Aims: To investigate the factors affecting the quality of life of alcoholics and to identify the relationships between these factors to establish and verify a hypothetical model for the quality of life of alcoholics.
Design: Covariance structure analysis using structural equation model.
Methods: Participants were 223 adults who were hospitalized at alcohol addiction treatment centre after being diagnosed with alcoholism in Gyunggi-do, South Korea. Data included the general characteristics of study participants, depression, abstinence self-efficacy, stress level, stress coping strategy, social support and quality of life. Data were collected from March - 28 May 2016 and were analysed using SPSS 22.0 and AMOS 22.0.
Results: The factors affecting the quality of life of alcoholics included alcohol abstinence self-efficacy (β = 0.37, t = 4.56), stress copying strategy (β = 0.23, t = 2.37), stress level (β = -0.20, t = -2.08) and social support (β = 0.14, t = 2.52). Factor analysis and statistical significance level was used for model coefficients and t-value estimation.
Conclusion: This study suggested that to improve the quality of life of alcoholics, their alcohol abstinence self-efficacy should be increased, measures to improve their stress coping strategy and ability should be prepared, their stress level should be lowered and the social support system perceived by them should be strengthened. Health professionals need to pay attention to the affecting factors to improve the quality of life of alcoholics.
Impact: Alcoholism is emerging as a social problem, not just an individual problem. Alcohol abstinence self-efficacy had the greatest direct effect on the quality of life of alcoholics, followed by stress coping strategy, stress level and social support, which had significant direct effects. Depression had significant indirect effect on the quality of life of alcoholics. Health professionals need to pay attention to the affecting factors to improve the quality of life of alcoholics in clinical practice or community fields.
目的: 探讨酗酒者生活质量的影响因素,找出这些因素之间的关系,建立并验证酗酒者生活质量的假设模型。 设计: 采用结构方程模型进行协方差结构分析。 方法: 受访者是223名被诊断为酗酒中毒而在韩国京畿道酒瘾治疗中心接受治疗的成年人。数据包括研究对象的一般特征、抑郁、戒酒的自我效能、应激水平、应激应对策略、社会支持和生活质量。数据收集自2016年3月至5月28日,使用社会科学统计软件包(SPSS)版本22和AMOS 22.0进行分析。 结果: 影响酗酒者生活质量的因素有戒酒的自我效能(β = 0.37,t = 4.56)、应激应对策略(β = 0.23,t = 2.37)、应激水平(β = −0.20,t = −2.08)和社会支持(β = 0.14,t = 2.52)。采用因子分析和统计意义水平用于模型系数和t值估计。 结论: 为提高酗酒者的生活质量,本研究建议应提高其戒酒的自我效能,制定改善其应激应对策略和能力的措施,降低其应激水平,强化其感知的社会支持系统。卫生医护人员需要关注影响酗酒者生活质量的因素。 影响: 酗酒正成为社会的一大问题,而不仅仅是一个个人的问题。戒酒的自我效能对酗酒者生活质量的直接影响最大,其次是应激应对策略、应激水平和社会支持,都有显著的直接影响作用。抑郁对酗酒者的生活质量有着显著的间接影响作用。在临床实践或社区工作中,卫生医护人员需要关注影响酗酒者生活质量的因素。.
Keywords: Nursing Theory; alcoholics; nurses; nursing; quality of life; self-efficacy; social support; stress.
© 2020 John Wiley & Sons Ltd.