과음자들의 외래 단기 집단금주교육 전과 1년 후 음주행태 비교
Group Intervention by Primary Care Physicians on Heavy Drinkers: A 1-Year Follow-up Study
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초록
연구배경: 과음자들을 대상으로 일차 의료인에 의한 집단 금주 교육을 실시하고 참여자들의 1년 후 음주 행태 개선을 평가하고자 하였다. 방법: 국민건강보험공단의 사례관리 프로그램에 등록된 환자들 중 40명의 남성 과음자를 대상으로 4회로 구성된 집단 금주 교육을 실시하였다. 1년 후에 추적 관찰된 32명의 과음자들의 교육 전, 교육 수료 직후, 수료 12주 후, 수료 1년 후의 음주행태를 비교하였다. 결과: 주당 평균(±SD) 음주 횟수는 교육 수료 전 5.2 (±1.7)회, 수료 직후 3.5 (±2.4)회, 수료 12주 후 3.9 (±2.3)회, 수료 1년 후 4.0 (±2.3)회로 집단 금주 교육 전과 비교하여 유의하게(P<0.01) 감소되었다. 1회 평균(±SD) 음주량도 교육 전 17.0(±16.5)잔과 비교하여, 수료 직후 11.0(±16.9)잔, 수료 12주후 14.2 (±17.8)잔, 수료 1년 후 13.9 (±17.8)잔으로 유의하게(P<0.01) 감소되었다. Alcohol Use Disorders Identification Test (AUDIT) 점수 역시 집단 금주 교육 전 평균(±SD) 29.4 (±5.8)점, 수료 직후 19.1 (±11.0)점, 수료 12주 후 21.8 (±9.1)점, 수료 1년 후 23.0 (±9.4)점으로 교육 전에 비해 유의하게(P<0.01) 감소하였다. 과음자 수는 집단 교육 전 32명(100%)에서 교육 수료 직후 20명(62.5%), 수료 12주 후 23명(71.9%), 수료 1년 후 22명(68.8%)으로 유의하게 감소하였으며(P<0.05), 폭음자 수도집단 교육 전 32명(100%)에서 수료 직후 22명(68.8%), 수료 12주 후 24명(75.0%), 수료 1년 후 19명(59.4%)으로 유의하게 감소하였다(P<0.05). 결론: 가정의학과 의사들에 의해 실시된 집단 금주 교육을 통해 12주 후와 1년 후 대상자들의 음주 행태를 살펴보았을 때과음자들의 행동 개선이 되는 것을 관찰할 수 있었다.
Abstract
Background: This study was performed to evaluate the effect of group intervention by primary care physicians on the changes of drinking behaviors in Korean heavy drinkers. Methods: A total of 32 male heavy drinkers participated in group intervention by family physicians of Chungnam National University Hospital. Initially, they were assessed for general characteristics, family function and drinking characteristics prior to the intervention conducted 4 times (about 40 minutes/each session). Reassessment on their drinking frequencies (times/week), drinking amounts (drinks/drinking day) and Alcohol Use Disorders Identification Test (AUDIT) score was achieved at directly, at 12 weeks and at 1 year after intervention. Results: The mean drinking frequency was significantly (P < 0.01) decreased from 5.2 ± 1.7 before to 3.5 ± 2.4 at directly,3.9 ± 2.3 at 12 weeks and 4.0 ± 2.3 at 1 year after intervention. The mean drinking amounts were significantly (P <0.01) decreased from 17.0 ± 16.5 before to 11.0 ± 16.9 at directly, 14.2 ± 17.8 at 12 weeks and 13.9 ± 17.8 at 1 year after intervention. The mean AUDIT score was significantly (P < 0.01) decreased from 29.4 ± 5.8 before to 19.1 ± 11.0 at directly,21.8 ± 9.1 at 12 weeks and 23.0 ± 9.4 at 1 year after intervention. The number of heavy drinkers and binge drinkers were significantly (P < 0.05) decreased from 32 (100%) and 32 (100%) before to 20 (62.5%) and 22 (68.8%) at directly, 23 (71.9%)and 24 (75.0%) at 12 weeks, and 22 (68.8%) and 19 (59.4%) at 1 year after intervention. Conclusion: It is suggested that group intervention by family physicians may be effective on the improvement of drinking behavior at 12 weeks and 1 year after the intervention in heavy drinkers.
