Siu-man Ng, PhD, RSW, RCMP, Cecilia L. W. Chan, PhD, RSW, JP, Department of Social Work & Social Administration, The University of Hong Kong, Hong Kong. Sreevani Rentala, PhD, Department of Psychiatric Nursing, Dharwad Institute of Mental Health and Neuroscience, Dharwad, Karnataka, India. Raghavendra Bheemappa Nayak, MD, Department of Psychiatry, Dharwad Institute of Mental Health and Neuroscience, Dharwad, Karnataka, India.
J Addict Nurs. 2020 Oct/Dec;31(4):276-286. doi: 10.1097/JAN.0000000000000368.
Alcohol dependence is associated with alcohol-related problems and persistent vulnerability to relapse. Despite newer medications, frequent relapses continue to occur. Hence, there is a need to look at holistic approaches to deal with this problem.
Evaluate the effectiveness of nurse-led body-mind-spirit (BMS)-based relapse prevention intervention on craving and quantity and frequency of alcohol consumption among alcohol-dependent individuals.
Randomized control trial was adopted, and the study was conducted at a mental health care setting in India. Sixty individuals with alcohol use disorder were randomly assigned to a BMS group (n = 30) and a treatment-as-usual (TAU) group (n = 30) between June 2017 and March 2018. Subjects of both groups were initially assessed for craving and quantity and frequency of alcohol consumption. BMS subjects received seven sessions of BMS intervention and routine treatment at de-addiction wards. The interventions comprise of body, mind, and spirit strategies that aid in handling triggers, accept responsibility for their own well-being and take charge of self health. TAU group subjects received only routine treatment. All the participants were followed up over 3 months postdischarge.
Over 3 months of follow-up, BMS group subjects (vs. TAU group) reported significantly lesser quantity of alcohol consumption (F = 9.74, p < .001, η = .144), fewer drinking days (F = 14.04, p < .001, η = .195), lower relapse rates (14 vs. 28), and lesser craving (F = 14.01, p < .001, η = .195). Regression analysis showed that number of previous attempts (>1) and increased baseline drinking were associated with relapse.
Findings provide evidence of BMS intervention in reducing craving and drinking outcomes among alcohol-dependent individuals in India.
酒精依赖与酒精相关问题和持续易复发有关。尽管有了更新的药物，但仍频繁复发。因此，有必要寻找整体方法来解决这个问题。
评估基于身心精神（BMS）的护士主导的复发预防干预对酒精依赖个体的渴望和饮酒量及频率的有效性。
采用随机对照试验，在印度的心理健康护理机构进行。将 60 名酒精使用障碍患者随机分为 BMS 组（n = 30）和常规治疗（TAU）组（n = 30），时间为 2017 年 6 月至 2018 年 3 月。两组患者均首先评估渴望程度以及饮酒量和频率。BMS 组患者接受了 7 次 BMS 干预和脱瘾病房的常规治疗。干预措施包括身体、心理和精神策略，以帮助处理触发因素，对自己的健康负责并掌控自己的健康。TAU 组患者仅接受常规治疗。所有参与者在出院后 3 个月内进行随访。
在 3 个月的随访中，BMS 组患者（与 TAU 组相比）报告的饮酒量明显减少（F = 9.74，p <.001，η =.144），饮酒天数减少（F = 14.04，p <.001，η =.195），复发率降低（14 比 28），渴望程度降低（F = 14.01，p <.001，η =.195）。回归分析表明，尝试次数（>1 次）和基线饮酒量增加与复发有关。
研究结果为印度酒精依赖个体的 BMS 干预在减少渴望和饮酒结果方面提供了证据。
