Nishikawa Kyoko, Hashimoto Naoko, Tatuki Shigeo, Hirano Kenji, Imamichi Hiroyuki
Department of Social Welfare, Faculty of Nursing and Welfare, Fukui Prefectural University, 4-1-1 Kenjyoujima, Matsuoka-cho, Yoshida-gun, Fukui 910-1195, Japan.
Nihon Arukoru Yakubutsu Igakkai Zasshi. 2002 Oct;37(5):496-504.
This research examines a strategy to avoid dropout from treatment by outpatients of alcohol abuse and dependence. Questionnaire was used and outcome was analyzed in order to elucidate factors of dropout and examine measures for its avoidance. The questionnaire made on the occasion of "Research on Factors of Dropout from Treatment by Outpatients of Alcohol Abuse or Dependence (I)" was used. 376 subjects was surveyed with 178 answers (47.3%), out of which 167 (44.5%) were valid. The analyses of answers showed as factors of dropout: dissatisfaction for content and environment of treatment, transfer to internal medicine department, and almost every day drinking. Reasons for continuation of treatment were: satisfaction for content of medical examination, admission to specialized treatment facilities, participation to self-help groups, feeling of happiness for treatment, since beginning intended to continue treatment. As a measure to avoid treatment dropout, improvements of content and environment of treatment and better relationship among medical staffs and clients were suggested.
本研究探讨了一种策略,以避免酒精滥用和依赖门诊患者治疗中断。采用问卷调查法并分析结果,以阐明治疗中断的因素并研究避免治疗中断的措施。使用了在“酒精滥用或依赖门诊患者治疗中断因素研究(I)”期间制作的问卷。对376名受试者进行了调查,收到178份回答(47.3%),其中167份(44.5%)有效。对回答的分析显示,治疗中断的因素包括:对治疗内容和环境不满意、转至内科、几乎每天饮酒。继续治疗的原因包括:对体检内容满意、入住专业治疗机构、参加自助小组、对治疗感到愉快、自开始就打算继续治疗。作为避免治疗中断的措施,建议改善治疗内容和环境以及医护人员与患者之间的关系。