Wenzhou Seventh People's Hospital, Wenzhou, China.
Front Public Health. 2024 May 22;12:1327844. doi: 10.3389/fpubh.2024.1327844. eCollection 2024.
This study explored the impact of a family intervention on the relapse rate of Chinese patients with alcohol dependence.
A total of 151 male patients with alcohol dependence who were discharged from the Substance Dependence Department of the Wenzhou Seventh People's Hospital from January to December 2020 were selected. They were divided into the control ( = 73) and experimental ( = 78) groups. Patients in both groups received routine alcohol cessation treatment. Moreover, patients in the experimental group were followed up by a professional psychiatrist to carry out individual family intervention. The Family Function Rating Scale (FAD), a Self-made general information questionnaire, and the Chinese version of the Family Intimacy and Adaptability Scale (FACESI-CV) were performed. Re-drinking rate and readmission rate were assessed.
Family intervention could reduce relapse rate (31, 39.74%) and rehospitalization (27, 34.62%) compared with the control group. After family training, FAD factor scores were improved in the experiment group in comparison with the control group. Family training improved communication (18.2 ± 3.7), role (20.8 ± 2.5), emotional response (10.8 ± 1.8), emotional involvement (13.7 ± 1.2), behavioral control (19.8 ± 1.2), and overall functionality (23.5 ± 2.1) in the experiment group in comparison with the control group. After family training, intimacy (70.5 ± 8.7) and adaptability (64.1 ± 6.9) in the experiment group was higher than in the control group. After family intervention, Michigan Alcohol Dependence Scale (MAST) (9.21 ± 0.68) and Short-Form 36 (SF-36) (80.32 ± 4.47) in the experiment group were higher than the control group.
Family intervention for families of patients with alcohol dependence can improve their family function, increase their family intimacy and adaptability, and reduce the rate of relapse.
本研究探讨家庭干预对中国酒精依赖患者复发率的影响。
选取 2020 年 1 月至 12 月温州市第七人民医院物质依赖科出院的 151 例男性酒精依赖患者,分为对照组(n=73)和实验组(n=78)。两组患者均接受常规戒酒治疗,实验组患者由专业精神科医生进行随访,进行个体家庭干预。采用家庭功能评定量表(FAD)、自制一般资料问卷和中文版家庭亲密度和适应性量表(FACESI-CV)进行评估,记录再饮酒率和再住院率。
与对照组相比,家庭干预可降低复发率(31 例,39.74%)和再住院率(27 例,34.62%)。家庭训练后,实验组 FAD 因子评分较对照组改善。家庭训练提高了实验组的沟通(18.2±3.7)、角色(20.8±2.5)、情绪反应(10.8±1.8)、情感卷入(13.7±1.2)、行为控制(19.8±1.2)和整体功能(23.5±2.1),与对照组相比。家庭训练后,实验组的亲密度(70.5±8.7)和适应性(64.1±6.9)高于对照组。家庭干预后,实验组密歇根酒精依赖量表(MAST)(9.21±0.68)和简明健康状况量表 36 项(SF-36)(80.32±4.47)均高于对照组。
对酒精依赖患者家庭进行家庭干预,可以改善其家庭功能,提高家庭亲密度和适应性,降低复发率。