알코올의존 환자의 퇴원 후 외래 치료 충실도

Treatment Adherence after Discharge of Alcohol Dependent Patients

Objectives ： The purpose of this study is to evaluate the treatment adherence of alcoholic patients after participating in an inpatient alcoholism group treatment program at a general hos-pital. Methods ： We conducted chart reviews of 1017 patients, who had been admitted under the diagnosis of alcohol dependence according to DSM-IV-TR from January, 1998 to December, 2007 in Incheon Christian hospital. Subjects were divided into two groups, depending on group therapy (GT) attendances. Demographic characteristics, alcohol-related clinical characteristics and treatment processes were evaluated. Results ： Due to the limited information available, we included only a final of 476 patients in our study. There are no significant differences in demographic characteristics except for the gender ratio and socioeconomic status between two groups, but the rate of experience of delirium tremens and family history of alcoholism were significantly high in GT attendance group. GT attendance group showed better results in total numbers of visit in the out-patient department (OPD), the mean duration of OPD follow up, 1 month OPD visit, 1-3 months OPD visit, 1-6 month OPD visit than those of Non-GT attendance group, and they had statistic significances. However, the 1-9 months OPD visit and 1-12 months OPD visit didn’t show any statistical significanc-es, although there were higher rates in GT attendance group. Conclusion ： The results suggest that inpatient alcoholism group therapy has a positive effect on treatment adherence. It lasts at least for 6 months.