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首页> 外文期刊>Journal of substance abuse treatment >Misconceptions, preferences and barriers to alcohol use disorder treatment in alcohol-related cirrhosis
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Misconceptions, preferences and barriers to alcohol use disorder treatment in alcohol-related cirrhosis

机译：酒精相关性肝硬化中酒精使用障碍治疗的误解，偏好和障碍

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BackgroundWhile alcohol cessation improves mortality in alcoholic liver disease (ALD), many patients struggle to achieve abstinence. Our aim was to characterize ALD patients' preferences, misconceptions, and barriers to alcohol use treatment options. MethodsThis mixed-methods study included outpatients with a history of alcohol-related cirrhosis or alcoholic hepatitis recruited from a hepatology clinic for a survey or an in-depth semi-structured interview. We purposefully sampled men and women, compensated and decompensated patients to ensure adequate representation of gender and severity of liver disease for the qualitative interviews. Results123 patients completed surveys among which 50% reported having at least one drink within the past year while only 20 patients were in any form of current alcohol treatment. Of the 23 patients reporting drinking within 3?months, only 3 were in AUD treatment currently. 17% had at least one misconception about alcohol use or treatment. An additional 22 ALD patients (10 women, 12 men) completed phone interviews of which two-third self-reported alcohol abstinence. All 22 interview participants had awareness of some form of alcohol treatment, but 13 felt that they did not need treatment with several characterizing it as ineffective or a “waste of time.” Misconceptions included inaccurate perceptions of relapse medication side effects, beliefs that the presence of advanced liver disease symptoms means it is too late to treat alcohol use, and a lack of understanding about the chronicity of alcohol use disorders. The most common barriers to treatment included unwillingness to be in treatment, financial/insurance and transportation barriers. ConclusionsAlcohol use treatment was underutilized in many ALD patients, despite active drinking in many. Tailored education and preference sensitive treatment engagement may overcome barriers to alcohol use treatment and promote abstinence.
机译：背景，酒精戒烟可提高酒精性肝病（ALD）的死亡率，许多患者难以造成禁欲。我们的目的是将ALD患者的偏好，误解和障碍的特征描述为醇使用治疗方案。方法司法方法研究包括与患有酒精相关的肝硬化或酒精性肝炎病史的门诊，从肝脏诊所进行调查或深入的半结构性面试。我们有目的地采样的男性和女性，补偿和失代偿患者，以确保为定性访谈充分代表性别和肝病严重程度。结果123患者完成了调查，其中50％报告在过去一年内至少有一杯饮料，而只有20名患者是任何形式的当前酒精治疗。在3个月内报告饮酒的23名患者中，目前只有3个患者。 17％对酒精使用或治疗至少有一个误解。另外22名ALD患者（10名女性，12名男子）完成了电话采访，其中三分之二的自我报告的酒精禁欲。所有22名访谈参与者都有意识到某种形式的酒精治疗，但是13令人觉得他们不需要用几个表征它无效或“浪费时间”的治疗。误解包括对复发药物副作用的不准确的看法，所存在的肝病症状的存在意味着治疗酒精使用为时已晚，缺乏对酒精使用障碍的慢性的理解。治疗最常见的障碍包括不愿意进行治疗，财务/保险和运输障碍。结论在许多ALD患者中，尽管许多患者，但在许多ALD患者中都未充分利用。量身定制的教育和偏好敏感治疗订婚可能会克服酒精使用治疗的障碍，促进禁欲。

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