Rus-Makovec Maja, Cebasek-Travnik Zdenka
Centre for Alcohol Addiction Treatment, University Psychiatric Hospital Ljubljana, Poljanski nasip 58, Ljubljana, Slovenia.
Croat Med J. 2008 Dec;49(6):763-71. doi: 10.3325/cmj.2008.49.763.
To identify whether intensive treatment and aftercare telephone contacts influence long-term abstinence and well-being of patients with alcohol dependency.
Six hundred and twenty two patients were evaluated at the beginning and end of intensive in-patient treatment. At the end of the treatment, the patients were divided into two recruitment cohorts--telephone contact group (n=347), in whom basic outcome criteria (abstinence, marital and employment status, self-evaluation of well-being) were evaluated 3, 6, 12, and 24 months after intensive treatment, and no contact group (n=275) in whom the basic outcome criteria were checked only at 24 months after the intensive treatment. At 24 months, response rate was 33.4% in telephone contact group (n=116) and 30.5% (n=84) in no contact group.
Positive indicators of therapy success (abstinence or decrease in drinking, stabile social relations, and more positive self-evaluation of well-being) were found in 53.0% of patients at 3 months, 44.3% at 6 months, and 30.6% at 12 months in telephone contact group. Overall abstinence 24 months after the end of intensive treatment was reported in 25.7% of all patients, including non-respondents. Both groups achieved significant improvement in subjective well-being during intensive treatment. At 24 months, 3 attributes of subjective well-being (subjective psychological health, evaluation of financial status, general quality of life) were significantly higher in telephone contact group. However, groups did not significantly differ in the abstinence level (telephone contact group=27.7%, no contact group=24.4%).
Significant differences in well-being variables between telephone contact group and no contact group at 24 months after the end of intensive treatment are at least partially due to phone contact/informative checking 3, 6, and 12 months after the end of intensive therapy. Telephone or any short and easy accessible communication checking is a promising as supportive and research tool in aftercare alcohol addiction treatment, especially because of its cost-benefit advantages.
确定强化治疗及后续护理电话联系是否会影响酒精依赖患者的长期戒酒情况及幸福感。
622名患者在强化住院治疗开始时和结束时接受评估。治疗结束时，患者被分为两个招募队列——电话联系组（n = 347），在强化治疗后3、6、12和24个月评估基本结局标准（戒酒情况、婚姻和就业状况、幸福感自我评价）；无联系组（n = 275），仅在强化治疗后24个月检查基本结局标准。24个月时，电话联系组的应答率为33.4%（n = 116），无联系组为30.5%（n = 84）。
电话联系组中，3个月时53.0%的患者出现治疗成功的积极指标（戒酒或饮酒量减少、稳定的社会关系、对幸福感更积极的自我评价），6个月时为44.3%，12个月时为30.6%。强化治疗结束24个月后，包括未应答者在内的所有患者中，25.7%报告完全戒酒。两组在强化治疗期间主观幸福感均有显著改善。24个月时，电话联系组主观幸福感的3个属性（主观心理健康、财务状况评估、总体生活质量）显著更高。然而，两组在戒酒水平上无显著差异（电话联系组 = 27.7%，无联系组 = 24.4%）。
强化治疗结束24个月后，电话联系组和无联系组在幸福感变量上的显著差异至少部分归因于强化治疗结束后3、6和12个月的电话联系/信息核对。电话或任何简短且易于进行的沟通核对作为酒精成瘾后续护理治疗中的支持性和研究工具很有前景，尤其是因其成本效益优势。
