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酒精成瘾治疗患者对疾病的接受程度及应对压力的方式

Acceptance of Illness and Coping with Stress among Patients Undergoing Alcohol Addiction Therapy.

作者信息

Curyło Mateusz, Rynkiewicz-Andryśkiewicz Marlena, Andryśkiewicz Przemysław, Mikos Marcin, Lusina Dariusz, Raczkowski Jan W, Partyka Olga, Pajewska Monika, Sygit Katarzyna, Sygit Marian, Cipora Elżbieta, Kaczmarski Mateusz, Gawiński Łukasz, Banaś Tomasz, Strzępek Łukasz, Juszczyk Grzegorz, Krzych-Fałta Edyta, Bandurska Ewa, Ciećko Weronika, Zabojszcz Michał, Zdziarski Krzysztof, Knyszyńska Anna, Kosior Dariusz A, Marczak Michał, Czerw Aleksandra, Kozłowski Remigiusz

机构信息

Department of Internal Medicine, Rehabilitation and Physical Medicine, Medical University of Lodz, 90-647 Lodz, Poland.

Medical Rehabilitation Department, The Ministry of the Interior and Administration Hospital, 30-053 Krakow, Poland.

出版信息

J Clin Med. 2023 Jul 19;12(14):4767. doi: 10.3390/jcm12144767.

Abstract

(1) Background: Acceptance of illness is a process in which a person with an illness accepts its presence and treats it as an integral part of their life. With regard to alcoholism, acceptance of illness is one of the important elements of the healing process. (2) Methods: The study group consisted of 104 residents in an addiction treatment ward. Questionnaires SOC-29, AIS and PSS-10 were used to check levels of coherence, stress and acceptance of illness. The analysis was based on regression analysis. Patient age was analysed as a moderator of correlations between perceived indicators. Moderation analysis was based on the simple moderation model. (3) Results: The level of perceived stress correlated negatively with all areas of the sense of coherence and with acceptance of illness. All areas of the sense of coherence correlated with acceptance of illness positively. (4) Conclusions: The acceptance of illness by the patient is a factor that can be motivating for further treatment, through a positive approach to illness and strengthening the sense of control in experiencing it. The combination of strengthening behavioural, cognitive and motivational resources can be used in the treatment of people experiencing the challenges of addiction to alcohol.

摘要

(1) 背景:疾病接纳是一个人接受疾病存在并将其视为生活中不可或缺一部分的过程。对于酗酒而言,疾病接纳是康复过程中的重要要素之一。(2) 方法:研究组由104名成瘾治疗病房的住院患者组成。使用连贯感量表(SOC-29)、酒精使用障碍识别测试(AIS)和心理压力量表(PSS-10)来检查连贯感、压力和疾病接纳水平。分析基于回归分析。将患者年龄作为感知指标之间相关性的调节变量进行分析。调节分析基于简单调节模型。(3) 结果:感知压力水平与连贯感的所有方面以及疾病接纳呈负相关。连贯感的所有方面与疾病接纳呈正相关。(4) 结论:患者对疾病的接纳是一个可以通过积极应对疾病和增强应对疾病时的控制感来促进进一步治疗的因素。加强行为、认知和动机资源的结合可用于治疗经历酗酒挑战的人群。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecfc/10381120/60adb9cc2a72/jcm-12-04767-g001.jpg

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