P-18 * PATIENT'S TYPE FALLING UNDER THE CATEGORY OF ALCOHOL DEPENDENCE, HARMFUL USE OF ALCOHOL, AND HAZARDOUS DRINKING AND THE DIRECTION OF SUPPORT IN INPATIENTS OF GASTROENTEROLOGICAL MEDICINE DEPARTMENT

Abstract

Introduction. In this investigation, 34.0% of 141 inpatients of gastroenterological medicine department with their consent had a score of 8 or higher in AUDIT. Types of those patients were investigated. Method. Alcohol abuse (diagnosed based on ICD-10) and hazardous drinking were analyzed for patients (n = 55) with an AUDIT score of 8 or higher. Patients were classified in a case-code matrix using age, gender, AUDIT score, diagnosis, presence/absence of alcohol abuse treatment, motivational stage by Prochaska, cognitive function, life expectancy as codes. This investigation was conducted with approval from the Ethical Committee of University of Tsukuba. There was no conflict of interest. Result. Types included patients with (1) alcohol abuse, in the preparation or later stage of change, with no previous treatment for alcohol abuse; (2) a history of alcohol abuse treatment and progressed physical disease due to relapse; (3) alcohol abuse and life expectancy of several months due to malignant disease; (4) alcohol abuse in the pre-contemplation stage of change, with impaired cognition function in some cases; and (5) harmful use of alcohol or hazardous drinking in the pre-contemplation stage of change. Conclusion. Support should be tailored by patients' type of alcohol abuse.