Kognitīvo funkciju īpatnības pacientiem ar alkohola atkarību VSIA RPNC Narkoloģijas stacionārā
No Thumbnail Available
Date
2020
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Mērķis: Kognitīvi traucējumi ir bieži sastopama problēma pacientiem ar alkohola atkarību. Šī pētījuma mērķis bija novērtēt vairāku faktoru ietekmi uz dažādām kognitīvām funkcijām un to traucējumu smaguma pacientiem ar atkarību no alkohola.
Materiāli un metodes: Šķērsgriezuma pētījums, kas tika veikts Rīgas Psihiatrijas un narkoloģijas centrā no 2019. gada februāra līdz 2019. gada decembrim. Pētījums tika veikts, izmantojot demogrāfisko datu anketu ar papildus jautājumiem, kas bija saistīti ar alkohola lietošanu, MoCa skalu, Rey-Osterrieth kompleksas figūras testu, Trail Making testa A un B daļas, DSST jeb ciparu-simbolu aizvietošanas testu un DMST jeb ciparu atmiņas testus. Aprakstošā statistika tika veikta, izmantojot Microsoft Excel (v15.26) un SPSS Statistics (v23.0) programmatūru.
Rezultāti: Kopumā pētījumā tika iekļauti 90 pacienti vecumā no 21 līdz 54 gadiem. Tika atrastas būtiskas korelācijas starp: MoCa un izglītības gadiem (IG), abstinences dienām (AD) (p <0,002); ROCF un IG, lietošanas gadiem (LG) (p <0,001); TMT-A un IG (p = 0,037), AD, LG, vecumu (p <0,01); TMT-B un AD (p = 0,012); DSST un vecumu, AD, LG (p <0,01); DMST un vecumu, IG, LG, AD (p <0,002). Testos bija ievērojama atšķirība starp grupām, kas bija dalītas pēc dzeršanas paradumiem (katru dienu/plostveidīgi): ROCF, MoCa, TMT-A, DSST (p <0,04) un pēc alkohola veida (>15%/<15%) : TMT-A (p = 0,048). Atšķirības starp dzimumiem, dienas alkohola devām un nevienu no testiem netika atrastas.
Secinājumi: Faktori, kas ietekmē testu rezultātus, ir lietošanas gadi, izglītības gadi, atturības dienu skaits, vecums, alkohola veids un dzeršanas paradumi.
Objectives: Cognitive impairment is a common problem in patients with alcohol addiction. The objective of this study was to evaluate the impact of different factors on symptoms and severity of cognitive impairment in different cognitive functions in patients with alcohol addiction. Materials and methods: Cross-sectional study, which was conducted in Riga Centre of Psychiatry and Addiction Disorders from February, 2019 until December, 2019. The study was performed by using demographic data questionnaire with alcohol consumption related questions, MoCa scale, Rey Osterrieth complex figure test (ROCF), TMT-A and TMT-B tests, Digital symbol substitution test (DSST) and Digit memory span test (DMST). Descriptive statistics were done using Microsoft excel (v15.26) and SPSS Statistics (v23.0) software. Results: In total, 90 patients aged 21 – 54 were included in the study. There was a significant correlation between: MoCa and education years (EY), abstinence days (AD) (p<0,002); ROCF and EY, usage years (UY) (p<0,001); TMT-A and EY (p=0,037), AD, UY, age (p<0,01); TMT-B and AD (p=0,012); DSST and age, AD, UY (p<0,01); DMST and age, EY, UY, AD and life dosage (p<0,002). There was a significant difference between groups divided by drinking pattern (every day/binges) in tests: ROCF, MoCa, TMT-A, DSST (p<0,04) and divided by alcohol type (>15%/<15%): TMT-A (p=0,048). There was found no significant correlation between sex, daily alcohol amount and any of the tests. Conclusion: Factors affecting the test results are usage years, education years, abstinence days, age, alcohol type and drinking pattern.
Objectives: Cognitive impairment is a common problem in patients with alcohol addiction. The objective of this study was to evaluate the impact of different factors on symptoms and severity of cognitive impairment in different cognitive functions in patients with alcohol addiction. Materials and methods: Cross-sectional study, which was conducted in Riga Centre of Psychiatry and Addiction Disorders from February, 2019 until December, 2019. The study was performed by using demographic data questionnaire with alcohol consumption related questions, MoCa scale, Rey Osterrieth complex figure test (ROCF), TMT-A and TMT-B tests, Digital symbol substitution test (DSST) and Digit memory span test (DMST). Descriptive statistics were done using Microsoft excel (v15.26) and SPSS Statistics (v23.0) software. Results: In total, 90 patients aged 21 – 54 were included in the study. There was a significant correlation between: MoCa and education years (EY), abstinence days (AD) (p<0,002); ROCF and EY, usage years (UY) (p<0,001); TMT-A and EY (p=0,037), AD, UY, age (p<0,01); TMT-B and AD (p=0,012); DSST and age, AD, UY (p<0,01); DMST and age, EY, UY, AD and life dosage (p<0,002). There was a significant difference between groups divided by drinking pattern (every day/binges) in tests: ROCF, MoCa, TMT-A, DSST (p<0,04) and divided by alcohol type (>15%/<15%): TMT-A (p=0,048). There was found no significant correlation between sex, daily alcohol amount and any of the tests. Conclusion: Factors affecting the test results are usage years, education years, abstinence days, age, alcohol type and drinking pattern.
Description
Medicīna
Medicine
Veselības aprūpe
Health Care
Medicine
Veselības aprūpe
Health Care
Keywords
atkarība no alkohola, kognitīvie traucējumi, kognitīvās funkcijas, alcohol addiction, cognitive impairment, cognitive functions