참고문헌 (23)
- Cheong YS, "Patient education and compliance. In: Textbook of family medicine. 2nd ed", pp.171~189 (2003), Hankuk Medical Publishing Co
- Society of Teachers of Family Medicine, "Patient education: a handbook for teachers. Report of the national task force on training family physicians in patient education", Society of Teachers of Family Medicine, ~ (1979)
- Oh JY, "The effect of brief doctors' education on health promotion", J Korean Acad Fam Med, 17, pp.319~331 (1996)
- Cheong YS, "The effect of telephone call reminder on noncompliant patients in outpatient clinic", J Korean Acad Fam Med, 23, pp.458~465 (2002)
- Joo HG, "A study on patient compliance in hypertension and diabetes", J Korean Acad Fam Med, 15, pp.446~464 (1994)
- Kristenson H, "Identication and intervention of heavy drinking in middle-aged men: results and follow-up of 24-60 months of long-term study with randomized controls", Alcohol Clin Exp Res, 7, pp.203~209 (1983)
- Fleming MF, "Stauacher EA. Brief physician advice for alcohol problems in older adults: a randomized community-based trial", J Fam Pract, 48, pp.378~384 (1999)
- Ockene JK, "Brief physician- and nurse practitioner-delivered counseling for highrisk drinkers: does it work?", ch Intern Med, 159, pp.2198~2205 (1999)
- Persson J, "Early intervention in patients with excessive consumption of alcohol: a controlled study", Alcohol, 6, pp.403~408 (1989)
- Marlatt GA, "Screening and brief intervention for highrisk college student drinkers: results from a 2-year follow-up assessment", J Consult Clin Psychol, 66, pp.604~615 (1998)
- Glynn TJ, "Essential elements of school-based smoking prevention programs", J Sch Health, 59, pp.181~188 (1989)
- 정유식, "천안 지역 청소년 흡연율 및 금연교육의 효과", 가정의학회지, 24(2), pp.6~157 (2003), 대한가정의학회
- LaBrie JW, "A campusbased motivational enhancement group intervention reduces problematic drinking in freshmen male college students", Addict Behav, 32, pp.889~901 (2007)
- 배남규, "과음 환자들에 대한 절주교육의 효과", 가정의학회지, 29(1), pp.34~40 (2008), 대한가정의학회
- "A pocket guide for alcohol screening and brief intervention" (2005)[URL]
- Wallace P, "Randomised controlled trial of general practitioner intervention in patients with excessive alcohol consumption", BMJ, 297, pp.663~668 (1988)
- Fleming MF, "Brief physician advice for problem alcohol drinkers. A randomized controlled trial in community-based primary care practices", JAMA, 277, pp.1039~1045 (1997)
- Lee KH, "The effect of the drinking prevention program on drinking knowledge, drinking aitude and self esteem of eect of drinking prevention program for middle school students on drinking knowledge and drinking attitudes", pp.2004
- Kim NH, "A study on the educational eects of teaching-learning media in children’ museums", pp.2005
- van Beurden E, "Alcohol brief intervention in bars and taverns: a 12 month follow-up study of operation drinksafe in Australia", Health Promot Int, 15, pp.293~302 (2000)
- Kim JS, "Inuence of alcoholic's insight on their abstinent outcomes for one year aer discharge", J Korean Acad Fam Med, 22, pp.1052~1066 (2001)
- Jong Sung Kim, "The Role of Alcoholics' Insight in Abstinence from Alcohol in Male Korean Alcohol Dependents", Journal of Korean Medical Science, 22(1), pp.132~137 (2007), 대한의학회
- Donovan DM, "Alcoholic relapse prevention and intervention: models and methods. In: Relapse prevention: maintenance strategies in the treatment of addictive behaviours. 1st ed", pp.351~416 (1985), Guilford Press