棋牌大全下载安装

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                  1. 当前位置: 代写一篇论文多少钱 > 医学论文 > 酒精依赖病人复饮影响因素与健康教育策略

                    酒精依赖病人复饮影响因素与健康教育策略

                    时间:2018-12-10 10:18作者:慕丽娜 杨立群
                    本文导读:这是一篇关于酒精依赖病人复饮影响因素与健康教育策略的文章,酒精依赖是指因习惯性饮酒过度导致的中枢神经系统中毒的复发性、慢性脑疾病,已成为全球性的医学和社会问题。国外研究显示,酒精依赖病人复饮风险在治疗后6~12个月最高,以后逐渐降低。

                      摘    要: 从预防酒精依赖病人复饮的意义、影响酒精依赖病人复饮的相关因素、预防酒精依赖病人复饮的健康教育内容等方面对预防酒精依赖病人复饮健康教育研究进展进行综述,提示酒精依赖受心理因素、家庭、社会支持的影响,复饮率高,应给予病人及时、正确、持续的干预。

                      关键词: 酒精依赖; 预防; 复饮; 健康教育; 影响因素; 综述;

                      JIUJINGYILAISHIZHIYINXIGUANXINGYINJIUGUODUDAOZHIDEZHONGSHUSHENJINGXITONGZHONGDUDEFUFAXING、MANXINGNAOJIBING[1],YICHENGWEIQUANQIUXINGDEYIXUEHESHEHUIWENTI。GUOWAIYANJIUXIANSHI,JIUJINGYILAIBINGRENFUYINFENGXIANZAIZHILIAOHOU6~12GEYUEZUIGAO,YIHOUZHUJIANJIANGDI[2]。GUONEIDUIXITONGZHILIAODEJIUJINGYILAIBINGRENXIANGTONGSHIDIANDIAOCHABIAOMING,BINGRENCHUYUANHOU3GEYUEFUYINLVWEI56.2%,6GEYUEWEI36.0%,12GEYUEWEI26.0%[3,4]。ZUOHAOJIUJINGYILAIBINGRENJIJIASHUDEJIANKANGJIAOYUGONGZUO,YIFANGMIANKEYIJIANSHAOJIUFEN;LINGYIFANGMIANKEGULI、BANGZHUBINGRENCHEDIJIEJIU。XIANXINGDEJIANKANGJIAOYUFANGFAJUNYOUXIAO,DANSHIQUEFAZHENDUIXINGDEJIANKANGJIAOYUCUOSHI[5]。XIANDUIYUFANGJIUJINGYILAIBINGRENFUYINFANGMIANJIANKANGJIAOYUDEBIYAOXING、YANJIUXIANZHUANG、XIANGGUANYINSUJINEIRONGDESHEZHIJINXINGZONGSHU,WEITICHUYUFANGJIUJINGYILAIBINGRENFUYINDEJIANKANGJIAOYUCELVETIGONGCANKAO。

                      1、 预防酒精依赖病人复饮的意义

                    棋牌大全下载安装   YANJIUBIAOMING,JIUJINGYILAIBINGRENFUYINZUICHANGFASHENGZAICHUYUANHOU3GEYUE[4]。YUANYINZHUYAOSHIBINGRENCHUYUANSHAOLIANGYINJIUHOUJIUJINGDEANSHIHEYALIDEGANYUYINGXIANGBINGRENJIEJIUDEJUEXINHESHENGHUOZHILIANG[6]。YOUYANJIUZHICHU:BINGRENZHUYUANQIJIANKANGFUERCHUYUANHOUFUYINDEXIANXIANGFEICHANGPUBIAN,HENDAYIBUFENSHIYOUYUCHUYUANHOUDEGANYUCUOSHIBUZUERDAOZHIDE[7]。YOUCIKEJIAN,DUIBINGRENSHISHIGANYU,QIXINGSHI、NEIRONGDENGYINGJINYIBUWANSHAN,CAINENGYOULIYUTIGAOBINGRENDEYICONGXING。TONGSHI,YUFANGJIUJINGYILAIBINGRENFUYINFANGMIANJIANKANGJIAOYUDESHISHIJIANGYOULIYUBINGRENFUYINLVDEJIANGDIHEYIHURENYUANZHISHISHUIPINGDETIGAO。ZAIJINHOUDEYANJIUZHONG,YINGZHUZHONGDUIJIUJINGYILAIBINGRENCHUYUANHOUYUFANGFUYINJIANKANGJIAOYUNEIRONGSHEZHI,ZHIDINGYITAOZHONGGUOWENHUABEIJINGXIA,QUANMIAN、XITONG、FUHECHUYUANHOUJIUJINGYILAIBINGRENSHIJIXUQIUDEZHENDUIFUYINDEJIANKANGJIAOYU。

