医生的警告对酒治疗后康复的影响
D C Walsh1, R W Hingson, D M Merrigan
1Department of Health and Social Behavior, Harvard School of Public Health, Boston, MA 02115.
JAMA
|February 5, 1992
概括
记住医生对酒精使用的警告,两年后与酒精工作者的更好的结果有关. 然而,很少有工人回忆起警告,尽管看过医生,突出了员工援助计划的沟通缺口.
科学领域:
- 职业健康 职业健康 职业健康
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
背景情况:
- 酒精使用障碍是劳动力中的一个重要问题.
- 早期干预和医生沟通对于管理与酒精有关的问题至关重要.
- 员工援助计划 (EAP) 在识别和支持受影响的工人方面发挥着重要作用.
研究的目的:
- 为了调查是否有酒精工作者在鉴定之前见过医生.
- 为了确定工人是否回忆起医生对饮酒的警告.
- 评估被召回的医生警告对两年后的结果的影响.
主要方法:
- 一组200名有问题饮酒的员工在招聘时接受了采访,两年后进行了采访.
- 分组的比较是基于他们是否看过医生和回忆警告.
- 测量结果包括饮酒状态,醉酒,酒精消耗和损伤.
主要成果:
- 74%的参与者在识别的一年见过医生,但只有22%的人回忆起警告.
- 召回警告与肝脏疾病,工作警告和年龄较大等因素有关.
- 两年后,那些回忆起警告的工人表现出更好的结果,包括禁欲和减弱.
结论:
- 在开始酒精治疗时记住医生的警告与更好的预后有关.
- 存在很大的沟通差距,许多员工不记得医生的警告,尽管寻求医疗护理.
- 在EAP背景下改善医生沟通可能会提高酒精工作者的治疗效率.
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