山东省酒依赖患者出院一年后复饮的影响因素分析

Analysis of factors influencing alcohol dependence patients′re-drinking one year after being discharged from hospital in Shandong Province

目的探究山东省酒依赖患者出院一年后复饮的影响因素。方法对218例酒依赖患者出院1年后进行微信随访,根据一年后患者的密西根酒精依赖筛查表(MAST)评分,分为可疑/轻度的酒依赖组20例(9.17%),中度酒依赖组39例(17.89%),较重酒依赖问题组94例(43.12%),严重酒依赖问题组65例(29.82%)。收集患者的一般人口学资料,使用冲动性量表第11版(BIS-11)、非理性信念量表(IBS)和家庭环境量表中文版(FES-CV)评估。采用有序多分类Logistic回归分析患者复饮程度的影响因素。结果年龄越大(OR=1.242,P=0.001),饮酒年限越长(OR=1.243,P=0.011)患者的酒依赖程度越重,空腹饮酒(OR=1.380,P<0.001)会增加酒依赖严重程度;冲动性BIS-11总分(OR=1.301,P=0.001)越高,患者的酒依赖程度越重;非理性信念IBS总分(OR=1.386,P<0.001)越高,患者的酒依赖程度越重;患者的家庭环境中亲密度(OR=0.954,P=0.026)和情感表达(OR=0.965,P=0.628)评分越低,矛盾性(OR=0.970,P=0.036)评分越高,患者的酒依赖程度越重。结论酒依赖患者的冲动性、非理性信念和家庭环境会影响患者复饮,在临床中可以针对酒依赖患者的上述特点给予干预。

Objective To explore the influencing factors of alcohol dependence patients′re-drinking one year after being discharged from the hospital in Shandong Province.Methods A total of 218 alcohol dependence patients were followed up on WeChat one year after being discharged from the hospital.According to the Michigan Alcoholism Screening Test(MAST)score one year later,the patients were divided into suspicious/mild alcohol dependence problem group(20 cases,9.17%),moderate alcohol dependence group(39 cases,17.89%),major alcohol dependence problem group(94 cases,43.12%),and severe alcohol dependence problem group(65 cases,29.82%).The general demographic data of the patients were collected and the Barratt Impulsiveness Scale(BIS-11),the Irrational Beliefs Scale(IBS)and the Family Environment Scale-Chinese Version(FES-CV)were assessed.Ordered multi-class Logistic regression was used to analyze the influencing factors of patients′re-drinking degree.Results With the older age(OR=1.242,P=0.001),the longer the drinking years(OR=1.243,P=0.011),the heavier the alcohol dependence of patients.And fasting drinking(OR=1.380,P<0.001)will increase severity of alcohol dependence.The higher the total score of impulsive(OR=1.301,P=0.001),the heavier the patient′s alcohol dependence.The higher the total score of irrational belief(OR=1.386,P<0.001),the heavier the patient′s alcohol dependence;In the patient′s family environment,the lower the score of intimacy(OR=0.954,P=0.026)and emotional expression(OR=0.965,P=0.628),the higher the score of contradiction(OR=0.970,P=0.036),the heavier the alcohol dependence.Conclusion The impulsivity,irrational beliefs and family environment of alcohol-dependent patients will affect the patient′s re-drinking.In clinical practice,interventions should be given to the above-mentioned characteristics of alcohol-dependent patients.