Author/Editor     Špendl, Joland Barbara; Rašić, Jure; Skela-Savič, Brigita; Bregar, Branko
Title     Odnos med odvisnostjo od alkohola in odvisnostjo od prepovedanih drog in primernost za napovedovanje uspešnosti zdravljenja
Type     članek
Source     In: Zdravstvene stroke in njihov odziv na zdravstvene potrebe družbe: na dokazih podprto in usklajeno delovanje : zbornik predavanj z recenzijo, Bled, 11.-12. junij 2015 : = Proceedings of lectures with peer review, 11th - 12th June 2015, Bled Jesenice : Fakulteta za zdravstvo
Publication year     2015
Volume     str. 360-369
Language     slv
Abstract     Uvod: Raziskave ugotavljajo, da je uspešnost zdravljenja odvisnosti od prepovedanih drog odvisna od mnogih dejavnikov. V tej raziskavi smo preverjali povezanost uspešnosti zdravljenja z uživanjem alkohola in različnih prepovedanih drog ter drugimi dejavniki. Metoda: V okviru raziskave je bila opravljena kvantitativna analiza podatkov zdravstvene dokumentacije o zlorabi drog, uživanju alkohola in izidov zdravljenja. V vzorec (n = 147) so bili vključeni pacienti, ki so bili sprejeti v redno bolnišnično zdravljenje na CZOPD Ljubljana v letu 2014. Opravili smo statistične analize z namenom ugotavljanja povezanosti posameznih spremenljivk. Rezultati: Povezava med rabo psihoaktivnih snovi in alkohola je šibka (r = %0,15, p = 0,14). Bolj verjetno pacienti, ki zlorabljajo več različnih psihoaktivnih snovi, zlorabljajo manj alkohola (p = 0,14). Med moškimi in ženskami je značilna razlika v rabi buprenorfina (p = 0,05), potencialno tudi benzodiazepinov (p = 0,19), sicer pa ni statistično pomembnih razlik v rabi psihoaktivnih snovi (p > 0,20). Na uspešnost zdravljenja vpliva starost pacienta (p = 0,052), substitucijska terapija z buprenorfinom (p = 0,067) ter prisotnost buprenorfina v urinu ob sprejemu (p = 0,077), morda tudi raba benzodiazepinov (p = 0,097). Vpliva rabe alkohola na zdravljenje nismo potrdili (p = 0,95), prav tako ne vpliva rabe več različnih snovi na izid zdravljenja (p=0,69). Med moškimi in ženskami ni značilnih razlik glede uspešnosti zdravljenja (p=0,84). Razprava: Čeprav literatura navaja vpliv rabe kokaina, THC in alkohola na uspešnost zdravljenja, nismo uspeli potrditi teh rezultatov, delno le vpliv pretekle rabe kokaina. Prav tako nismo potrdili povezave med rabo več različnih drog in uspešnosti zdravljenja. Identificirali pa smo vpliv starosti pacienta, rabe buprenorfina in benzodiazepinov. Za dejanski vpliv teh parametrov na izid zdravljenja so potrebne nadaljnje raziskaveIntroduction: The link between abuse of alcohol, drugs and treatment outcome is not researched in detail, but some individual researches show that the treatment outcome is poor in patients that abuse many different drugs and alcohol at the same time. This research analyses statistical link between use of different drugs and alcohol and the rate of success in the treatment of addiction. Methods: Quantitative analysis of health records on drug abuse, alcohol use and treatment outcomes was conducted for (n=147) patients who were admitted to regular hospital treatment at the Centre for Treatment of Drug Addiction in Ljubljana in 2014. We performed a statistical analysis to evaluate the relationship between individual variables. Results: The link between the use of psychoactive substances and alcohol is weak (r = 0.15, p = 0.14). The patients who abuse several different substances likely abuse less alcohol (p = 0.14). There is a significant difference between male and female patients in the use of buprenorphine (p = 0.05) and potentially benzodiazepine (p = 0.19), but no other statistically significant differences in the use of psychoactive substances (p > 0.20). The success of treatment is dependent on the age of a patient (p = 0.052), substitution treatment with buprenorphine (p = 0.067) and the presence of buprenorphine in the urine at the time of admission (p = 0.077), use of benzodiazepines might also affect the treatment outcome (p = 0.097). The impact of alcohol abuse on treatment outcome was not confirmed (p = 0.95) as well as the impact of abusing several psychoactive substances (p = 0.69). No statistically significant gender differences in treatment outcome was observed (p = 0.84). Discussion: Although the literature indicates impact of the use of cocaine, THC and alcohol on the treatment outcome, we were not able to confirm these results, except partially for the past cocaine use. We did however identify that patient%s age, use of buprenorphine and benzodiazepines could be related to the treatment outcome. For the actual relationship of these parameters with the treatment outcome additional research is required.
Keywords     odvisnosti
zdravljenje
alkohol
droge