ADAEL le développement EnquêteADAEL Association pour le développement de l'alcoologie en Eure-et-Loir Enquête descriptive sur les patients accueillis dans les structures de soins

ADAEL

Association pour le développement

de l'alcoologie en Eure-et-Loir

Enquête

descriptive sur les patients

accueillis dans

les structures de soins

en alcoologie de l'Eure-et-Loir

Tome 2

Un an après la cure

Décembre 2004

Observatoire Régional de la Santé du Centre � : CHRO 1, rue Porte Madeleine BP 2439 45032 Orléans cedex 1 � : 02 38 74 48 80 � : 02 38 74 48 81 mél : [email protected]

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34


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36


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36


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42


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44


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46


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52


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Rgtuqppgu"ucpu"gphcpvu"<"79'"*49'+ Rgtuqppgu"cxge"gphcpvu"<"84'"*49'+ r?2.8:8

Pqp"cevkhu"<"72'"*57'+ Cevkhu"<"89'"*46'+ r?2.36:

Cevkhu"gornq{fiu"qw"qwxtkgtu"<"89'"*46'+ Cwvtgu"cevkhu"<"89'"*47'+ r?2.;88

Rgtuqppgu"gp"fkhÝewnvfi"Ýpcpekfltg"<"72'"*68'+

Cwvtgu"rgtuqppgu"<"85'"*47'+ r?2.43;

Rgtuqppgu"gp"gpfgvvgogpv"pqp""ockvtkufi"<"42'"*:2'+

Rgtuqppgu"gp"gpfgvvgogpv"ockvtkufi"<"7:'"*59'+

r?2.444

Nc"ugwng"ectcevfitkuvkswg"uqekcng"tgngxfig"eqoog"c{cpv"wpg"kpÞwgpeg"uwt"ng"fgxgpkt"

fgu"rcvkgpvu"eqpegtpg"ngwt"ukvwcvkqp"hcoknkcng"<"ngu"rgtuqppgu"xkxcpv"ugwngu"qw"gp"ukvwcvkqp"

rtfiecktg"qpv"fgu"vcwz"fg"tficneqqnkucvkqp"kpeqpvt»nfig"rnwu"korqtvcpvu"gv"fgu"vcwz"fÓcduvk/

pgpeg"rnwu"hckdngu0"NÓcevkxkvfi"qw"pqp"fg"nc"rgtuqppg"tguvg"§" nc" nkokvg"fg" nc"ukipkÝecvkqp"

*r?2.36:+."cxge"rnwu"fÓcduvkpgpvu"ejg¦"ngu"cevkhu"swg"ejg¦"ngu"pqpu"cevkhu0

Gp" tgxcpejg." cwewpg" fkhhfitgpeg" pÓguv" eqpuvcvfig" uwt" ng" fgxgpkt" fgu" rcvkgpvu" gp"

hqpevkqp"fw"ugzg."fg"nc"rtfiugpeg"fÓgphcpvu."fg"nc"ecvfiiqtkg"uqekq/rtqhguukqppgnng"*ejg¦"

ngu"cevkhu+"qw"fgu"fkhÝewnvfiu"Ýpcpekfltgu"fixgpvwgnngu0

Cpvfiefifgpvu"fg"uqkpu"gp"cneqqnqikg

Ngu"rcvkgpvu"c{cpv"ffil§"tg›w"fgu"uqkpu"cxcpv"nc"ewtg"pÓqpv"rcu"wp"fgxgpkt"fkhhfitgpv"

fgu"cwvtgu"rcvkgpvu"*r?2.;29+0"Gp"tgxcpejg."egwz"swk"qpv"htfiswgpvfi"wp"oqwxgogpv"fÓcp/

52


53


ekgpu"dwxgwtu"crtflu"nc"uqtvkg"fg"nc"ewtg"uqpv"rnwu"uqwxgpv"cduvkpgpvu"*§"nc"nkokvg"fg"nc"uk/

ipkÝecvkqp"/"r?2.344+0

Vcdngcw";"<"Vcwz"fÓcduvkpgpeg"gv"fg"tficneqqnkucvkqp"kpeqpvt»nfig"§"wp"cp

gp"hqpevkqp"fgu"cpvfiefifgpvu"fg"uqkpu"cxcpv"nc"ewtg"cevwgnng"

Cpvfiefifgpvu"fg"uqkpu"<Vcwz" fÓcduvkpgpeg" *Vcwz" fg"tficneqqnkucvkqp"kpeqpvt»nfig+

Rcu"fÓcpvfiefifgpvu"fg"uqkpu"<Vcwz"fÓcduvkpgpeg" *Vcwz"fg" tficneqqnkuc/vkqp"kpeqpvt»nfig+

Pkxgcw"fg"ukipk/Ýecvkqp

Cpvfiefifgpvu" fg" uqkpu" <" 83'"*4:'+

Rcu"fÓcpvfiefifgpvu"fg"uqkpu"<"7;'"*4:'+ r?2.;29

Htfiswgpvcvkqp" fÓwp" oqwxgogpv"fÓcpekgpu"dwxgwtu"crtflu"nc"uqtvkg"fg"nc"ewtg"<"9:'"*3;'+"

Rcu"fg"htfiswgpvcvkqp"fÓwp"oqwxgogpv"fÓcp/ekgpu" dwxgwtu" crtflu" nc" uqtvkg" fg" nc" ewtg"<"78'"*52'+

r?2.344

Ng"egpvtg"fg"ewtg

Vtqku"itqwrgu"fg"egpvtgu"cxckgpv"fivfi"ffivgtokpfiu"cw"vgoru"4"gp"hqpevkqp"fgu"vjfi/

tcrkgu""<"ng"egpvtg"C"*enkpkswg"fw"xcn"fg"Nqkt+."ng"egpvtg"D"*ECNOG+."gv"ngu"6"cwvtgu"egpvtgu"

