Penn Alcohol Craving Scale （PACS） and Self-rating Anxiety Scale （SAS）. Three months and six months after intervention， assessments were conducted using PACS， SAS and Michigan Alcoholism Screening Test （MAST）.Results The relapse rates after three and six months of intervention were both lower in study group than those in control group， with statistically significant differences （χ2=8.575， 8.828， P<0.01）. ANOVA with repeated measures on PACS total score and scores of each item revealed a significant time effect， group effect and time×group interaction effect （F=159.714~837.751， 84.645~393.606， 24.302~137.896， P<0.01）. And significant time effect， group effect and time×group interaction effect were also reported on SAS scores （F=166.237， 65.325， 24.724， P<0.01）.Conclusion "Internet +" empowerment education based on timing it right may help reduce relapse rates， alcohol cravings and severity of anxiety symptoms among patients with alcohol dependence. ［Funded by 2023 Annual Hebei Provincial Medical Scientific Research Project Plan （number， 20231537）］ |
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