Treating alcoholism reduces financial burden on care-givers and increases quality-adjusted life years
Treating alcoholism reduces financial burden on care-givers and increases quality-adjusted life years
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DOI：
10.1111/j.1360-0443.2012.04002.x
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发表时间：
2013-01-01
期刊：
影响因子：
6
通讯作者：
Mann, Karl
中科院分区：
文献类型：
--
作者：
Salize, Hans Joachim;Jacke, Christian;Mann, Karl
目的：本研究评估了与酒精中毒相关的经济负担所承担的非正式护理人员和德国酗酒患者的亲属。设计通过使用探索性的方法，照顾者的负担进行了评估之前和12个月后戒毒和退出。在随访期间收集的护理人员的生活质量数据被用来计算酗酒者家庭成员在其亲属接受治疗时获得的质量调整生命年（Qs）。参与者48非正式的照顾者和酒精中毒患者的亲属。地点：德国三所精神病大学医院的住院部和门诊部。测量与酗酒患者成瘾障碍直接相关的家庭支出，护理人员的生活质量，患者的复发。结果家庭支出直接相关的成瘾成员的酗酒从平均（原文如此）676.44每月（或税前家庭总收入的20.2%）在基线平均（原文如此）145.40每月开始治疗后的12个月。平均花费在照顾受影响的家庭成员的时间从每月32.3小时减少到每月8.2小时（P = 0.001）。0.0109），生活质量总分从60.6增加到68.0。家庭成员的总收益为0.108。当与酒精中毒治疗的平均成本进行权衡时，护理家庭成员的一个QALY的成本平均为20 398。结论：在接受戒毒的德国酗酒者的家庭中，家庭支出大幅减少，花费在照顾上的时间和1年生活质量的提高。这些都是重要的，但往往被忽视的家庭成员负担和治疗福利的额外措施。
Aims The study assessed the alcoholism-related financial burden borne by informal care-givers and relatives of German alcoholic patients. Design By using an exploratory approach, care-giver burden was assessed both prior to and 12 months after detoxification and withdrawal. Quality-of-life data for care-givers collected during follow-up were used to calculate the number of quality-adjusted life years (QALYs) gained by alcoholics family members while their relatives are undergoing treatment. Participants Forty-eight informal care-givers and relatives of alcoholic patients. Setting In-patient and out-patient departments of three psychiatric university hospitals in Germany. Measurements Expenditures of families related directly to the addiction disorder of alcoholic patients, quality of life of care-givers, relapses of patients. Findings Families expenditures related directly to their addicted member's alcoholism decreased from an average of (sic)676.44 per month (or 20.2% of the total pre-tax family income) at baseline to an average of (sic)145.40 per month at 12 months after the beginning of treatment. The average time spent caring for the affected family member was reduced from 32.3 hours per month to 8.2 hours per month (P?=?0.0109), and quality-of-life total scores increased from 60.6 to 68.0. The total gain in QALYs for family members was 0.108. When weighed against the average cost of the alcoholism treatment, the cost of one QALY for care-giving family members was (sic)20 398 on average. Conclusions Among the families of German alcoholics who receive detoxification, there is a substantial reduction in family expenditures, time spent caring and an increase in quality of life at 1 year. These are important but often neglected additional measures of the burden on family members and also treatment benefits.