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Predicting and preventing alcohol relapse in alcohol-related liver disease

Ranasinghe, I, Sin, J, Norman, I and Lau-Walker, Margaret (2018) Predicting and preventing alcohol relapse in alcohol-related liver disease British Journal of Nursing, 27 (4). pp. 2-8.

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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
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Authors :
NameEmailORCID
Ranasinghe, I
Sin, J
Norman, I
Lau-Walker, Margaretm.lau-walker@surrey.ac.uk
Date : 19 February 2018
Identification Number : 10.12968/bjon.2018.27.4.190
Copyright Disclaimer : Copyright 2018 MA Healthcare Ltd.
Uncontrolled Keywords : Transplantation; Systematic review; Substance abuse; Alcohol-related liver disease; Post-liver transplantation
Depositing User : Melanie Hughes
Date Deposited : 14 Feb 2018 14:26
Last Modified : 28 Mar 2018 09:43
URI: http://epubs.surrey.ac.uk/id/eprint/845839

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