*codwncvqktgu"gv"ugtxkeg"fÓcneqqnqikg"fw"egpvtg"jqurkvcnkgt"fg"Ftgwz+0"Egrgpfcpv."ngu"vtqku"

egpvtgu"codwncvqktgu"qpv"fivfi"ufirctfiu"fw"ugtxkeg"fÓcneqqnqikg"fg"Ftgwz"gp" tckuqp"fgu"

fkhhfitgpegu"fg"rtkugu"gp"ejctig"gpvtg"egu"egpvtgu"*ng"ugtxkeg"fÓcneqqnqikg"fg"Ftgwz"tficnk/

ucpv"fgu"ewtgu"gp"jqurkvcnkucvkqp"eqornflvg+"tgpfcpv"ffinkecv"eg"tgitqwrgogpv0

Vcdngcw"32"<"Vcwz"fÓcduvkpgpeg"gv"fg"tficneqqnkucvkqp"kpeqpvt»nfig"

§"wp"cp"gp"hqpevkqp"fw"egpvtg"fg"ewtg"

Kpvgpvkqpu"fg"uqkp Rcvkgpvu"xwu"cw"vgoru"5

Egpvtgu VcwzfÓcduvkpgpeg

Vcwz"fgtficneqqnkucvkqp"

kpeqpvt»nfig

VcwzfÓcduvkpgpeg


kpeqpvt»nfig

Enkpkswg"fw"Xcn"fg"Nqkt 55' 3;' 78' 55'

ECNOG 4;' 9' 94' 3:'

Egpvtgu"codwncvqktgu 52' 3:' 74' 53'

Ugtxkeg"fÓcneqqnqikg"fw"EJ"Ftgwz 5:' 35' 97' 47'

Inqdcngogpv." cwewpg" fkhhfitgpeg" ukipkÝecvkxg" pÓguv" tgngxfig" gpvtg" ngu" egpvtgu"

*r?2.6:;+0

54


55


Ng"uwkxk

Cwewpg"fkhhfitgpeg"ukipkÝecvkxg"pÓguv"qdugtxfig"uwt" ng" vcwz"fÓcduvkpgpeg"gpvtg" ngu"

rcvkgpvu"ug"hckucpv"uwkxtg"tfiiwnkfltgogpv"gp"EECC"qw"EOR"gv"ngu"cwvtgu."qw"egwz"dfipfiÝ/

ekcpv"fÓwp"uwkxk"ru{ejkcvtkswg"qw"ru{ejqvjfitcrkswg"tfiiwnkgt0"Ugwng"nc"htfiswgpvcvkqp"tfiiw/

nkfltg"fÓwp"ifipfitcnkuvg"rqwt"wpg"rcvjqnqikg"nkfig"§"nÓcneqqn"cwiogpvg"ng"vcwz"fÓcduvkpgpeg"

*r?2.25;+"ckpuk"swg" nc" htfiswgpvcvkqp"crtflu" nc"ewtg"fÓwp"oqwxgogpv"fÓcpekgpu"dwxgwtu"

*r?2.254+."eg"swk"rgwv"‒vtg"ng"ukipg"fÓwpg"rnwu"itcpfg"oqvkxcvkqp"fw"rcvkgpv0"

Vcdngcw"33"<"Vcwz"fÓcduvkpgpeg"gv"fg"tficneqqnkucvkqp"kpeqpvt»nfig

§"wp"cp"gp"hqpevkqp"fw"uwkxk"fgrwku"nÓkuuwg"fg"nc"ewtg"

V{rg"fw"uwkxkVcwz"fÓcduvkpgpeg"*tficneqqnkucvkqp"kpeqpvt»nfig+

Cwewp Rqpevwgnqw"Tfiiwnkgt

Pkxgcw" fg"ukipkÝecvkqp

EECC"/"EOR 82'"*4:'+

83'"*4:'+

r?2.;84

Ifipfitcnkuvg"*rcvjqnqikgu"nkfigu"§"nÓcneqqn+ 7:'"*58'+

85'"*43'+

r?2.25;

Ru{ejkcvtkswg"qw"ru{ejqvjfitcrkswg 84'"*4;'+

78'"*78'+

r?2.668

Htfiswgpvcvkqp"fÓwp"oqwxgogpv"fÓcpekgpu"dwxgwtu 79'"*52'+

:;'"*33'+

r?2.254

Gp"tgictfcpv"ngu"tfiuwnvcvu"rct"egpvtg"fg"uqkp."qp"pqvg"rqwt"nc"enkpkswg"fw"Xcn"fg"Nqkt"

wpg"tgncvkqp"ukipkÝecvkxg"gpvtg"ng"uwkxk"rqpevwgn"qw"tfiiwnkgt"gp"EECC"qw"EOR"gv"ng"fgxgpkt"

fgu"rcvkgpvu"*r?2.257+"<"ckpuk." ngu"rcvkgpvu"fg"egv"fivcdnkuugogpv"c{cpv"gw"wp"uwkxk"uqpv"

84'"§"fgxgpkt"cduvkpgpvu."eqpvtg"68'"fgu"rcvkgpvu"pÓc{cpv"rcu"fivfi"uwkxku"*ng"vcwz"fg"tficn/

eqqnkucvkqp"kpeqpvt»nfig"guv"ng"o‒og"gpvtg"egu"fgwz"v{rgu"fg"rcvkgpvu"§"gpxktqp"55'+0

