Community Alcohol and Drug Services, Waitemata District Health Board, 50 Carrington Rd, Auckland, 1025, New Zealand.
Planning, Funding and Outcomes, Waitemata and Auckland District Health Boards, 44 Taharoto Rd, Auckland, New Zealand.
Drug Alcohol Depend. 2019 Sep 1;202:156-161. doi: 10.1016/j.drugalcdep.2018.11.035. Epub 2019 Jul 22.
To measure outcomes in Quality of Life in alcohol dependent patients' following a medicated withdrawal from alcohol.
79 patients that were admitted to a detoxification unit in Auckland, New Zealand between March 2016 and September 2016 were assessed for severity of alcohol dependence using the Alcohol Use Disorders Identification Test (AUDIT) and Severity of Alcohol Dependency Questionnaire (SADQ) and Quality of Life (QOL) using the World Health Organisation Quality of Life-abbreviated version of the WHOQOL 100 New Zealand version (WHOQOL-BREF NZ). Patients were followed up at three months and 12 months and an estimate of drinking behavior and the WHO-QOL BREF NZ were completed via telephone interview. QOL domain scores were assessed from baseline to three months and baseline to 12 months in both relapse and abstinent groups. At three months, a single question was asked in order to collect qualitative data.
At baseline, the study population had statistically significantly lower mean QOL domain scores than scores reported from the general population. QOL improved in patients following detoxification at three months and 12 months in both the relapse and abstinent groups; however, the change in scores from baseline was greater in the abstinent group compared to the relapse group. The majority of patients reported that the admission had been a positive experience.
QOL improves in individuals following a medicated withdrawal from alcohol regardless of whether individual's relapse; however, those that remain abstinent have greater improvements in quality of life.
衡量接受药物戒断治疗的酒精依赖患者生活质量的结果。
2016 年 3 月至 9 月期间,新西兰奥克兰的一个戒毒单位收治了 79 名患者,使用酒精使用障碍识别测试(AUDIT)和酒精依赖严重程度问卷(SADQ)评估酒精依赖的严重程度,使用世界卫生组织生活质量简表(WHOQOL-BREF)评估生活质量(QOL)。新西兰版本(WHOQOL-BREF NZ)。患者在 3 个月和 12 个月时进行随访,并通过电话访谈评估饮酒行为和 WHO-QOL BREF NZ 的估计值。在复发和戒断组中,从基线到 3 个月和从基线到 12 个月评估 QOL 域评分。在 3 个月时,提出了一个单一的问题以收集定性数据。
在基线时,研究人群的 QOL 域评分明显低于一般人群报告的评分。在复发和戒断组中,戒断后 3 个月和 12 个月患者的 QOL 均有所改善;然而,与复发组相比,戒断组的评分从基线变化更大。大多数患者报告说住院是一次积极的经历。
无论个体是否复发,接受药物戒断治疗的个体的生活质量都会有所改善;然而,那些保持戒断的人生活质量的改善更大。