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    Please use this identifier to cite or link to this item: http://asiair.asia.edu.tw/ir/handle/310904400/111273

    Title: 某療養院門診酒精使用疾患留置率及治療成效分析
    Authors: 陳厚良
    Contributors: 健康產業管理學系健康管理組碩士在職專班
    Keywords: 治療留置率、治療成效、問題飲酒、酒精使用疾患確認檢測、Treatment Retention Rate、Treatment Outcome、Problem Drinking、Alcohol Use Disorder Identification Test
    Date: 2018
    Issue Date: 2018-08-09 11:01:15 (UTC+8)
    Publisher: 亞洲大學
    Abstract: 背景
    本研究為資料庫分析,收集某精神科療養院自2016年1月1日起到2017年11月22日止,因問題性飲酒門診治療個案,使用半結構問卷及AUDIT、CES-D 等標準化評估工具,於初次診療及治療後滿三個月,依次評估,之後分析不同求診來源,三個月治療留置率,及治療成效之差異。
    收案153人(男性123人,女性20人),來自法院轉介11人,自行求診115人,公衛或社政轉介27人,共49名患者(32.03%)完成3個月的治療(法院人10,公衛、社政10人,自行求診29人),司法系統三個月治療留置率(90.9%),公衛、社政系統轉介三個月治療留置率37.0%,自行求診個案三個月治療留置率25.2%。不同轉介途徑和婚姻狀態、自評健康狀況、自評生活快樂評價,三個月治療留置率達到統計學顯著意義。49名患者的平均AUDIT和CES-D的分數在三個月後顯著降低(18.80±8.75 vs.11.57±5.36,p<0.001; 16.18±6.59 vs.10.95± 4.12,p<0.001)。
    Alcohol-related problems is preventable and treatable. To identify different levels of drinkers and provide effective intervention can effectively reduce alcohol-related harm. Problem alcohol users from different referral sources (such as Justice system referral, public health referral or seeking treatment by themselves) should have different treatment retention rates and treatment outcome. This study attempts to understand the treatment outcomes of alcohol use disorder outpatients from different referral routes and its related factors.
    The study was a cohort study. Alcohol use disorder outpatients(AUDIT≥8 for males;≥6 for females) in a Psychiatric Center from different referral routes were enrolled in this study (between Jan 1, 2016 and Nov 22,2017). All of the patients were evaluated in the first interview, after a full history and clinical examination, patients who fulfilled the inclusion criteria were evaluated. Socio-demographic data were obtained in a standardized semi-structured interview. AUDIT and CES-D questionnaire were evaluated at the first interview, 3months and 6 months. We investigated the association of different referral routes and its treatment outcome including treatment retention rates, AUDIT score and CES-D scores.
    153 patients (123 males and 20 females) from different referred routes were enrolled to our clinic for alcohol use disorder treatment, 11 from courts, 115 for treatment by themselves, 27 referred from primary medical agency or social workers. Finally, 49 patients (32%) competed 3 months treatment course (10 patients from forensic justice system referred, 29 patients asked treatment by themselves and 10 patients from public health referral), the criminal justice system referral had the best 3 months treatment retention rate (10/11 ,90.9%), followed transferred from primary agency or social worker (10/27,37%) and those for treatment without any referral (29/115 25.2%). Patients from court referral, self-rated healthy state, self-rated more happy state are more likely to complete 3 months treatment course. The total 49 patients mean AUDIT and CES-D scores revealed marked reduction (initial treatment AUDIT mean score 18.8, SD: 8.75 to 11.57, SD:5.36; CES-D mean score 16.18, SD 6.59 to 10.59 SD 4.12, 3 months later, p value<0.001, P<0.001 respectively.
    Conclusion & Suggestion
    Our study supports the criminal justice system can bring clients into treatment, as well as a means for enhancing retention and compliance.
    We found that coercion can facilitate treatment retention and outcome.
    Appears in Collections:[健康產業管理學系] 博碩士論文

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