Nc"rtkug"fg"ru{ejqvtqrgu."fg"vtckvgogpvu"rqwt"ng"ockpvkgp"fg"nÓcduvkpgpeg"qw"fg"

ocipfiukwo"guv"fkhÝekng"§"kpvgtrt‒vgt"gp"eg"swk"eqpegtpg"ng"tfiuwnvcv"fg"nc"ewtg"§"wp"cp"<"gp"

ghhgv."ng"vcwz"fÓcduvkpgpeg"guv"fcpu"vqwu"ngu"ecu"uwrfitkgwt"nqtuswÓkn"pÓ{"c"rcu"wucig"fg"egu"

vtckvgogpvu."eg"swk"rgwv"rqtvgt"§"eqphwukqp"uwt"ng"nkgp"ecwucn"fg"egvvg"tgncvkqp0"

Vcdngcw"34"<"Vcwz"fÓcduvkpgpeg"gv"fg"tficneqqnkucvkqp"kpeqpvt»nfig

54


55


§"wp"cp"gp"hqpevkqp"fgu"vtckvgogpvu"tg›wu"

Vtckvgogpvu"tg›wuVcwz"fÓcduvkpgpeg"*tficneqqnkucvkqp"kpeqpvt»nfig+

Cwewp"qw"rqpevwgn

Tfiiwnkgt Pkxgcw"fg"uk/ipkÝecvkqp

Ofirtqdcocvg."dctdkvwtkswg."dgp¦qfkc¦firkpg 85'"*45'+ 76'"*59'+ r?2.435

Cpvkffirtguugwt 86'"*44'+ 74'"*63'+ r?2.293

Pgwtqngrvkswg 83'"*49'+ 78'"*55'+ r?2.;49

J{rpqvkswg 85'"*48'+ 72'"*58'+ r?2.657

Vtckvgogpv"rqwt"ng"ockpvkgp"fg"nÓcduvkpgpeg 83'"*49'+ 7:'"*55'+ r?2.977

Ocipfiukwo 83'"*4:'+ 72'"*72'+ /

Kn"gzkuvg"wp"nkgp"ukipkÝecvkh"gpvtg"nc"rtkug"tfiiwnkfltg"fÓcpvkffirtguugwtu"gv"ng"fgxgpkt"fw"

rcvkgpv0"Rqwt"ngu"cwvtgu"vtckvgogpvu."ngu"tgncvkqpu"gpvtg"nc"rtkug"gv"ng"fgxgpkt"uqpv"kpffirgp/

fcpvgu0

Ng"dkncp"fÓfixcnwcvkqp"enkpkswg

Cw"rtgokgt"vgoru."ukz"uqwu/fiejgnngu"qpv"fivfi"gzvtckvgu"fw"dkncp"fÓfixcnwcvkqp"enkpk/

swg0"Gpvtg"cwvtg."wpg"uqwu/fiejgnng"Åoqvkxcvkqp/rtqpquvkeÇ"cxckv"fivfi"etfifig0"Egvvg"uqwu/

fiejgnng"oguwtg"ng"rtqpquvke"fixcnwfi"rct"ng"rtcvkekgp"xku/§/xku"fw"rcvkgpv."gp"ug"dcucpv"uwt"

ngu"ecrcekvfiu"fÓkpvfitkqtkucvkqp."ng"fgitfi"fg"oqvkxcvkqp."ngu"dfipfiÝegu"ugeqpfcktgu"swg"ng"

rcvkgpv"rgwv"vktgt"fg"uc"ukvwcvkqp."fg"uqp"gpxktqppgogpv."fg"nÓkpvfit‒v"uwuekvfi"rct"ng"rcvkgpv"

gv"fÓwp"kvgo"fg"rtqpquvke"inqdcn0

Ngu"ekps"cwvtgu"uqwu/fiejgnngu"oguwtgpv"egtvckpgu"ectcevfitkuvkswgu"enkpkswgu"fgu"

rcvkgpvu"<"Åfgitfi"fg"ffirtguukqpÇ."ÅrgtuqppcnkvfiÇ."ÅkorwnukxkvfiÇ."Åvtqwdngu"cuuqekfiuÇ"gv"

Åvtqwdngu"cpzkgwzÇ0

Fcpu"ng"vcdngcw"uwkxcpv."ng"ueqtg"oq{gp"§"ejcewpg"fg"egu"ukz"uqwu"fiejgnngu"cwz"

vtqku"vgoru"fg"nÓfivwfg"gp"hqpevkqp"fg"nÓfiejge"qw"pqp"oguwtfi"cw"vgoru"5."c"fivfi"ogpvkqp/

pfi0

56


57


Vcdngcw"35"<"Ueqtgu"oq{gpu"rct"kvgo"cwz"ukz"uqwu/fiejgnngu"fw"Dkncp"fÓGxcnwcvkqp"Enkpkswg

