在住院患者中,酒的流行,检测和治疗
R D Moore1, L R Bone, G Geller
1Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
JAMA
|January 20, 1989
概括
医生经常错误地诊断住院患者的酒精依赖和滥用,特别是那些具有更高社会经济地位或否认大量饮酒的人. 改善医生教育对于更好地检测和治疗酒症至关重要.
科学领域:
- 医学教育 医学教育
- 成精神病学成精神病学
- 公共卫生 公共卫生
背景情况:
- 酒精依赖和滥用对公共卫生构成重大挑战.
- 有效的医生教育对于准确诊断和治疗酒症至关重要.
- 查和早期检测是管理与酒精有关的疾病的关键组成部分.
研究的目的:
- 评估成年住院患者中酒精酒的流行情况.
- 为了评估医生发现和治疗酒症的比率.
- 确定影响医生鉴定和干预酒精依赖的因素.
主要方法:
- 一项全面的调查选了约翰霍普金斯医院的所有新成年住院患者的酒精问题.
- 医疗部门分析了流行率.
- 评估了医生检测和治疗率,以及影响诊断的因素.
主要成果:
- 酒精酒的患病率因部门而异,精神病学显示的最高率 (30%).
- 医生检测率在手术和妇产科中低于25%,在精神病学中更高 (>50%).
- 医生不太可能在社会经济地位较高的患者,女性或拒绝重度饮酒的患者中发现酒症.
结论:
- 医生在住院患者中检测和治疗酒精依赖症方面存在重大差距.
- 医生偏见和患者报告的因素影响诊断的准确性.
- 住院期间的干预与出院后的酒精使用变化相关,突出了改善医疗教育课程的需要.
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