Given the clinical and social problems caused by the consumption of alcohol in most industrialised countries, there is a strong need to develop and evaluate the effectiveness of integrated care programmes. In this study, the authors describe the results observed in 124 sequentially admitted subjects at various points throughout the course of the first year after their discharge from the Southern Regional Alcohol-Abuse Treatment Centre (CRAS) in Lisbon, Portugal. An inpatient stay at this unit of CRAS lasts for between 5 and 7 weeks and implies that the patient must submit him/herself to a therapeutic model which has been adapted from the Minnesota model. At the end of the year under study 44.3% of the patients were still abstinent, 40.3% were consuming alcohol and 15.4% did not reply. 51 patients (41.1% of the initial sample) were still in regular contact with CRAS for further treatment at that point. The variable that was found to possess the most significant association with a favourable outcome was adherence to the therapeutic programme over the course of that year.

译文

:鉴于大多数工业化国家中饮酒引起的临床和社会问题,强烈需要制定和评估综合护理计划的有效性。在这项研究中,作者描述了在从葡萄牙里斯本南部区域酒精滥用治疗中心(CRAS)出院后的第一年中,在各个时间点在124个依次入组的受试者中观察到的结果。在CRAS的此单元住院的时间为5至7周,这意味着患者必须服从明尼苏达州模型改编的治疗模型。在研究的这一年年底,仍有44.3%的患者戒酒,40.3%的人饮酒和15.4%的患者未戒酒。在这一点上,仍有51名患者(占初始样本的41.1%)仍定期与CRAS接触以进行进一步治疗。在这一年中,发现与治疗方案的依从性最密切相关的变量是坚持治疗方案。

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