gp"hqpevkqp"fw"tfiuwnvcv"fg"nc"ewtg"oguwtfi"§"wp"cp

Uqwu/fiejgnngu Cduvkpgpvu Tficneqqnkucvkqpeqpvt»nfig

Tficneqqnkucvkqpkpeqpvt»nfig


Vru"3 Vru"4 Vru"5 Vru"3 Vru"4 Vru"5 Vru"3 Vru"4 Vru"5 Vru"3 Vru"4 Vru"5

Dkncp" fÓGxcnwcvkqp" Enkpkswg"*gpugodng"fgu"kvgou+

2.83 2.59 / 2.8; 2.68 / 2.85 2.69 / 2.6;; 2.328 /

Dkncp" fÓGxcnwcvkqp" Enkpkswg""*jqtu"Oqvkxcvkqp/Rtqpquvke+

2.76 2.48 2.4; 2.87 2.57 2.64 2.74 2.57 2.76 2.569 2.35: >2.223

Oqvkxcvkqp"Rtqpquvke 2.;3 2.:7 / 2.;2 2.;8 / 3.2; 3.26 / 2.423 2.2:9 /

Ffirtguukqp 2.78 2.45 2.5: 2.93 2.45 2.77 2.78 2.52 2.89 2.7:: 2.736 >2.223

Rgtuqppcnkvfi 2.7: 2.75 2.68 2.85 2.66 2.69 2.8; 2.92 2.84 2.8;2 2.4;2 2.424

Korwnukxkvfi 2.63 2.43 2.37 2.76 2.47 2.53 2.62 2.3: 2.65 2.8;4 2.:55 >2.223

Vtqwdngu"cuuqekfiu 2.78 2.38 2.49 2.93 2.5: 2.72 2.66 2.43 2.89 2.487 2.2:5 >2.223

Vtqwdngu"cpzkgwz 3.2: 2.78 2.53 3.2: 2.89 2.49 2.;8 2.87 2.97 2.749 2.832 >2.223

Rqwt"ngu"swcvtg"fgu"ekps"uqwu/fiejgnngu"oguwtfigu"cw"vgoru"5"*jqtu"Årgtuqppcnk/

vfiÇ+."fgu"fkhhfitgpegu"ukipkÝecvkxgu"uqpv"pqvfigu"gpvtg"ngu"cduvkpgpvu."ngu"rcvkgpvu"gp"tficn/

eqqnkucvkqp"eqpvt»nfig"gv"egwz"gp"tficneqqnkucvkqp"kpeqpvt»nfig"<"ngu"rcvkgpvu"cduvkpgpvu"uqpv"

egwz"swk"rtfiugpvgpv."gp"oq{gppg." ng"oqkpu"fg"vtqwdngu"cw"vgoru"5."gv" ngu"rcvkgpvu"gp"

tficneqqnkucvkqp"kpeqpvt»nfig"uqpv"egwz"swk"gp"rtfiugpvgpv"ng"rnwu0"

Kn"pÓgzkuvg"swg"rgw"fg"fkhhfitgpegu"ukipkÝecvkxgu"gpvtg"egu"vtqku"itqwrgu"fg"rcvkgpvu"

uwt"ngu"ueqtgu"qdugtxfiu"cwz"vgoru"3"gv"4"<"ugwn"ng"ueqtg"fg"nÓfiejgnng"ÅVtqwdngu"cuuqekfiuÇ"

guv"ogknngwt"cw"vgoru"4"rqwt"ngu"rcvkgpvu"cduvkpgpvu"qw"gp"tficneqqnkucvkqp"eqpvt»nfig"swg"

rqwt"ngu"cwvtgu"*§"nc"nkokvg"fg"nc"ukipkÝecvkqp"/"r?2.2:5+"Qp"rgwv"gp"ffifwktg"swg"ng"DGE."

gp"fgjqtu"fg"nc"uqwu/fiejgnng"ÅOqvkxcvkqp"RtqpquvkeÇ"pÓguv"rcu"wp"dqp"qwvkn"rtfifkevkh"fw"

tfiuwnvcv"fg"nc"ewtg"§"nqpi"vgtog0

Ng"ueqtg"§" nc"uqwu/fiejgnng"ÅOqvkxcvkqp/RtqpquvkeÇ"cw"vgoru"4"fivckv"inqdcngogpv"

ogknngwt"rqwt"ngu"cduvkpgpvu"gv"oqkpu"dqp"rqwt"ngu"rcvkgpvu"gp"tficneqqnkucvkqp"kpeqpvt»nfig"

*§"nc"nkokvg"fg"nc"ukipkÝecvkqp"/"r?2.2:9+0"

56


57


Swcnkvfi"fg"xkg

Gp"eg"swk"eqpegtpg"ngu"fiejgnngu"fg"swcnkvfi"fg"xkg"hqtofigu"cw"vgoru"3."fgu"fkhhfitgp/

egu"ukipkÝecvkxgu"*qw"rtqejg"fg"nc"ukipkÝecvkqp+"uqpv"pqvfigu"uwt"ngu"ueqtgu"oq{gpu"rqwt"

vqwvgu"ngu"fiejgnngu"cwz"vgoru"4"gv"5""*fcpu"ng"ugpu"q"ngu"cduvkpgpvu""uqpv""fcpu"vqwu"ngu"

ecu"rnwu"ucvkuhckvu"fg"ngwtu"eqpfkvkqpu"fg"xkg"swg"ngu"cwvtgu."gv"swg"ngu"rgtuqppgu"gp"tficn/

eqqnkucvkqp" kpeqpvt»nfig" ng"uqpv"oqkpu+0"Cw"rtgokgt" vgoru"fg" nÓfivwfg."cwewpg"fkhhfitgpeg"

ukipkÝecvkxg"pÓcxckv"fivfi"tgngxfig0

Vcdngcw"36"<"Ueqtgu"oq{gpu"rct"kvgo"cwz"ugrv"uqwu/fiejgnngu"fg"ucvkuhcevkqp"fw"rtqÝn"fg"swcnkvfi"

fg"xkg"uwdlgevkxg"gp"hqpevkqp"fw"tfiuwnvcv"fg"nc"ewtg"oguwtfi"§"wp"cp"