                      2、 影响酒精依赖病人复饮的相关因素

                      MINGQUEJIUJINGYILAIBINGRENJIEDUANHOUFUYINDEYINSU,DUIZHIDINGZHENDUIXINGDEJIANKANGJIAOYUNEIRONGYOUZHONGYAODEZHIDAOYIYI。ZONGHEGUONEIWAIJINJINIANWENXIANBAODAO,JIUJINGYILAIBINGRENJIEDUANHOUFUYINDEYINGXIANGYINSUSHIDUOFANGMIANDE。

                      2.1、 社会人口学因素

                      有研究指出,不良的婚姻状况、居住在农村、较低文化程度的病人戒酒依从性差[8]。覃颖等[4]对130例酒精依赖病人进行的随访发现,酒精渴求程度严重、既往饮酒史长、日饮酒量多的酒精依赖病人复饮可能性大。除此之外,家庭环境缺乏亲密度、组织性、独立性及戒断期缺乏注意力和执行力者复饮可能性大[9]。
                     

                    酒精依赖病人复饮影响因素与健康教育策略
                     

                      2.2、 病人的社交网络

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                      2.3、 酒精的暗示

                      YOUYANJIUZHICHU,BINGRENSHOUDAOJIUJINGDEANSHIHOUHUIGENGKEWANGYINJIU,BINGCHUXIANXINLVJIAKUAIDENGSHENGLIFANYING[11]。YANJIUZHENGSHI,YUJIUJINGXIANGGUANDEANSHIYUQITAFEIJIUJINGANSHIBIJIAO,BINGRENDUIJIUJINGKEQIUCHENGDUGENGGAO,FANYINGGENGQIANGLIE[12]。

                      2.4、 情感症状

                    棋牌大全下载安装   YIYUZHUANGTAIYUJIUJINGLANYONGCUNZAIMINGXIANDEXIANGHUCUJINGUANXI,YINJIUYOUSHIRENMENYONGLAIHUANJIEYALIYUJINZHANGDECHANGJIANFANGSHI[13]。ZAIJIXINGYINGJIZHUANGTAIXIA,JIUJINGYILAIBINGRENHUIGAOGUJIUJINGDEZUOYONG,DUIDONGJIHEXINGWEICHANSHENGXIAOJIDEYINGXIANG,BINGTONGGUOTAMENYINGXIANGJIANKANGXINGWEI[13,14]。

                      3、 预防酒精依赖病人复饮的健康教育内容

                      3.1、 理论基础

                      3.1.1、 认知行为理论

                      20SHIJI60NIANDAIMO70NIANDAICHUQI,RENZHILILUNHEXINGWEIZHILIAOXIANGHUXINA、XIANGHUBUCHONGXINGCHENGLEXITONGXINLIZHILIAOFANGFA[15]。GAILILUNRENWEI,RENZHIGUOCHENGSHIYOUQINGXUYUXINGWEIGONGTONGJUEDINGDE,KEYITONGGUOGAIBIANRENDERENZHIGUOCHENGLAIGAIBIANRENDEGUANNIAN,JINERJIUZHENGQIQINGXUHEXINGWEI。XINGWEILIAOFARENWEI,XINGWEISHITONGGUOXUEXIDELAIDE,KEYITONGGUOYIXIESHIJIDECAOZUOFANGFALAIXIAOTUI、YIZHI、GAIBIANHETIDAIYUANLAIDEBULIANGXINGWEI。RENZHIXINGWEIZHILIAOFANGFASHILIANGZHEDEJIEHE,TARENWEI,RENZHIGUOCHENGJUEDINGZHEXINGWEIDECHANSHENG,TONGSHIXINGWEIDEGAIBIANYEKEYIYINGXIANGRENZHIDEGAIBIAN[16]。

                      3.1.2、信息-动机-行为技巧模型

                      FisherDENG[17]1992NIANZAIAIZIBINGGAOWEIXINGWEIYANJIUZHONGSHOUCITICHU,XINXISHIBINGRENXINGWEIFASHENGGAIBIANDELILUNJICHU,SHISHISHIXINGWEIDEQIANTI[18]。XINXI、DONGJI、XINGWEIJIQIAOSHIGAIMOXINGDE3GEZUCHENGBUFEN,3GEYAOSUXIANGHUZUOYONG。SHOUXIANTIGONGXIANGGUANZHENDUIXINGDEXINXI;QICIQIANGHUAXINGWEIGAIBIANDEDONGJI,YINGZAOYIZHONGYOULIYUGETITAIDU、GUANNIANGAIBIANDEFENWEI;ZUIHOUJIYUTEDINGDEXINGWEIJIQIAO;DANGXINXI-DONGJI-XINGWEIJIQIAOMOXINGDE3GEYAOSUDADAOYIDINGSHUIPINGHOU,ZECUJINXINGWEIGAIBIAN[17]。

