开发和评估以提供者为中心的教育干预措施,以治疗肝硬化患者的酒精使用障碍
Emily Johnson1, Monty Ghosh2, Vijay John Daniels2
1Division of Gastroenterology (Liver Unit), Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Canadian liver journal
|November 29, 2023
概括
一项教育干预显著提高了临床医生的知识,态度和舒适度,在治疗肝硬化患者的酒精使用障碍 (AUD) 中. 虽然药物治疗的意图没有改变,但该计划显示了改善临床实践习惯的前景.
科学领域:
- 肝病学和成医学 肝病学和成医学
- 医疗教育和课程开发
- 临床实践和患者结果
背景情况:
- 酒精使用障碍 (AUD) 是肝硬化的主要驱动因素,但临床医生的知识差距阻碍了有效的患者治疗.
- 在肝硬化患者中管理AUD带来了独特的挑战,影响了患者的预后,需要专门的临床技能.
- 临床医生的信心和准备能力存在障碍,阻碍了将AUD管理纳入肝硬化患者的常规护理.
研究的目的:
- 为医疗保健专业人员开发和评估针对"肝硬化中的AUD"的教育干预措施.
- 评估干预对临床医生的知识,态度,舒适,准备和实践习惯的影响.
- 用自决理论原则评估临床医生的动机.
主要方法:
- 课程开发遵循Kern的框架,将试点反纳入翻转课堂系列.
- 来自肝病学,精神病学,初级保健和成心理学的跨学科教师提供了关于戒断,查,简短干预和药物治疗的内容.
- 干预前后的调查问卷测量了知识,态度 (SAAPPQ),舒适,准备以及改变实践习惯的意图.
主要成果:
- 在所有评估领域的临床医生准备和舒适度均有显著改善:查,简短干预和药物治疗.
- 通过SAAPPQ域测量,临床医生对AUD管理的态度显示出显著的积极变化.
- 虽然知识和态度有所改善,但药物治疗的意图在干预后没有显著变化;效果大小是中大.
结论:
- "肝硬化中的AUD"教育干预有效地增强了临床医生的知识,态度和实践习惯.
- 交互式的跨学科教育提供了一个有希望的策略,以改善肝硬化患者AUD的管理.
- 解决临床医生的信心和准备对于将全面的AUD护理纳入肝病学实践至关重要.
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