Uqwu/fiejgnngu" fg" ucvkuhce/vkqp"*rqpffitfigu"rct"nÓkorqt/vcpeg+

Cduvkpgpvu Tficneqqnkucvkqpeqpvt»nfig

Tficneqqnkucvkqpkpeqpvtqnfig



Ucpvfi /2.27 2.26 2.28 /2.22 2.27 2.26 /2.26 2.24 2.22 2.569 2.4:: 2.284

Tgncvkqpu /2.23 2.27 2.28 2.23 2.26 2.25 /2.24 2.23 /2.22 2.585 2.246 >2.223

Eqpfkvkqpu"ocvfitkgnngu 2.27 2.28 2.35 2.29 2.25 2.28 2.22 /2.23 /2.27 2.589 2.223 >2.223

Cffkevkqpu /2.37 2.47 2.5: /2.2; 2.56 2.54 /2.3; 2.33 /2.53 2.8:5 2.292 >2.223

Ugpvkogpv"fg"nkdgtvfi 2.24 2.52 2.52 2.34 2.55 2.54 2.25 2.33 /2.27 2.8;6 2.259 >2.223

Nqkuktu /2.27 2.3: 2.52 2.25 2.43 2.39 /2.29 2.25 2.23 2.899 2.282 >2.223

Dguqkpu"Xkvcwz 2.26 2.52 2.52 2.22 2.3: 2.25 /2.29 2.33 /2.25 2.543 2.22; >2.223

Cwewpg"fkhhfitgpeg"pÓguv"eqpuvcvfig"gpvtg"ngu"ueqtgu"cwz"fiejgnngu"fg"ejcpigogpvu"

cvvgpfwu"gpvtg"ngu"cduvkpgpvu."ngu"rcvkgpvu"gp"tficneqqnkucvkqp"eqpvt»nfig"gv"egwz"gp"tficneqq/

nkucvkqp" kpeqpvt»nfig"cwz"fgwz"rtgokgtu" vgoru"fg" nÓfivwfg."gzegrvfi"rqwt" nc"uqwu/fiejgnng"

ÅUcpvfiÇ"cw"rtgokgt" vgoru"q" ngu" tficneqqnkucvkqpu" kpeqpvt»nfigu"cxckgpv"rnwu"fÓcvvgpvgu"

swg"ngu"cwvtgu0

Eqpegtpcpv"ngu"ejcpigogpvu"cvvgpfwu."nc"ugwng"fkhhfitgpeg"ukipkÝecvkxg"tgvtqwxfig""

cw"vgoru"5"gpvtg"ngu"vtqku"itqwrgu"fg"rcvkgpvu"eqpegtpg"nÓfiejgnng"ÅCffkevkqpuÇ."rqwt"nc/

swgnng"ngu"cduvkpgpvu"cvvgpfgpv"cnqtu"oqkpu"fg"ejcpigogpvu"rqukvkhu."tgncvkhu"§"eg"vjflog"

fcpu"ngu"rtqejckpu"oqku."gv"ngu"rcvkgpvu"gp"tficneqqnkucvkqp"kpeqpvt»nfig"gp"cvvgpfgpv"rnwu0

58


59


Vcdngcw"37"<"Ueqtgu"oq{gpu"rct"kvgo"cwz"ugrv"uqwu/fiejgnngu"fg"ejcpigogpvu"cvvgpfwu"

fw"rtqÝn"fg"swcnkvfi"fg"xkg"uwdlgevkxg"gp"hqpevkqp"fw"tfiuwnvcv"fg"nc"ewtg"oguwtfi"§"wp"cp"

Uqwu/fiejgnngu" fg" ucvkuhce/vkqp" *rqpffitfigu" rct" nÓko/rqtvcpeg+

Cduvkpgpvu Tficneqqnkucvkqpeqpvt»nfig

Tficneqqnkucvkqpkpeqpvt»nfig



Ucpvfi 2.38 2.2: 2.2: 2.32 2.29 2.2: 2.37 2.2: 2.2; 2.269 2.:47 2.;58

Tgncvkqpu 2.2; 2.29 2.28 2.29 2.29 2.27 2.2; 2.2: 2.28 2.5:17 2.857 2.:;:

Eqpfkvkqpu"ocvfitkgnngu 2.3; 2.2: 2.35 2.35 2.2; 2.36 2.38 2.2; 2.38 2.492 2.;55 2.766

Cffkevkqpu 2.62 2.4; 2.38 2.5: 2.45 2.48 2.64 2.57 2.5; 2.:73 2.5:3 >2.223

Ugpvkogpv"fg"nkdgtvfi 2.66 2.58 2.4: 2.6; 2.59 2.48 2.63 2.65 2.63 2.92; 2.764 2.293

Nqkuktu 2.59 2.53 2.43 2.4; 2.48 2.33 2.5: 2.57 2.3; 2.754 2.789 2.475

Dguqkpu"Xkvcwz 2.53 2.3; 2.36 2.3; 2.3; 2.3; 2.54 2.43 2.39 2.477 2.;4; 2.77:

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70"Ngu"rcvkgpvu"gp"ocwxckug"ucpvfi"ocku"cw"dqp"rtqpquvke

87' 39' 3:'

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rtfifkucpv"nc"rtqdcdknkvfi"fÓcduvkpgpeg"gp"hqpevkqp"fw"itqwrg"fg"rcvkgpvu"pg"oqpvtg"rcu"fg"

fkhhfitgpegu"ukipkÝecvkxgu"gpvtg"ngu"itqwrgu"4"gv"7"fÓwpg"rctv"gv"ng"itqwrg"5"fÓcwvtg"rctv"

