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Detection of and intervention for excessive alcohol and tobacco use among adult hospital in-patients.

机译:成人医院住院患者中过量使用烟酒的检测和干预。

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Early detection and intervention for alcohol problems have been shown to reduce subsequent health consequences. However, the extent to which these practices have been implemented is unclear. The study assessed among hospital in-patients (1) the prevalence of at-risk drinking and smoking, (2) current practice in detection and intervention for at-risk drinking and smoking and (3) self-reported effect of any intervention. A brief self-administered questionnaire was administered to adult in-patients addressing alcohol use [Alcohol Use Disorders Identification Test (AUDIT) questionnaire], smoking and self-reported effect of any recent intervention for drinking or smoking. The participant's smoking status and alcohol use as recorded by medical and nursing staff was compared to self-reports. Of 448 in-patients, 50% (226) participated in the study; 38% (170) were ineligible and 12% (52) refused. Participants were aged 61.3 (+/-18.9) years. A higher number of problem drinkers (11.9% vs. 3.5%, p < 0.0001) and current smokers (17.3% vs. 9.3%, p < 0.0001) were identified by the questionnaire compared to the medical records. Hospital staff quantified smoking more consistently than alcohol (54% vs. 42%, p = 0.02). Of those who recalled an intervention, 19% of drinkers and 27% of smokers said they had stopped drinking or smoking for a period since that intervention. Further improvement is required in the rates of detection and interventions for alcohol use disorders and smoking in the hospital setting.
机译:对酒精问题的早期发现和干预已被证明可以减少随后的健康后果。但是,这些做法的实施程度尚不清楚。该研究评估了住院患者中的(1)高危饮酒和吸烟的患病率,(2)当前检测和干预高危饮酒和吸烟的实践,以及(3)任何干预措施的自我报告效果。对成年住院患者进行了简短的自我管理调查表,以解决饮酒问题[酒精使用障碍识别测试(AUDIT)问卷],吸烟和最近报告的任何饮酒或吸烟干预措施的自我报告的影响。将医护人员记录的参与者的吸烟状况和饮酒与自我报告进行比较。在448名住院患者中,有50%(226)参加了该研究。 38%(170)不符合资格,而12%(52)被拒绝。参与者的年龄为61.3(+/- 18.9)岁。与医疗记录相比,通过问卷调查发现有更多的问题饮酒者(11.9%比3.5%,p <0.0001)和当前吸烟者(17.3%vs. 9.3%,p <0.0001)。医院工作人员比吸烟更能量化吸烟(54%比42%,p = 0.02)。在召回干预措施的人中,有19%的饮酒者和27%的吸烟者说,自干预措施以来,他们已经戒酒或吸烟了一段时间。在医院环境中,对酒精使用障碍和吸烟的检测率和干预率还需要进一步提高。

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