首页|动机强化团体干预对康复期男性苯丙胺依赖者复吸倾向及自尊的影响

动机强化团体干预对康复期男性苯丙胺依赖者复吸倾向及自尊的影响

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目的:探索护士为主要实施者的动机强化团体干预对康复期男性苯丙胺依赖者改变动机、复吸倾向和自尊的效果。方法:选取公安强制戒毒所医院内98例男性苯丙胺类康复期强制隔离戒毒人员,随机分为对照组54例,动机强化组44例。对照组接受常规教育,动机强化组在此基础上接受为期12周,护士为主要实施者的动机强化团体干预。在基线及干预后采用改变准备阶段和治疗迫切性量表(SOCRA-TES)、复吸倾向问卷、中文版Rosenberg自尊量表(RSES-T)进行测评。结果:12周干预后,两组的RS-ES-T得分、复吸倾向问卷总分及戒毒信心维度得分均低于基线(P<0。05),且动机强化组得分低于对照组(P<0。05)。结论:与常规教育相比,护士为主要实施者的动机强化团体干预更有助于提升康复期男性苯丙胺类强制隔离戒毒人员戒毒信心和降低复吸倾向,但对其自尊的提高存在局限性。
Effects of motivational enhancement group intervention on relapse tendency and self-esteem of male recovering amphetamine addicts
Objective:To explore the effect of motivational enhancement group intervention conducted by nur-ses on the motivation of self-improvement,relapse tendency and self-esteem in the recovering male amphetamine addicts.Methods:Ninety-eight recovering male amphetamine addicts in the Compulsory Detoxification Center were randomly divided into control group(n=54)and motivational enhancement group(n=44).The addicts in the con-trol group received routine education while those in the motivational enhancement group received routine education combined with a 12-week motivational enhancement group intervention conducted by nurses.The Stages of Change Readiness and Treatment Eagerness Scale(SOCRATES),Relapse Tendency Questionnaire,and Rosenberg Self-es-teem Scale(RSES-T)were applied to measure the effect,before and after the intervention.Results:In both two groups,the scores of RSEST,questionnaire of relapse tendency,and self-confidence of detoxification were lower af-ter 12-week intervention than at the baseline(Ps<0.05).After 12-week intervention,all the above scores were lower in the motivational enhancement group than in the control group(Ps<0.05).Conclusion:Compared with routine education,the motivational enhancement group intervention conducted by nurses may be more effective to improve their self-confidence in drug rehabilitation and prevention of relapse in recovering male amphetamine ad-dicts,however,the improvement on self-esteem is limited.

motivation enhancement interventionamphetaminedrug addictiondetoxification motivationself-esteemrelapse tendency

吴媛媛、武昆利、张雄、赵娜、伍力、谭澍、尹文卅

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大理大学护理学院,云南大理 671013

昆明市第三人民医院,昆明 650041

昆明医科大学附属精神卫生中心,昆明 650225

动机强化干预 苯丙胺 毒品成瘾 戒毒动机 自尊 复吸倾向

2024

中国心理卫生杂志
中国心理卫生协会

中国心理卫生杂志

CSTPCDCHSSCD北大核心
影响因子:2.088
ISSN:1000-6729
年,卷(期):2024.38(12)