*r?2.475+."ocku"wpg"fkhhfitgpeg"ukipkÝecvkxg"gpvtg"ng"tgitqwrgogpv"fg"egu"vtqku"v{rgu"fg"

rcvkgpvu."gv" ngu"rcvkgpvu"fgu"itqwrgu"3"gv"6"*r?2.224+0"Fg" nc"o‒og"ocpkfltg."wp"cwvtg"

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vkgpvu" rgtogv" fg" tgitqwrgt" ngu" rcvkgpvu" fw" itqwrg" 5" cxge" egwz" fgu" itqwrgu" 4" gv" 7"

*r?2.5:;+."ocku"ogv"gp"fixkfgpeg"wpg"fkhhfitgpeg"ukipkÝecvkxg"gpvtg"eg"tgitqwrgogpv"gv"

ngu"rcvkgpvu"fgu"itqwrgu"3"gv"6"*r?2.223+0"

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45'"fg"oqkpu"gp"oq{gppg"gv"wpg"rtqdcdknkvfi"fg"tficneqqnkucvkqp"fg"44'"fg"rnwu"swg"ngu"

cwvtgu"rcvkgpvu"*ngu"vcwz"fg"tficneqqnkucvkqp"eqpvt»nfig"fivcpv"inqdcngogpv"kfgpvkswgu"fcpu"

ngu"7"itqwrgu"fg"rcvkgpvu."wpg"fkokpwvkqp"fw"vcwz"fÓcduvkpgpeg"guv"eqorgpufig"ofiecpk/

swgogpv"rct"wpg"cwiogpvcvkqp"ukokncktg"fw"vcwz"fg"tficneqqnkucvkqp"kpeqpvt»nfig+0

Gp"wvknkucpv"wp"oqfflng" nkpficktg"rqwt"gzrnkswgt" nc"rtqdcdknkvfi"fÓcduvkpgpeg"rtfifkvg"

rct"ng"itqwrg"fg"rcvkgpvu"*gp"tgiqwrcpv"cw"rtficncdng"ngu"itqwrgu"3"gv"6"fÓwpg"rctv."gv"ngu"

itqwrgu"4."5"gv"7"fÓcwvtg"rctv+."gv"rct" ng"egpvtg"fg"vjfitcrkg"*ECNOG"qw"cwvtgu+."gv"gp"

clqwvcpv"wpg"kpvgtcevkqp"gpvtg"egu"fgwz"hcevgwtu."nÓkpvgtcevkqp"guv"rtqejg"fg"nc"ukipkÝecvkqp"

*r?2.2;8+"<"egek"ukipkÝg"fqpe"swg"ngu"fkhhfitgpegu"eqpegtpcpv"ngu"vcwz"fÓcduvkpgpeg"gpvtg"

72


73


ngu"itqwrgu"4."5"gv"7."gv"ngu"itqwrgu"3"gv"6"pg"uqpv"rcu"ngu"o‒ogu"cw"ECNOG"gv"fcpu"ngu"

cwvtgu"fivcdnkuugogpvu0"Ckpuk."cw"ECNOG."ng"vcwz"rtfifkv"fÓcduvkpgpeg"guv"swcukogpv"kfgp/

vkswg"rqwt"ngu"ekps"itqwrgu"fg"rcvkgpvu."vcpfku"swg"fcpu"ngu"cwvtgu"egpvtgu."ng"vcwz"rtfifkv"

fÓcduvkpgpeg"guv" rnwu" korqtvcpv" rqwt" ngu" rcvkgpvu" fgu"itqwrgu"4." 5" gv" 7" swg"rqwt" ngu"

cwvtgu"rcvkgpvu0

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Egpvtg Itqwrgu"fg"rcvkgpvu Rtqdcdknkvfi"fÓcduvkpgpeg"

rtfifkvg"*p?325+

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;7'

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Cwvtg"swg"ng"ECNOG Itqwrgu"3"gv"6 54' ]3;'"="67'_" 73'

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itqwrgu"3"gv"6"uwkxku"fcpu"wp"cwvtg"egpvtg"swg"ng"ECNOG."kn"ugodng"swg"dgcweqwr"fÓcdu/

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rtqdcdknkvfi"fÓcduvkpgpeg"fcpu"eg"itqwrg" *gpxktqp"52'"eqpvtg"72'"gp" tficnkvfi+0" Kn" uÓcikv"

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cwvtg"egpvtg"swg"ng"ECNOG0

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vt»nfig"gp"hqpevkqp"fw"itqwrg"fg"rcvkgpvu"gv"fw"egpvtg"fg"ewtg."gv"gp"{"kpvfiitcpv"wpg"kpvg/

tcevkqp."egvvg"fgtpkfltg"guv"ukipkÝecvkxg"*r?2.254+0"Fg"nc"o‒og"ocpkfltg"swg"rqwt"ng"vcwz"

fÓcduvkpgpeg." ngu"fkhhfitgpegu"gp" vgtog"fg" vcwz"fg" tficneqqnkucvkqp" kpeqpvt»nfig"gpvtg" ngu"

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fgu" vcwz" rtfifkvu" fg" tficneqqnkucvkqp" kpeqpvt»nfig" vtflu" rtqejgu" *38'" gv" 34'" tgurgevkxg/

ogpv+."cnqtu"swg"fcpu"ngu"cwvtgu"egpvtgu."ngu"fkhhfitgpegu"uqpv"korqtvcpvgu"*76'"gv"49'"

tgurgevkxgogpv+0

72


73


Vcdngcw"43"<"Rtqdcdknkvfiu"rtfifkvgu"fg"tficneqqnkucvkqp"kpeqpvt»nfig"rct"egpvtg"gv"itqwrg"fg"rcvkgpvu

