FAILURE OF A 2-HOUR MOTIVATIONAL INTERVENTION TO ALTER RECURRENT DRINKING BEHAVIOR IN ALCOHOLICS WITH GASTROINTESTINAL-DISEASE
FAILURE OF A 2-HOUR MOTIVATIONAL INTERVENTION TO ALTER RECURRENT DRINKING BEHAVIOR IN ALCOHOLICS WITH GASTROINTESTINAL-DISEASE
复制标题
DOI：
10.15288/jsa.1990.51.356
复制
发表时间：
1990-07-01
期刊：
影响因子：
--
通讯作者：
IBER, FL
中科院分区：
文献类型：
--
作者：
KUCHIPUDI, V;HOBEIN, K;IBER, FL
患者（N = 114）连续进入医疗服务与溃疡，肝硬化或胰腺炎，目前饮酒，目前不积极的酒精中毒治疗随机分配到动机干预（MI）或对照组。增加利用酒精中毒计划和自我报告清醒在10周进行了评估。MI由三个独立的讨论组成，讨论患者的疾病与持续饮酒和富有同情心的治疗的关系。两名治疗技术人员还会见了每名MI受试者，并讨论了他们的治疗可能性，如有需要，可协助进入。MI组和对照组的患者均由医疗团队治疗其医疗状况，并始终建议进行酒精中毒治疗。结果进行了评估，从第10至第16周后返回社区的病人和家庭接触的采访，并保持预约。对照组和MI组之间没有差异，至少有38%的人在10周的时间间隔内保持清醒;研究规模足以可靠地检测到30%的改善。我们的结论是，额外的动机干预，这一水平是没有好处的住院酗酒的疾病。在接受酒精中毒治疗、接受研究的所有部分或保持临床预约的患者中，清醒度在统计学上显著增加。
Patients (N = 114) consecutively entering a medical service with ulcer, cirrhosis or pancreatitis, currently drinking and not currently active in alcoholism treatment were randomly assigned to motivational intervention (MI) or to a control group. Increased utilization of alcoholism programs and self-reported sobriety at 10 weeks were assessed. MI consisted of three separate discussions of the relationship of the patient''s disease to continued drinking and the compassionate offer of treatment. Two persons skilled in treatment also met with each MI subject and discussed treatment possibilities for them, facilitating entrance if desired. Patients in both the MI and control group were treated for their medical condition by a medical team and alcoholism treatment was always recommended. Outcome was evaluated for the period from the 10th to the 16th week after return to the community by interview of patient and household contacts and by the keeping of appointments. There were no differences between the control and MI groups, with at least 38% remaining sober for the 10-week interval; the study size was sufficient to detect reliably a 30% improvement. We conclude that additional motivational intervention to this level was not beneficial to the hospitalized alcoholic with disease. There was a statistically significant increase in sobriety among patients who either undertook alcoholism therapy, accepted all parts of the study or kept clinical appointments.