120例男性酒精依赖患者复饮的相关因素分析

Analysis of Relevant Factors for Drinking Resumption: A Study of 120 Cases of Male Patients with Alcohol Dependence

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2021, 48(1)
作者
作者单位

广西壮族自治区南宁市第五人民医院 ;

摘要
目的:探讨男性酒精依赖患者复饮的相关危险因素。方法:选取2018年7月1日至2019年6月30日在我科出院的男性酒精依赖患者,回访出院6个月内是否复饮,分为复饮组和未复饮组,收集两组相关临床资料并进行统计学分析。结果:120例男性酒精依赖患者出院6个月内复饮49例,复饮率40.83%,患者饮酒年限、饮酒量、戒断是有无幻觉妄想症状、空腹饮酒行为、文化程度、是否首次住院、酒精渴求程度等相关因素的差异有统计学意义(α=0.05,P<0.05);多因素Logistic回归分析显示,患者饮酒年限、饮酒量、空腹饮酒行为、是否首次住院的回归系数分别为0.087、2.931、1.108、-0.846,具有统计学意义(P均<0.05)。结论:饮酒年限、饮酒量、戒断是有无幻觉妄想症状、空腹饮酒行为、酒精渴求程度是男性酒精依赖患者戒酒6个月内复饮的危险因素,再次住院者复饮风险较首次住院者低,较高的受教育程度是复饮的保护因素。出院时评估男性酒精依赖患者复饮相关危险因素,有利于降低复饮风险。
Abstract
Abstract Objective: To explore relevant risk factors for resumption of drinking in male patients with alcohol dependence. Methods: The male alcohol-dependent patients who were discharged from our department between July 1, 2018 and June 30, 2019 were interviewed about whether they had resumed drinking within 6 months after the hospital discharge, and were divided into a resumer group and an abstainer group. Relevant clinical data of the two groups were collected for statistical analysis. Results: Among the 120 male alcohol-dependent patients, 49 of which had resumed drinking within 6 months after the discharge, representing 40.83% of the total amount. The differences between patients years of drinking, alcohol intake, whether having hallucination and delusion when abstaining from alcohol, behaviors of drinking on empty stomach, education level, whether being hospitalized for the first time, alcohol craving and other relevant factors were statistically significant (α = 0.05, P<0.05). The multinomial logistic regression analysis indicated that the regression coefficients of patients’ years of drinking, alcohol intake, behaviors of drinking on empty stomach, and whether being hospitalized for the first time were 0.087, 2.931, 1.108, -0.846, respectively, showing statistical significance (Pall<0.05). Conclusion: The years of drinking, alcohol intake, whether having hallucination and delusion when abstaining from alcohol, behaviors of drinking on empty stomach, and alcohol craving are risk factors for male alcohol-dependent patients to resume drinking within 6 months after hospital discharge. Patients who have been hospitalized more than once are less likely to resume drinking than those who have not. And high education level is also a protective factor for drinking resumption. Assessing relevant risk factors for drinking resumption in male patients with alcohol dependence when they are discharged from hospital would help lower the risk of drinking resumption.
关键词
男性;酒精依赖;患者;复饮;相关因素
KeyWord
male; alcohol dependence; patients; drinking resumption; relevant factors
基金项目
页码 55-58
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曹永康*. 120例男性酒精依赖患者复饮的相关因素分析 [J]. 国际精神病学杂志. 2021; 48; (1). 55 - 58.

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