Egpvtg Itqwrgu"fg"rcvkgpvu Rtqdcdknkvfi"fg"tficneqqnkucvkqp"

kpeqpvt»nfig"rtfifkvg"*p?325+

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;7'

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kpeqpvt»nfig"qdugtxfig"*p?35;+

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ECNOG Itqwrgu"3"gv"6 34' ]2'"="56'_ 2'

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Cwvtg"swg"ng"ECNOG Itqwrgu"3"gv"6 76' ]64'"="88'_ 68'

U{pvjflug"

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fgxgpkt"<"wp"itqwrg"fg"rcvkgpvu"c{cpv"fg"rnwu"itcpfgu"ejcpegu"fÓcxqkt"wp"fgxgpkt"hcxq/

tcdng" eqorqufi" fgu" itqwrgu" Årcvkgpvu" cw" rtqpquvke" hcxqtcdngÇ" *itqwrg" 4+." Åjqoogu"

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qpv"rnwu"uqwxgpv"fgu"fgxgpktu"rnwu"ffihcxqtcdngu0"Nc"eqorqukvkqp"fg"egu"fgwz"itqwrgu"

oqpvtg"wpg"hqtvg"eqttfincvkqp"gpvtg"ng"rtqpquvke"fqppfi"fflu"nÓgpvtfig"fg"nc"ewtg"rct"ng"rtcvk/

ekgp"gv" ng"fgxgpkt"fw"rcvkgpv" <" nÓcxku"uwdlgevkh"fw"rtcvkekgp"ugodng"wp"finfiogpv"guugpvkgn"

rqwt"ffivgevgt"fflu"ng"ffidwv"fg"nc"ewtg"ngu"rcvkgpvu"§"rnwu"hqtvu"tkuswgu"fg"tgejwvg0

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gpvtg"ngu"egpvtgu"uqpv"fkhÝekng"§"ogvvtg"gp"xcngwt"gp"tckuqp"fgu"vtflu"hqtvgu"fkurctkvfiu"fg"

tgetwvgogpv"gpvtg"ngu"egpvtgu0"Ckpuk."ng"ECNOG"pÓc"rtku"gp"ejctig"fcpu"ng"ecftg"fg"egvvg"

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dngu"*itqwrgu"3"gv"6+0"Gp"qwvtg."qp"tgoctswg"swg"rqwt"ngu"cwvtgu"egpvtgu"swg"ng"ECNOG."

ngu"rcvkgpvu"fgu"itqwrgu"ngu"rnwu"ffihcxqtcdngu"*itqwrgu"3"gv"6+"c{cpv"rw"‒vtg"wvknkufiu"fcpu"

nÓfivwfg"*cwewpg"fqppfig"ocpswcpvg+."ugodngpv"cxqkt"wp"fgxgpkt"rnwu"pfiicvkh"swg"ngu"rc/

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uqpv"cduvkpgpvu."eqpvtg"::'"fgu"rcvkgpvu"pÓc{cpv"rcu"rw"‒vtg"wvknkufiu"#"Egek"kpfkswg"fqpe"

wp"dkcku" korqtvcpv"gp"ffihcxgwt"fgu"cwvtgu"egpvtgu"swg"ng"ECNOG"rqwt"eg"v{rg"fg"rc/

vkgpvu0

74


75


Ng"ueqtg"qdvgpw"ugodng"‒vtg"wp"dqp"qwvkn"rtfifkevkh"fgu"fgxgpktu"fgu"rcvkgpvu."ocku"

kn"fgxtc"‒vtg"clwuvfi"gp"eqttkigcpv"ngu"rtqdnflogu"fg"nc"rtfiugpvg"fivwfg0"Wpg"xcnkfcvkqp"fg"

egv"qwvkn"uwt"wpg"rnwu"itcpfg"fiejgnng"fqkv"‒vtg"tficnkufig0"

74


75


EQPENWUKQP

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eqpvt»nfig"gv"36'"gp"tficneqqnkucvkqp"kpeqpvt»nfig."ocku"eg"tfiuwnvcv"guv"§"oqfwngt"gp"hqpe/

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crtflu"*32"rcvkgpvu"uqpv"ffiefiffiu+0

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rnwukgwtu+."gv":7'"uqpv"uwkxkgu"gp"codwncvqktg"*EECC."EOR."ifipfitcnkuvg."ru{ejkcvtg000+0

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vgoru0"Fg"o‒og."ngu"ueqtgu"fg"swcnkvfi"fg"xkg"uÓcofinkqtgpv"cw"eqwtu"fg"nc"ewtg."gv"tguvgpv"

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rcvkgpvu"*lgwpgu"igpu"cwz"vgpfcpegu"cffkevkxgu"rtqpqpefigu."rcvkgpvu"cw"rtqpquvke"hcxq/

tcdng."jqoogu"¤ifiu"gp"dqppg"ucpvfi"gv"§"nc"ukvwcvkqp"uqekcng"hcxqtcdng."hgoogu"gp"fkhÝ/

ewnvfi"uqekcng."rcvkgpvu"gp"ocwxckug"ucpvfi"ocku"cw"dqp"rtqpquvke+0"Egek"rgwv"uÓgzrnkswgt"

