臺灣博碩士論文加值系統

本研究之研究目的在於：（一）發展台灣版酒精簡易處置；（二）檢測簡易處置成效；（三）探討個案基本屬性與簡易處置之相關性。研究設計係採實驗性設計法（experimental research design），以北部某醫學中心為收案單位，凡個案年滿18歲以上；病情穩定，且意識清楚；能以國語或台語接受訪談；個案AUDIT分數介於8-40分，皆為收案對象。並以隨機方式，將個案分別編為實驗組與控制組，研究期間計篩選2257名個案，符合收案條件有115名，同意收案95名，含控制組48名；實驗組47名。實驗組個案先予進行資料前測後，以個別衛教方式提供簡易處置指導及衛教手冊；控制組個案則僅予進行資料收集，六個月後，以電話訪談方式進行兩組個案之AUDIT追蹤調查。控制組個案實際追蹤40名，實驗組個案為34名，個案流失率為22％。資料經SPSS進行分析，結果顯示實驗組總分改善成效高於控制組32.8％，「喝酒量」低於控制組28.1％，「喝酒習慣或依賴」改善成效高於控制組59.7％，「因酒精引起相關問題」改善成效高於控制組27.5％，且此差異達統計意義，顯示酒精簡易處置確實能有效協助病患減少喝酒量及改變喝酒習慣。而本研究所發展之「台灣版酒精簡易處置」未來將可為醫護人員照護病患之參考依據。

The aims of this study were: (1) to develop brief intervention for problem drinkers in Taiwan, (2) to evaluate effects of the intervention and, (3) to investigate the relationships among the intervention effects and patients’ characteristics. An experimental research designed study was used and was conducted in a medical center in northern Taiwan. Patients who fulfilled the following criteria were enrolled: (1) older than 18 years old, (2) stable physical condition with clear consciousness, (3) well-communicated with Mandarin or Taiwanese, and (4) with an AUDIT score (Alcohol Use Disorders Identification Test) ranged from 8-40. All patients were given an informed consent. Subjects were randomly assigned into either an experimental group or a control group. Among 2,257 patients, 115 fulfilled the inclusion criteria and 95 subjects were signed the consent form. Forty seven were allocated into the experimental group, 48 were into the control group. Basic demographic, clinical information, and the AUDIT score were collected at baseline. Six months later, the AUDIT score were rated by telephone interviews. Only 34 subjects in the experimental group and 40 subjects in the control group could be contacted and provided valid information eventually. The AUDIT score in the experimental group got greater reduction than that in the control group in the post-test. Moreover, the experimental group showed significantly greater improvements in all the three dimensions of the AUDIT: alcohol consumption level, symptoms of alcohol dependence, and issues related to harmful alcohol use. The results showed that the Taiwanese edition of brief intervention for problem drinkers is an effective treatment model and can be used as a reference for clinical staff in the future.

目 錄
指導教授推薦書
口試委員會審定書
授權書 iii
誌謝 iv
中文摘要 …vi
英文摘要 vii
第一章 序論 1
第一節 研究動機 2
第二節 研究重要性 3
第三節 研究目的 4
第二章 文獻探討 5
第一節 酒精 5
第二節 AUDIT 12
第三節 酒精簡易處置 14
第四節 總 結 19
第五節 概念架構 23
第六節 研究問題 23
第七節 研究假設 24
第八節 名詞界定 24
第三章 研究方法 26
第一節 研究對象和場所 26
第二節 研究工具 27
第三節 研究過程 29
第四節 資料分析 30
第四章 研究結果 31
第一節 個案基本資料 31
第二節 酒精簡易處置執行成效 33
第三節 個案基本屬性與酒精簡易處置成效之相關性 39
第五章 討論 40
第一節控制組與實驗組改善成效比較 40
第二節個案死亡原因與喝酒型態之相關性 43
第三節執行簡易處置與基本屬性之相關性 43
第四節個案流失率 44
第六章 結論與建議 45
第一節 結論 45
第二節 護理領域之應用 46
第三節 研究限制 47
第四節 未來研究方向之建議 48
參考文獻 50
中文部分 50
英文部分 51

附錄
附錄一 受試者同意書 68
附錄二 生活習慣調查表 69
附錄三 酒精簡易處置 73
附錄四 研究工具專家介紹 76

圖表目錄
表一 個體血中濃度及臨床症狀 55
表二 酒精簡易處置介入方式 56
表三 個案基本資料 57
表四 控制組分數前後值比較 59
表五 制組「喝酒量」「喝酒習慣或依賴」「酒精相關問題」前後值比較分析 60
表六 實驗組與控制組各級人數分布 61
表七 實驗組個案AUDIT各題分數前後值比較分析 62
表八 實驗組「喝酒量」「喝酒習慣或依賴」「酒精相關問題」前後值比較分析 63
表九 實驗組與控制組前後值比較分析 64
表十 實驗組與控制組「喝酒量」「喝酒習慣或依賴」「酒精相關問題」前後值比較分析 65
表十一 實驗組進步分數與個案基本屬性相關性 66

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