...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Advanced studies in medicine >Screening the drinking: Identifying problem alcohol consumption in primary care settings
【24h】

Screening the drinking: Identifying problem alcohol consumption in primary care settings

机译：筛查饮酒：确定初级保健机构中的饮酒问题

获取原文
获取原文并翻译 | 示例
   

获取外文期刊封面封底 >>

       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

PURPOSE: To review the available evidence regarding screening tools and strategies to identify problem alcohol consumption, at-risk alcohol consumption, binge drinking, and alcohol use disorders in primary care settings. EPIDEMIOLOGY: Alcohol consumption incurs significant individual and societal health risks and constitutes a significant economic and healthcare burden. An estimated 20% of patients in primary care settings consume enough alcohol to be considered problem drinkers. Unfortunately, in general, primary care providers poorly identify alcohol consumption among their patients and as many as three fourths of alcohol drinkers escape detection. REVIEW SUMMARY: Clinicians should be aware of the criteria to establish a patient as a problem drinker, including understanding what is meant by at-risk consumption of alcohol and an alcohol use disorder. Problem drinkers can be identified via formal screening instruments that have proven efficacious and effective in primary care settings. This review examines the support for strategies for primary care clinicians to screen for problem drinking, including binge drinking, among their patients. Effective screening strategies can promote greater identification of patients with problem drinking and treatment in primary care settings, and encourage referral to specialized treatment. TYPE OF AVAILABLE EVIDENCE: Randomized-controlled trials, systematic reviews. GRADE OF AVAILABLE EVIDENCE: Good. CONCLUSION: Effective and efficient screening strategies for problem drinking behavior exist for primary care clinicians. Short and available screening questionnaires are effective at identifying problem drinking among outpatients. In screening for problem drinking, clinicians should assess for quantity-frequency of alcohol consumption and the presence of alcohol-related harm. Clinicians should employ a stepwise approach to screen all patients in their practice.
机译：目的：审查有关筛查工具和策略的可用证据，以识别初级保健机构中存在问题的饮酒量，高危饮酒量，暴饮酒和饮酒障碍。流行病学：饮酒会引起重大的个人和社会健康风险，并构成重大的经济和医疗负担。在初级保健机构中，估计有20％的患者喝了足够的酒，被认为是有问题的饮酒者。不幸的是，一般而言，初级保健提供者很难在患者中识别出饮酒情况，并且多达四分之三的饮酒者没有被发现。综述：临床医生应意识到将患者确立为饮酒者的标准，包括了解危险饮酒和饮酒障碍的含义。可以通过在初级保健机构中证明有效且有效的正式筛查工具来识别有问题的饮酒者。这篇综述探讨了对初级保健临床医生在其患者中筛查是否存在饮酒问题（包括暴饮酒）的策略的支持。有效的筛查策略可以促进在初级保健机构中更好地识别有饮酒和治疗问题的患者，并鼓励转诊至专门治疗。可用证据的类型：随机对照试验，系统评价。可用的证据等级：很好。结论：对于初级保健临床医生而言，存在有效且高效的饮酒行为筛查策略。简短而可用的筛查问卷可以有效地识别门诊患者的饮酒问题。在筛查有问题的饮酒时，临床医生应评估饮酒的频度和酒精相关危害的存在。临床医生应采用分阶段的方法对所有患者进行筛查。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号