戒酒互助会远程干预酒精依赖患者复饮的初步研究  

Preliminary study on remote treatment of relapse in alcohol dependent patients by the alcoholics anonymous

作　　者：雍恩华 宋志领[1] 卢文婷[1] 任若佳 王岚[1] 李娜[1] 张竣枫 杨探宇 王学义[1] YONG Enhua;SONG Zhiling;LU Wenting;REN Ruojia;WANG Lan;LI Na;ZHANG Junfeng;YANG Tanyu;WANG Xueyi(Mental Health Center,the First Hospital of Hebei Medical University,Shijiazhuang 050031,China)

机构地区：[1]河北医科大学第一医院精神卫生中心,河北省精神心理疾病临床医学研究中心,河北省精神卫生研究所,河北省精神心理健康评估与干预技术创新中心,石家庄050031

出　　处：《中国神经精神疾病杂志》2024年第11期655-660,共6页Chinese Journal of Nervous and Mental Diseases

基　　金：河北省医学科学研究课题(编号:20231054);河北省引进国外智力项目(编号:YZ202306)。

摘　　要：目的探讨戒酒互助会(alcoholics anonymous,AA)网络视频会对酒精依赖患者复饮的影响。方法纳入2020年3月至2022年3月,在河北医科大学第一医院精神卫生中心住院戒酒后出院的酒精依赖患者,随机分为AA组和非AA组,AA组进行12个月的AA远程干预,每周参与1次AA网络视频会议,非AA组不做任何干预。基线时评估受试者饮酒年限、成瘾年限等一般状况以及焦虑抑郁症状的严重程度,入组后12个月时医生采用电话或微信等方式与受试者和家属进行沟通和评估,评估受试者焦虑抑郁情绪变化、复饮情况、出院后戒酒时间等。结果纳入80例受试者,其中AA组32例,非AA组48例。AA组的戒酒持续时间中位数及四分位数为7.5(3.0,12.0)个月,而非AA组的戒酒持续时间中位数及四分位数为1.0(0.3,5.0)个月,差异有统计学意义(P<0.01)。多因素logistic回归分析显示,非AA组复饮的风险是AA组的14.85倍(OR=14.85,95%CI:2.33~94.57)。结论采用AA网络视频会这种远程治疗的方式,能使酒精依赖患者保持戒酒的时间显著延长,复饮风险降低。Objective To explore the impact of alcoholics anonymous(AA)online video conferences on relapse among alcohol dependent patients.Method Alcohol dependent patients who were hospitalized and discharged from the Mental Health Center of the First Hospital of Hebei Medical University from March 2020 to March 2022 were randomly divided into the AA group and the non AA group.The AA group underwent a 12-month remote AA treatment,participating in an AA online video conference once a week.The non-AA group did not receive any intervention.At baseline,the general condition of the subjects,such as alcohol consumption and addiction duration,as well as the severity of anxiety and depression symptoms,were evaluated.At 12 months after enrollment,clinicians communicated and assessed the subjects and their families via telephone or WeChat.The assessments included changes in anxiety and depression among the subjects,relapse into drinking,duration of abstinence after discharge,and other relevant factors.Result Eighty subjects were included,including 32 in the AA group and 48 in the non AA group.After intervention,the proportion of the AA group patients who resumed drinking was lower than that of the non AA group(68.8%vs.93.8%,P<0.01).The median duration of abstinence in the AA group was 7.5(3.0,12.0)months,while the median duration of abstinence in the non AA group was 1.0(0.3,5.0)months,with a significant difference(P<0.01).Multivariate logistic regression analysis showed that the risk of relapse in the non AA group was 14.85 times higher than that in the AA group(OR=14.85,95%CI:2.33-94.57).Conclusion Online videos for AA in quitting alcohol are convenient and easy to implement for alcohol dependent patients.This remote treatment can significantly prolong the duration of abstinence among alcohol dependent patients.

关 键 词：酒精依赖 戒酒互助会 网络视频会 远程干预 复饮 焦虑 抑郁 

分 类 号：R749.62[医药卫生—神经病学与精神病学]