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基于生活质量疗法的团体心理咨询对物质使用问题个体的家庭照顾者的压力和生活满意度的影响:一项随机对照试验。

The Effect of Group Counseling Based on Quality of Life Therapy on Stress and Life Satisfaction in Family Caregivers of Individuals with Substance Use Problem: A Randomized Controlled Trial.

机构信息

Department of Psychiatric Nursing, Nursing and Midwifery School, Zahedan University of Medical Sciences, Zahedan, Iran.

Department of Psychiatry, Zahedan University of Medical Sciences, Zahedan, Iran.

出版信息

Issues Ment Health Nurs. 2019 Dec;40(12):1012-1018. doi: 10.1080/01612840.2019.1609635. Epub 2019 Jul 8.

DOI:10.1080/01612840.2019.1609635
PMID:31283355
Abstract

Family caregivers of people with substance abuse are exposed to psychological problems that diminish their life quality and satisfaction. The purpose of this study was to diagnose the efficacy of quality-of-life intervention on stress and life satisfaction of family caregivers of individuals with substance use problem. This is a randomized controlled trial conducted on 80 family caregivers of individuals with substance use problem in the process of withdrawal who were referred to a psychiatric center in southeastern Iran (2018). The intervention group received seven sessions of quality-of-life group counseling every other day based on predetermined content. Twelve weeks post-intervention, data were collected from the control and intervention groups using the Depression Anxiety and Stress Scales (DASS-21) and the Satisfaction with Life Scale (SWLS). The results were analyzed through statistical tests. After group counseling based on quality of life, the mean stress score in the family caregivers of the intervention group (11.50 ± 4.36) was significantly lower than in those of the control group (14.67 ± 4.93) ( = 0.003). Also, in the posttest, the mean score of life satisfaction in the intervention group (24.75 ± 4.28) was significantly higher than that of the control group (19.57 ± 7.33) ( = 0.001). Group counseling based on quality of life exerted a significantly positive impact on reducing the severity of stress and improving life satisfaction among family caregivers of individuals with substance use problem. Therefore, it is highly recommended that healthcare service providers incorporate this counseling approach in substance use withdrawal programs so as to increase the well-being and mental health of family caregivers.

摘要

物质滥用患者的家庭照顾者面临心理问题,这些问题降低了他们的生活质量和满意度。本研究旨在诊断生活质量干预对物质使用问题个体家庭照顾者的压力和生活满意度的疗效。这是一项在伊朗东南部一家精神病中心进行的随机对照试验,纳入了 80 名处于戒断过程中的物质使用问题个体的家庭照顾者(2018 年)。干预组接受了基于预定内容的每周两次、每次 7 节的生活质量团体咨询。干预 12 周后,使用抑郁焦虑压力量表(DASS-21)和生活满意度量表(SWLS)从对照组和干预组收集数据。通过统计检验分析结果。在基于生活质量的团体咨询后,干预组家庭照顾者的压力评分均值(11.50±4.36)显著低于对照组(14.67±4.93)( = 0.003)。此外,在干预后,干预组的生活满意度评分均值(24.75±4.28)显著高于对照组(19.57±7.33)( = 0.001)。基于生活质量的团体咨询对减轻物质使用问题个体家庭照顾者的压力严重程度和提高生活满意度有显著的积极影响。因此,强烈建议医疗服务提供者在物质使用戒断计划中纳入这种咨询方法,以提高家庭照顾者的幸福感和心理健康。

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