CAJ | 학술논문

目的分析磷酸可待因成瘾患者的临床资料及护理效果.方法对60例磷酸可待因成瘾患者按医嘱进行治疗并落实临床护理措施,于治疗前、治疗2周后、出院时评定抑郁自评量表(SDS)和焦虑自评量表(SAS),与全国常模比较其治疗护理效果,并评估治疗4周后疗效.结果 60例患者中,男性占88.3％,以(20.3±6.4)岁的青少年为主,未婚占91.7％,学生占61.7％;服食地点以娱乐场所(36.7％)和网吧(28.3％)为主.患者有明显的抑郁和焦虑症状,SDS和SAS总分均显著高于全国常模(P＜0.01);治疗2周后和出院时的SDS、SAS总分均显著低于治疗前(P＜0.01).干预前,患者精神症状的发生率为11.7％～ 81.7％,躯体症状或戒断症状的发生率为6.7％～ 75.0％,治疗2周后和出院时均显著低于治疗前(P＜0.01或0.05).平均住院时间(28.7±5.3)天,出院疗效较好,临床治愈率达61.7％.结论必须关注青少年的心身健康,使其远离毒品,早期发现,早期干预.
목적 분석린산가대인성은환자적림상자료급호리효과.방법 대60례린산가대인성은환자안의촉진행치료병락실림상호리조시,우치료전、치료2주후、출원시평정억욱자평량표(SDS)화초필자평량표(SAS),여전국상모비교기치료호리효과,병평고치료4주후료효.결과 60례환자중,남성점88.3％,이(20.3±6.4)세적청소년위주,미혼점91.7％,학생점61.7％;복식지점이오악장소(36.7％)화망파(28.3％)위주.환자유명현적억욱화초필증상,SDS화SAS총분균현저고우전국상모(P＜0.01);치료2주후화출원시적SDS、SAS총분균현저저우치료전(P＜0.01).간예전,환자정신증상적발생솔위11.7％～ 81.7％,구체증상혹계단증상적발생솔위6.7％～ 75.0％,치료2주후화출원시균현저저우치료전(P＜0.01혹0.05).평균주원시간(28.7±5.3)천,출원료효교호,림상치유솔체61.7％.결론 필수관주청소년적심신건강,사기원리독품,조기발현,조기간예.
Objective To analyze the clinical data and nursing effects in 60 patients with phosphate codeine habituation.Methods 60 patients with phosphate codeine habituation were treated and nursed as doctors's orders and nursing measures.The self-rating depression scale (SDS) and self-rating anxiety scale (SAS) were rated before treatment and 2 weeks after treatment and at discharged time,and compared with the norms about treatment and nursing effects.The four weeks' efficacy was evaluated.Results Of 60 subjects,most were male (88.3％),youngsters [aged as (20.3 ± 6.4)years],single(91.7％)and students(61.7％).The sites of taking drug were recreation room (36.7％) and network bar (28.3％).They had depression and anxiety symptoms.The total scores of SDS and SAS showed significantly higher in phosphate codeine habituation patients than those in the norms (P ＜ 0.01).After treating and nursing interventions,patients with phosphate codeine habituation showed more decrease than before(P＜ 0.01).Before intervention,there was higher incidence of psychosis symptoms (11.7％-81.7％) and soma or withdrawal symptoms (6.7％-75.0％).After 2 weeks' treating and nursing interventions or at discharged time from hospital,they showed significantly more decrease than before (P＜0.05or 0.01).The mean hospitalized time was (28.7 ± 5.3) days.The clinical cure rate was 61.7％.Conclusion Psychological and physical health must be enhanced in youngsters to make them far away from narcotic drugs,with early discovery and early interventions.