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Predicting and preventing alcohol relapse in alcohol-related liver disease.

Ranasinghe, I; Sin, J; Norman, I; Lau-Walker, M (2018) Predicting and preventing alcohol relapse in alcohol-related liver disease. Br J Nurs, 27 (4). pp. 190-196. ISSN 0966-0461 https://doi.org/10.12968/bjon.2018.27.4.190
SGUL Authors: Sin, Pui Han Jacqueline

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Abstract

BACKGROUND: despite a 450% increase in UK alcohol-related liver disease mortality over the past 30 years, little evidence-based guidance exists regarding preventing recidivism post-liver transplant for alcohol-related liver disease. METHOD: a systematic literature review was conducted to identify demographic variables predictive of alcohol relapse and effective psychosocial interventions for alcohol-related liver disease patients post-liver transplant. RESULTS: variables most significantly predictive of alcohol relapse post-transplant were-less than 12 months pre-liver transplant abstinence; patients with children; poor pre-liver transplant psychosomatic evaluation; non-compliance with post-liver transplant treatment plan; and patients with active insurance policies. Structured management was the most effective psychosocial intervention in preventing alcohol relapse. CONCLUSION: findings should be interpreted cautiously, due to limited and poor-quality evidence. Rigorously designed further research of the psychosocial interventions targeting predictive demographic variables is recommended.

Item Type: Article
Additional Information: This document is the Accepted Manuscript version of a Published Work that appeared in final form in British Journal of Nursing, copyright © MA Healthcare, after peer review and technical editing by the publisher. To access the final edited and published work see https://doi.org/10.12968/bjon.2018.27.4.190
Keywords: Alcohol-related liver disease, Post-liver transplantation, Substance abuse, Systematic review, Transplantation, 1110 Nursing
SGUL Research Institute / Research Centre: Academic Structure > Population Health Research Institute (INPH)
Journal or Publication Title: Br J Nurs
ISSN: 0966-0461
Language: eng
Dates:
DateEvent
22 February 2018Published
19 February 2018Published Online
1 January 2018Accepted
Publisher License: Publisher's own licence
PubMed ID: 29457938
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/109993
Publisher's version: https://doi.org/10.12968/bjon.2018.27.4.190

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