Effectiveness of Telephone Follow-Up and Counseling in Aftercare for Alcoholism

電話追蹤與諮詢於酒癮後續照護之成效

洪芬芳(Fen-Fang Horng) ； 闕可欣(Ke-Hsin Chueh)

《The Journal of Nursing Research》 12卷1期 (2004/03) Pp. 11-20

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.

關鍵字

酒癮 ； 後續照護 ； 電話追蹤 ； 諮詢

並列摘要

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.

並列關鍵字

alcoholism ； aftercare ； telephone follow-up ； counseling.

參考文獻

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