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crtflu."ocku"cwuuk"rct"ng"hckv"swg"egtvckpgu"ectcevfitkuvkswgu"fgu"rcvkgpvu."eqoog"ng"rtq/

pquvke"inqdcn"fqppfi"fwtcpv"nc"ewtg"rct"ng"rtcvkekgp."gzrnkswgpv"§"nc"hqku"nÓcrrctvgpcpeg"fgu"

rcvkgpvu"§"wp"itqwrg"gv"nÓkuuuwg"fg"nc"ewtg"<"ckpuk."nÓghhgv"fg"nc"v{rqnqikg"fgu"rcvkgpvu"guv"

iqoofi"rct"ng"fqwdng"t»ng"fg"egu"xctkcdngu0"

Gp"qwvtg."ng"rtqvqeqng"fÓfivwfg"wvknkufi"tgpf"fkhÝekng"nÓfixcnwcvkqp"fg"nÓkpÞwgpeg"fw"egp/

vtg"fg"ewtg."gv"fqpe"fg"nc"vjfitcrkg"tg›wg."uwt"ng"fgxgpkt"§"nqpi"vgtog"fgu"rcvkgpvu"<"gp"

ghhgv."ng"tgetwvgogpv"pqp"tcpfqokufi"fgu"rcvkgpvu"fcpu"ngu"fkhhfitgpvu"egpvtgu"pg"rgtogv"

rcu"fg"vguvgt"rqwt"ejcswg"v{rg"fg"rcvkgpvu"nc"vjfitcrkg"nc"rnwu"ghÝeceg0"Egtvckpu"v{rgu"fg"

rcvkgpvu"uqpv"vtflu"rgw"tgrtfiugpvfiu"fcpu"egtvckpu"egpvtgu."gp"tckuqp"fg"nc"fkxgtukvfi"fgu"

76


77


tgetwvgogpvu"ugnqp"ngu"nkgwz0

Wp"ueqtg"rtqpquvke"rqwxcpv"‒vtg"fivcdnk"fflu" nc"uqtvkg"fg" nc"ewtg"guv"rtqrqufi0"Eg"

ueqtg"rgtogv"fg"tgvtqwxgt":2'"fgu"rcvkgpvu"cduvkpgpvu"gv":5'"fgu"rcvkgpvu"gp"tficneeqnk/

ucvkqp"kpeqpvt»nfig"§"wp"cp."uqwu"tfiugtxg"swg"ng"rcvkgpv"uqkv"uwuegrvkdng"fÓ‒vtg"tgxw"wp"cp"

crtflu0"Eg"ueqtg"fqkv"egrgpfcpv"‒vtg"clwuvfi"gv"xcnkffi"§"rnwu"itcpfg"fiejgnng."cxcpv"fg"rqw/

xqkt"fgxgpkt"wp"kpuvtwogpv"rtqpquvke"Ýcdng0"Uqp"rtkpekrcn"cxcpvcig"guv"fg"rqwxqkt"ekdngt"

fgu"rcvkgpvu"§"jcwv"tkuswg"cÝp"fg"tgphqtegt"rqwt"egwz/ek" ng"uwkxk"rquv/ewtg."gv"fqpe"fg"

okgwz" tfirctvkt" ngu" tguuqwtegu"Ýpcpekfltgu"gv"jwockpgu"uwt" ngu"rcvkgpvu"gp"rnwu"itcpfg"

fkhÝewnvfi"hceg"§"nÓcneqqn0

76


77


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35:0

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ofifkecng"*3;;2+."44*36+"<"3746/374:0

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74/770

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78


Enquête descriptive sur les patients

accueillis dans les structures de

soins en alcoologie de l'Eure-et-Loir

Tome 2 : Un an après la cure

Un an après leur cure, 60% des personnes sont

abstinentes, 12% en réalcoolisation contrôlée et 28%

en réalcoolisation incontrôlée.

L’effet de la cure sur l’état clinique apparaît très

bénéfique et perdure dans le temps. De même les

scores de qualité de vie s’améliorent au cours de la

cure, et restent plus élévés à l’issue de celle-ci.

Aucune différence n’est apparue sur le taux

d’abstinence en fonction des profils de patients :

jeunes gens aux tendances addictives prononcées,

patients au pronostic favorable, hommes âgés en bonne santé et à la situation sociale

favorable, femmes en difficulté sociale, patients en mauvaise santé mais au bon pronostic.

En outre, le protocole d’étude n’a pas mis en évidence l’influence du centre de cure, et donc de

la thérapie reçue, sur le devenir à long terme des patients : en effet, le recrutement non

randomisé des patients dans les différents centres ne permet pas de tester pour chaque type de

patients la thérapie la plus efficace. Certains types de patients sont très peu représentés dans

certains centres, en raison de la diversité des recrutements selon les lieux.

Un score pronostic pouvant être établi dès la sortie de la cure est proposé. Ce score permet de

retrouver 80% des patients abstinents et 83% des patients en réalcoolisation incontrôlée à un

an. Ce score doit cependant être ajusté et validé à plus grande échelle, avant de pouvoir

devenir un instrument pronostic fiable. Son avantage est de pouvoir cibler des patients à haut

risque, afin de renforcer pour ceux-ci le suivi post-cure, et donc de mieux répartir les ressources

financières et humaines sur les patients en plus grande difficulté face à l’alcool.

Observatoire Régional de la Santé du Centre � : CHRO 1, rue Porte Madeleine BP 2439 45032 Orléans cedex 1

� : 02 38 74 48 80 � : 02 38 74 48 81 mél : [email protected]

Documents

ADAEL le développement EnquêteADAEL Association pour le développement de l'alcoologie en Eure-et-Loir Enquête descriptive sur les patients accueillis dans les structures de soins