在牙科环境中进行查和治疗的可行性
Zairah Roked1, Simon Moore1, Jonathan Shepherd1
1Violence and Society Research Group, Department of Oral Surgery, Medicine and Pathology, Cardiff School of Dentistry, Cardiff University, Cardiff, UK.
Lancet (London, England)
|August 28, 2015
概括
查滥用酒精,并在初级牙科护理中提供简短的干预是可行的. 这种涉及一般牙科团队的方法可以减少专业服务负担,牙医能够提供干预.
科学领域:
- 口腔健康研究
- 公共卫生干预措施
- 药物滥用研究
背景情况:
- 滥用酒精与癌症和创伤等口腔健康问题有关.
- 一级牙科专注于预防, 成为干预的战略环境.
- 将专家主导的干预措施纳入初级牙科护理可以减轻二级护理负担.
研究的目的:
- 在初级牙科护理环境中对酒精滥用进行查的可行性.
- 评估在一般牙科实践中提供酒精滥用短暂干预的可能性.
主要方法:
- 这是一项随机对照试验,涉及18至65岁的普通牙医.
- 查使用受理人员管理的修改单个酒精查问题 (M-SASQ).
- 得到积极评分的患者接受了牙医或卫生专家的激励干预;对照组接受了通常的护理.
主要成果:
- 46% 的牙科患者检测出危险饮酒.
- 有48%的阳性查患者的随访数据.
- 在干预组和对照组中,少数患者的M-SASQ得分有所改善.
结论:
- 查和干预滥用酒精是可以在初级牙科设置.
- 一般牙科团队可以在解决酒精滥用问题上发挥作用,从而减少专业服务需求.
- 牙医似乎比卫生专家更有能力在这种情况下进行干预.
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