Singtakaew Arunothai, Chaimongkol Nujjaree, Puangladda Skaorat, Wongpiromsarn Yongyud
Faculty of Nursing, Rattana Bundit University, Pathum Tani, Thailand.
Faculty of Nursing, Burapha University, Chon Buri, Thailand.
Belitung Nurs J. 2024 Apr 28;10(2):231-239. doi: 10.33546/bnj.3178. eCollection 2024.
Substance abuse is prevalent among males, and mindfulness could serve as a means of helping individuals suffering from the adverse effects of substance abuse find relief.
This study employed a one-group repeated-measure design and aimed to evaluate the effects of the mindfulness program on stress, deliberate self-harm, and drug abstinence intention among male substance abusers.
The mindfulness program was implemented for Thai males with a history of narcotic drug use. Five participants were recruited from a rehabilitation institute in Thailand using convenience sampling. The program consisted of eight sessions over four weeks. The study outcomes were measured at three time points: pre-intervention (Time 1, Week 1), post-intervention (Time 2, Week 4), and follow-up (Time 3, Week 6). Research instruments included the Deliberate Self-Harm Inventory, the Perceived Stress Scale, and the Drug Abstinence Intention Questionnaire, all of which had Cronbach's alpha values above 0.80. Data analysis was carried out using the Friedman test and Dunn-Bonferroni post-hoc test.
The eight-session program was implemented as intended, with a retention rate of 100%. The mean scores of deliberate self-harm and drug abstinence intention were significantly different across the three time points (χ = 10.000 and χ = 9.579, <0.01, respectively). After conducting pairwise comparisons, the mean scores of deliberate self-harm at Time 2 and Time 3 were significantly lower than those at Time 1. Additionally, the mean scores of drug abstinence intention at Time 2 and Time 3 were higher than those at Time 1. However, the mean score of stress did not have a significant difference.
This program was both acceptable and effective in reducing deliberate self-harm and improving drug abstinence intention. These findings suggest that nurses and healthcare teams involved in caring for individuals with substance abuse issues could utilize this intervention alongside other therapies or hospital treatments. Consequently, relapse prevention among substance abusers could be achieved.Thai Clinical Trials Registry Number: TCTR20230404001.
药物滥用在男性中很普遍，正念可以作为一种手段，帮助遭受药物滥用不良影响的个体缓解痛苦。
本研究采用单组重复测量设计，旨在评估正念计划对男性药物滥用者的压力、故意自我伤害和戒毒意愿的影响。
对有麻醉药品使用史的泰国男性实施正念计划。采用便利抽样从泰国一家康复机构招募了五名参与者。该计划包括在四周内进行八次课程。在三个时间点测量研究结果：干预前（时间1，第1周）、干预后（时间2，第4周）和随访（时间3，第6周）。研究工具包括故意自我伤害量表、感知压力量表和戒毒意愿问卷，所有这些量表的克朗巴哈系数值均高于0.80。使用弗里德曼检验和邓恩-邦费罗尼事后检验进行数据分析。
八次课程的计划按预期实施，保留率为100%。故意自我伤害和戒毒意愿的平均得分在三个时间点之间存在显著差异（分别为χ = (10.000)和χ = (9.579)，(P) < (0.01)）。进行两两比较后，时间2和时间3的故意自我伤害平均得分显著低于时间1的得分。此外，时间2和时间3的戒毒意愿平均得分高于时间1的得分。然而，压力的平均得分没有显著差异。
该计划在减少故意自我伤害和提高戒毒意愿方面既可以接受又有效。这些发现表明，参与照顾药物滥用问题个体的护士和医疗团队可以将这种干预措施与其他疗法或医院治疗一起使用。因此，可以实现药物滥用者的预防复发。泰国临床试验注册号：TCTR20230404001。
