In-patient treatment of alcohol problems--predicting and preventing relapse.
In-patient treatment of alcohol problems--predicting and preventing relapse.
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酒精问题的住院治疗——预测和预防复发。
DOI：
10.1093/oxfordjournals.alcalc.a045271
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发表时间：
1992
影响因子：
2.8
通讯作者：
J. McClure
中科院分区：
文献类型：
--
作者：
D. Ellis;J. McClure
对75名酒精依赖患者（35名男性，40名女性）进行了为期1年的随访，这些患者接受了明尼苏达模式的住院治疗项目。研究包含了多种结果衡量指标，并且还就全科医生（GPs）参与酒精问题治疗的各个方面对其进行了询问。进入该项目的男性饮酒史更长，饮酒量更多，在酒精上的花费也更多。在6个月时，66%的男性和45%的女性戒酒；在1年时，戒酒的比例分别为53%和39%。两性治疗效果良好都与参加匿名戒酒会有关。1年时治疗效果不佳与全科医生在后续护理中参与不足以及社区未能提供酒精咨询有关。女性似乎因合并抑郁症而处于特别不利的地位。如果男性属于社会阶层IIIM或更低阶层、失业或有酗酒家族史，则治疗效果较差。建议更密切地关注监测患者的情绪状态，并对抑郁症进行适当治疗，而且全科医生需要持续的支持和教育以帮助有酒精问题的患者。
Seventy-five alcohol-dependent patients (35 males, 40 females) treated by a Minnesota Model in-patient programme were followed up for 1 year. A variety of outcome measures were included, and patients' GPs were also questioned with regard to various aspects of their involvement in treatment for alcohol problems. Males admitted to the programme had a longer history of drinking, consumed more alcohol and showed greater expenditure on alcohol. At 6 months, 66% of males and 45% of females were abstinent; at 1 year, the proportions abstinent were 53% and 39%, respectively. Good outcome for both sexes was associated with attendance of Alcoholics Anonymous meetings. Poor outcome at 1 year was associated with a lack of GP involvement in aftercare and failure to provide alcohol counselling in the community. Females appeared to be particularly disadvantaged by depressive comorbidity. Males showed poorer outcome if they belonged to social class IIIM or lower, were unemployed, or had a family history of alcoholism. It is suggested that closer attention should be paid to monitoring patients' mood state, with appropriate treatment of depression, and that GPs need on-going support and education for helping patients with alcohol problems.