酒精使用障碍或药物使用障碍患者联合与单独住院康复治疗:一项观察性研究

IF 5.1 Q1 SUBSTANCE ABUSE
Substance Abuse and Rehabilitation Pub Date : 2018-06-25 eCollection Date: 2018-01-01 DOI:10.2147/SAR.S136523
Stefan Bender, Michael Specka, Angela Buchholz, Stefan Hölscher, Fred Rist, Thomas W Heinz, Fabrizio Schifano, Norbert Scherbaum
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引用次数: 1

摘要

背景:在许多国家治疗系统中,酒精使用障碍(AUD)患者和药物使用障碍(DUD)患者是分开治疗的,而其他系统则对两种物质使用障碍(sud)提供联合治疗。然而,对于DUD和AUD患者的长期康复治疗,缺乏单独治疗与联合治疗方式比较的实证研究。方法:收集来自德国同一地区小城镇的2个康复单位的数据。一个单元对AUD和DUD患者混合组进行治疗,另一个单元对两组患者分别进行治疗。在其他方面,各机构的人员配置、资金和治疗方案都是相似的。数据收集自标准化的例行文件和标准化的访谈。为了了解过早终止治疗的相关因素,我们进行了逻辑回归分析,以治疗方式和SUD类型为主要预测因素,并以一系列患者特征为协变量。结果:患者(N=319)被诊断为AUD(48%)、DUD(34%)或AUD + DUD(18%)。联合治疗组患者在治疗过程中出现失误的发生率高于单独治疗组(26%对12%;P =0.009),但早孕发生率无显著差异(38%对44%,P =0.26)。治疗方式及治疗方式与SUD类型的相互作用与早产无显著相关。联合治疗完成者对治疗的满意度高于单独治疗完成者(结论:我们没有发现不同治疗方式在过早终止率方面存在差异的证据。完成联合治疗的患者满意度高于单独治疗的患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Joint versus separate inpatient rehabilitation treatment for patients with alcohol use disorder or drug use disorder: an observational study.

Background: In many national treatment systems, patients with alcohol use disorders (AUD) and those with drug use disorders (DUD) are treated separately, while other systems provide joint treatment for both kinds of substance use disorders (SUDs). Regarding long-term rehabilitation treatment of DUD and AUD patients, there is however a lack of empirical studies on the comparison between a separate versus joint treatment modality.

Methods: Data were gathered from 2 rehabilitation units located in small towns from the same German region. One unit provided treatment to a mixed group of AUD and DUD patients, while the other unit treated the 2 groups separately. Staffing, funding, and treatment programs were otherwise similar between facilities. Data were gathered from standardized routine documentation and standardized interviews. In order to understand correlates of premature treatment termination, a logistic regression analysis was performed, with treatment modality and type of SUD as main predictors, and a range of patient characteristics as covariates.

Results: Patients (N=319) were diagnosed with AUD (48%), DUD (34%), or AUD plus DUD (18%). Patients in joint treatment showed a higher prevalence of lapses during treatment than those in separate treatment (26% versus 12%; p=0.009), but there was no significant difference in the prevalence of premature terminations (38% versus 44%, p=0.26). Treatment modality and interaction between modality and type of SUD was not significantly associated with premature termination. Joint treatment completers showed higher satisfaction with treatment than separate treatment completers (p<0.001).

Conclusion: We found no evidence here for a difference between treatment modalities in terms of premature termination rate. Satisfaction level was higher in those who completed joint treatment compared to separate treatment.

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