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The Journal of Nursing Research MEDLINESCIEScopusSSCITSSCI

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篇名 Effectiveness of Telephone Follow-Up and Counseling in Aftercare for Alcoholism
卷期 12:1
並列篇名 電話追蹤與諮詢於酒癮後續照護之成效
作者 洪芬芳闕可欣
頁次 011-020
關鍵字 酒癮後續照護電話追蹤諮詢AlcoholismAftercareTelephone follow-upCounselingMEDLINEScopusSSCITSCITSSCISCIE
出刊日期 200403

中文摘要

本研究旨在評值出院後酒癮病患以電話追蹤與諮詢方式,探究其對 (1)戒治率、(2)再住院率、(3)飲酒量、(4)成癮嚴重程度、及(5)生活適應程度等成效指標的影響。採用類實驗控制前後測設計,自民國90年3月至90年9月於北區某精神科核心醫院以立意方式取樣,完成有效收案兩組各為34位病患;主要研究工具為「成癮嚴重程度指標」與「適應評估量表」,其信度之Cronbach's ?? 係數各為0.76與0.75;資料統計分析以 t 檢定、卡方檢定、與GEE迴歸模式檢定。研究顯示(1)實驗組出院後三個月戒治率的提高達統計學上顯著差異 (p < .05)。(2)實驗組出院後三個月再住院率的下降達統計學上顯著差異 (p < .05)。(3)實驗組出院後三個月每日飲酒量下降未達統計學上顯著差異。(4)實驗組出院後三個月成癮嚴重程度下降達統計學上顯著差異 (p < .001)。(5)實驗組出院後三個月生活適應程度的提高達統計學上顯著差異 (p < .05)。結果驗證介入電話諮詢具有顯著結果,足見酒癮的後續照護之重要性;建議發展相關的積極復建治療計劃,有助於酒癮病患戒治成效。

英文摘要

This study investigates the effectiveness of telephone follow-up and counseling for alcoholism outpatients on abstinence, readmission, alcohol consumption, addiction severity and adjustment at three months follow-up. A quasi-experimental pre-post control group design was used. Subjects were recruited from a psychiatric center from March to September 2001 by purposive sampling. 34 cases were studied in each of an experimental and a control group. The structured instruments included an Addiction Severity Index (ASI) and a Progress Evaluation Scale (PES). Data were analyzed using t-test, chi-square, and generalized estimating equation regression analyses. Abstinence rate (p < .05) and adjustment (p < .05) at three months post-discharge were significantly increased in the experimental group. Addiction severity (p < .001) and readmission rate (p < .05) were significantly decreased, whereas decrease in alcohol consumption was not significant. These results showed that the telephone follow-up intervention contributed to better outcomes and demonstrated the importance of aftercare for alcoholism. It is suggested that developing a rehabilitation treatment program should enhance abstinence for alcoholism.

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