                      3.1.3、 行为转变理论

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                      3.2、 健康教育内容

                      3.2.1、 入院常规健康教育

                      JIUJINGYILAIXIANGGUANZHISHI:BAOKUODINGYI、BINGYIN、LINCHUANGBIAOXIAN、ZHILIAOJIYUHOU、YINJIUDEWEIHAIJIJIEJIUDEBIYAOXINGHEYUFANGFUYINDEFANGFA[22,23]。BINGFAZHENGDEGUANCHAJIYUFANG:ZHANGQIYINJIUKEDAOZHIGANYANJIGANYINGHUADENGJIBING,BINGRENYICHUXIANYAYINCHUXUE、SHANGXIAOHUADAOCHUXUE、KOUQIANGKUIYANGDENGBINGFAZHENG,ZHIDAOBINGRENJISHIBIANBIEBINGQINGBIANHUA。SHENGHUOJIWEISHENGZHIDAO:ANJINGXIUXI,BAOZHENGSHUIMIAN,YAOQIUBINGRENJIASHUZAIBINGRENJIEJIUQIJIANZUOHAOSHENGHUOHULIGONGZUO,SANCANYINSHIYIGAORELIANG、YIXIAOHUA、GAOTANGLEI、FUHANWEISHENGSU(YOUQISHIWEISHENGSUBl、B6)、JIADESHIWUWEIZHU,JINSHIXINLACIJIDESHIWU,JISHICUXIANWEIJIJIANYING、GANZAODESHIWU[5]。

                      3.2.2、 针对性的健康指导

                      GENJUJIUJINGYILAIBINGRENDEZHIYE、WENHUAXIUYANG、XINGQUHEAIHAOCAIQUBUTONGDEXUANJIAOFANGSHI,JIANGJIANKANGJIAOYUGUANCHUANYUZHENGGEZHILIAOGUOCHENGZHONG,JINXINGSHENRUQIANCHUDEJIANGJIE,POUXIQIDAOZHIDEQUTI、XINLI、JIATING、SHEHUIDENGFANGMIANDEFUXINGYINGXIANG,ZUIDAXIANDUDIDIAODONGBINGRENJIEJIUDEJIJIXINGHEZHUDONGXING,SUODUANBINGRENPINGJUNZHUYUANZHILIAOSHIJIAN,YOUXIAOJIANGDIFUYINLV[24]。

                      3.2.3、 心理防御机制的建设

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                      3.2.4、 社会支持相关健康教育

                      JIATINGSHISHEHUIZHICHIXITONGDEZHONGXIN,JIATINGZHICHI(HANHUNYINZHICHI)DUIJIUJINGYILAIBINGRENCHENGGONGJIEJIUJUYOUZHONGYAOYIYI。DUIBINGRENJIASHUJINXINGJIANKANGJIAOYU,GULIBINGRENJIASHUBULIBUQI,SHIZHONGRUYIDIBANGZHUBINGRENJIANLIZHONGFANSHEHUIDEXINXIN[25]。

                      3.3、 健康教育的实施途径

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                      4、 小结

                    棋牌大全下载安装   JIUJINGYILAIHEQITAYAOWULANYONGDOUSHIQUANQIUXINGDEWENTI,JISHEHUIJINGJIDEFAZHANHEJIANKANGFANGMIANDEHUAFEIDAILAILEJUDAFUDAN。JIUJINGYILAIBUTONGYUQITAQIZHIXINGJIBING,QISHOUXINLIYINSU、JIATING、SHEHUIZHICHIDEYINGXIANG,FUYINLVGAO,JISHI、ZHENGQUEDEGANYUZAIZHILIAOZHONGZUOYONGXIANZHE[29]。JIANKANGJIAOYUZAIYILIAOHUODONGDEGEGEJIEDUANDOUFAHUIZHEZHONGYAODEFUZHUZUOYONG,JISHI、ZHENGQUEDEJIAOYUHEGANYUNENGGOUGAISHANBINGRENDEXINGWEIXIGUAN。ZHENDUIJIUJINGYILAIBINGRENYUFANGFUYINZHISHIDEXUANCHUANJIWEISHENGZHISHIDEPUJIKEBURONGHUAN,YOUBIYAOGENJUSHUZIHUAYIDONGDUANDEFAZHAN,XINXIHUA、DASHUJUJIJINGZHUNYILIAODEFAZHANQUSHIDUIJIUJINGYILAIBINGRENTICHUGENGJUYOUZHENDUIXING、GENGQUEQIEDEJIANKANGJIAOYUFANGFA,YITIGAOBINGRENJIJIASHUDEYICONGXING,CUJINBINGRENDEKANGFU,JIANGDIFUYINLV。

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