Murthy Pratima, Chand Prabhat, Harish Mg, Thennarasu K, Prathima S, Janakiramiah N
Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore - 560 029, India.
Indian J Community Med. 2009 Apr;34(2):148-51. doi: 10.4103/0970-0218.51226.
This study attempted to determine the effects of continued care on subjects with alcohol dependence.
Study patients were recruited from a slum in Bangalore. The control group comprised individuals from a lower socio-economic status. Both groups received identical treatment from a specialised de-addiction facility. The study group also received weekly continued care in the community, either at a clinic located within the slum or through home visits. Those patients without stable jobs were referred for employment. The control group was given routine hospital follow-up visits. Both groups were evaluated on the Alcohol Problem Questionnaire and quantity/frequency of drinking at baseline and every 3 month interval for one year after discharge.
Both groups showed improvement in terms of reduction of drinking at 3 months, with the study group showing a 64% improvement with respect to the number of non drinking days and the control group showed a 50% improvement. However, at 6 months, 9 months, and 12 months, the study group continued to maintain these gains while the control group showed a downward slide (differences significant at P< 0.05). At the end of 12 months, the study group maintained a 53% improvement with respect to the number of non drinking days as compared with baseline, while the control group had an improvement of only 28%.
Follow-up support and continued care appear to significantly improve longer-term recovery in alcohol dependents.
本研究试图确定持续护理对酒精依赖患者的影响。
研究患者从班加罗尔的一个贫民窟招募。对照组由社会经济地位较低的个体组成。两组均接受来自专门戒毒机构的相同治疗。研究组还在社区接受每周一次的持续护理，要么在贫民窟内的诊所，要么通过家访。那些没有稳定工作的患者被推荐就业。对照组接受常规医院随访。两组在出院后基线时以及之后一年中每3个月间隔，通过酒精问题问卷和饮酒量/频率进行评估。
两组在3个月时饮酒量减少方面均有改善，研究组在戒酒天数方面改善了64%，对照组改善了50%。然而，在6个月、9个月和12个月时，研究组继续保持这些进展，而对照组则呈下降趋势（差异在P<0.05时显著）。在12个月结束时，研究组与基线相比，戒酒天数改善了53%，而对照组仅改善了28%。
随访支持和持续护理似乎能显著改善酒精依赖者的长期康复情况。
