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目的 探讨延续性护理干预模式在酒精所致精神障碍患者中的临床应用效果.方法 将102例患者按入院顺序随机分为干预组(50例)和对照组(52例),对照组患者给予一般常规护理干预措施,干预组患者在此基础上予出院后转入居家开放病区加用延续性护理干预模式,并建立延续服务档案,对两组患者随访6个月,采用简明精神病评定量表医学应对问卷(MCMQ)、社会功能缺陷筛选量表(SDSS)和社会支持评定量表(SSRS)评定,并统计两组患者戒酒效果和满意度.结果 干预组与对照组患者相比,在出院时患者社会支持、社会功能、应对方式、戒酒效果等差异无统计学意义(P＞0.05);出院后第6个月时,干预组患者的客观支持、主观支持和支持利用度得分分别为(12.68±3.45),(24.68±5.02),(9.88±2.41)分,明显优于对照组的(10.98±3.47),(20.77±5.90),(6.78±2.13)分,差异有统计学意义(t值分别为5.63,5.55,14.07;P＜0.01);干预组患者出院后6个月的MCMQ因子中面对、回避、屈服得分分别为(19.86±3.68),(10.84±1.89),(8.58±2.46)分,明显优于对照组的(15.84±3.65),(16.54±2.88),(13.78±2.47)分,差异有统计学意义(t分别为7.89,9.12,15.75;P ＜0.05).干预组患者出院后6个月SDSS评分为(8.21±1.91)分,明显优于对照组的(10.84±2.14)分,差异有统计学意义(t =3.87,P＜0.05).干预组患者的完全戒酒率为52.00％,限量戒酒率为18.00％,患者满意度为98.00％,明显优于对照组的19.23％,15.38％,84.61％,差异有统计学意义(x2分别为14.504,5.676;P＜0.05).结论 延续性护理干预能够改善患者的社会支持、社会功能、应对方式和戒酒率,提高患者和家属的满意度.

Objective To probe into the clinical application effect of the transitional care model on alcohol-induced mental disorders.Methods One hundred and two patients with alcohol-induced mental disorders were divided into the intervention group (n =50) and the control group (n =52) patients in group according to block randomization method.The control group received routine care interventions; the patients in the intervention group discharged to home in open wards,received transtional care model intervention and established services file on the basis of routine care.The patients were followed up for 6 months,and were surveyed by medical coping modes questionnaire (MCMQ),social dysfunction screening scale (SDSS) and social support rating scale (SSRS).The complex drink rate and satisfaction were analyzed in patients.Results The differences in the social support,social functioning,coping style and complex drink rate were not statistically significant between two groups in the discharge.The scores of the social support,social functioning,coping style and complex drink rate were respectively (12.68 ± 3.45),(24.68 ± 5.02),(9.88 ± 2.41) in the intervention group six months after discharge,and were better than (10.98 ± 3.47),(20.77 ± 5.90),(6.78 ±2.13) in the control group,and the differences were statistically significant (t =5.63,5.55,14.07,respectively; P ＜0.01).The scores of face,avoid and yielding were respectively (19.86 ±3.68),(10.84 ±1.89),(8.58 ± 2.46) in the intervention group six months after discharge,and were better than (15.84 ±3.65),(16.54 ± 2.88),(13.78 ± 2.47) in the control group,and the differences were statistically significant (t =7.89,9.12,15.75,respectively; P＜0.05).The score of SDSS was (8.21 ±1.91) in the intervention group six months after discharge,and was better than (10.84 ± 2.14) in the control group,and the difference was statistically significant (t =3.87,P ＜ 0.05).The total abstinence rate,the limited drinking rate,the satisfaction of patients were respectively 52.00％,18.00％,98.00％ in the intervention group six months after discharge,and were better than 19.23％,15.38％,84.61％ in the control group,and the differences were statistically significant (x2 =14.504,5.676,respectively; P ＜0.05).Conclusions Transtional care model intervention can improve the patients' social support,social function,coping styles and abstinence rate,and improve the satisfaction of patients and their families.