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目的：探讨团体心理治疗对酒依赖患者自知力的影响。方法将128例酒依赖患者随机分为两组，均予以常规治疗及护理，试验组在此基础上联合团体心理治疗，观察住院全程，随访12个月。采用治疗态度与自知力问卷、慢性病自我管理评价量表评定自知力及自我管理能力，并评定治疗依从性，统计复饮率。结果治疗后两组患者治疗态度与自知力问卷及慢性病自我管理评价量表评分均较治疗前显著升高（P＜0．01），试验组显著高于对照组（P＜0．01）；试验组治疗依从性较治疗前显著改善（P＜0．01），对照组则无显著改善（P＞0．05），试验组显著优于对照组（P＜0．01）。随访6个月、12个月试验组复饮率显著低于对照组（P＜0．01）。结论团体心理治疗能效改善酒依赖患者的治疗依从性和自知力，提高患者的自我管理能力，降低复饮率。“,”Objective To explore the effect of group psychotherapy on the insight of patients with alcohol dependence (AD) .Methods A total of 128 AD patients were randomly divided into two groups ,both groups received conventional treatment and nursing ,and on this basis test group was plus group psycho‐therapy for 12 months .Insight and self‐management ability were assessed with the Insight and Treatment Attitude Questionnaire (ITAQ) and Chronic Disease Self‐management Assessment Scale (CDSAS) ,treat‐ment compliance was evaluated ,and re‐drinking rate added up .Results After treatment the ITAQ and CDSAS scores of both groups heightened more significantly compared with pretreatment (P<0 .01) ,so did those in test than control group(P<0 .01);treatment compliance improved more significantly in test group compared with pretreatment(P 0 .05) ,and was better in test than control group(P<0 .01) .In the 6th and 12th month after discharge re‐drinking rates were significantly low‐er in test than control group(P<0 .01) .Conclusion Group psychotherapy could effectively improve the insight and treatment compliance of AD patients ,raise patients’ self‐management ability ,and reduce re‐drinking rate .