Zhuang Shu-Mei, An Shi-Hui, Zhao Yue
School of Nursing, Tianjin Medical University, Tianjin, China.
J Clin Nurs. 2014 May;23(9-10):1239-48. doi: 10.1111/jocn.12287. Epub 2013 Jul 12.
To determine whether cognitive behavioural interventions would improve the quality of life in Chinese heroin addicts.
Drug dependence is one of the most serious health problems in the world, representing a real menace to mental and somatic health. However, effects of cognitive behavioural interventions on quality of life in Chinese heroin addicts are unclear.
This randomised controlled study was conducted at a Drug-withdrawal Rehabilitation Center in China.
Following ethics approval and heroin addicts' consent, 240 heroin addicts were randomly assigned to two groups. The experimental group (n = 120) received a six-month cognitive behavioural intervention comprising education intervention and behavioural intervention developed by the investigators. The control group (n = 120) received the hospital's routine care. The effects of the interventions on patients' quality of life were evaluated at baseline and six months and were compared. A Chinese version of Quality of Life in Drug Addiction Questionnaire was used in this study. Usefulness of the intervention and usual community services was evaluated at six months.
The quality of life of participants with heroin addiction with physical and psychological disorders is poor. The experimental group showed a significant improvement in quality of life after nurse-managed cognitive behavioural intervention.
The quality of life and the health status of Chinese heroin addicts were improved after they received a nurse-managed cognitive behavioural intervention.
Appropriate nurse-managed cognitive behavioural intervention for heroin addicts can improve their quality of life and promote their health. It is important for clinical nurses to understand cognitive behavioural therapy, appraisal and coping to apply knowledge in practice when dealing with a client who has heroin addiction.
确定认知行为干预是否能改善中国海洛因成瘾者的生活质量。
药物依赖是世界上最严重的健康问题之一，对身心健康构成了切实威胁。然而，认知行为干预对中国海洛因成瘾者生活质量的影响尚不清楚。
这项随机对照研究在中国一家戒毒康复中心进行。
在获得伦理批准并征得海洛因成瘾者同意后，将240名海洛因成瘾者随机分为两组。实验组（n = 120）接受为期六个月的认知行为干预，包括研究人员制定的教育干预和行为干预。对照组（n = 120）接受医院的常规护理。在基线和六个月时评估干预措施对患者生活质量的影响并进行比较。本研究使用了中文版的药物成瘾生活质量问卷。在六个月时评估干预措施和常规社区服务的有效性。
患有身体和心理障碍的海洛因成瘾参与者的生活质量较差。在护士管理的认知行为干预后，实验组的生活质量有显著改善。
中国海洛因成瘾者在接受护士管理下的认知行为干预后，生活质量和健康状况得到改善。
对海洛因成瘾者进行适当的护士管理下的认知行为干预可以改善他们的生活质量并促进他们的健康。临床护士了解认知行为疗法、评估和应对方法，以便在处理海洛因成瘾患者时将知识应用于实践中非常重要。
