과음 환자들에 대한 절주교육의 효과
The Relationship of Subclinical Hypothyroidism with Bone Mineral Density and Biochemical Bone Markers in Postmenopausal Women
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연구배경: 일차의료에서 절주에 대한 환자교육은 음주로 인한 피해의 예방과 건강증진에 중요하다. 본 연구는 과음자들을 대상으로 집단음주교육을 실시하여 참여자들의 음주행태가 어느 정도 개선되는지를 알아보고자 하였다. 방법: 국민건강보험공단의 사례관리 프로그램을 통해 선별된 남성 과음자 40명을 대상으로 3주간 4회의 집단음주교육으로 구성된 음주교실을 운영하였다. 음주교실 참여 전, 음주교실 수료 직후, 12주 후의 음주행태를 비교하였다. 결과: 주당 평균 음주 횟수는 음주교실 참여 전 4.8 (±1.8)회에서 수료 직후 3.3 (±2.3)회(P＜0.001), 12주 후 3.6 (±2.2)회(P＜0.001)로 유의하게 감소하였고, 1회 평균 음주량도 음주교실 참여 전 14.4 (±15.6)잔에서 수료 직후 9.3 (±15.5)잔(P＜0.001), 12주 후 12.0 (±16.6)잔(P＜0.001)으로 유의하게 감소하였다. AUDIT-K 평균 점수는 음주교실 참여 전 27.7 (±6.3)점에서 수료 직후 17.8 (±11.1)점(P＜0.001), 12주 후 20.5 (±8.8)점(P＜0.001)으로 유의하게 개선되었다. 과음자수는 교육 전 40명(100.0%)에서 수료 직후 26명(65.0%) (P＜0.001), 12주 후 28명(70.0%)으로 유의하게(P＜0.001) 감소하였으며, 폭음자수 역시 교육 전 40명(100.0%)에서 수료 직후 27명 (67.5%) (P＜0.001), 12주 후 28명(70.0%)으로 유의하게(P＜0.001) 감소하였다. 결론: 집단교육 형태의 음주교실을 통해 과음자들의 음주행태가 개선되는 것을 확인할 수 있었다.
Abstract
Background: The present study purposed to execute group temperance education for heavy drinkers, and to examine how much the participants’ drinking behavior is improved. Methods: We ran a drinking class composed of 4 sessions of group temperance education with 40 male heavy drinkers selected through the case management program of the National Health Insurance Corporation, and compared their drinking behavior before, right after, and 12 weeks after the class. Results: The mean (SD) drinks per week was 4.8 (1.8) before the drinking class, 3.3 (2.3) (P＜0.001) right after the completion of the class, and 3.6 (2.2) (P＜0.001) 12 weeks after the class, showing a significant decrease. The mean (SD) alcohol intake per drink also decreased significantly from 14.4 (15.6) drinks before the drinking class to 9.3 (15.5) (P＜0.001) right after the completion of the class and to 12.0 (16.6) (P＜0.001) 12 weeks after the class. The mean (SD) alcohol use disorder identification test score improved significantly from 27.7 (6.3) before the drinking class to 17.8 (11.1) (P＜0.001) right after the completion of the class and 20.5 (8.8) (P＜0.001) 12 weeks after the class. The number of heavy drinkers decreased significantly from 40 (100.0%) before the drinking class to 26 (65.0%) right after the completion of the class and 28 (70.0%) 12 weeks after the class (P＜0.001), and the number of binge drinkers also decreased significantly from 40 (100.0%) before the drinking class to 27 (67.5%) right after the completion of the class and 28 (70.0%) 12 weeks after the class (P＜0.001). Conclusion: The results of this study showed that group temperance education by primary care physicians improved heavy drinkers’ drinking behavior. (J Korean Acad Fam Med 2008;29:34-40)
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