关于酒精戒断和酒精相关肝病患者复发风险的关键误解和知识缺口:一种定性心理模型研究
Jessica L Mellinger1, Gerald Scott Winder2, Anne C Fernandez3
1Department of Internal Medicine, Michigan Medicine, Ann Arbor, MI, United States of America; Department of Psychiatry, Michigan Medicine, Ann Arbor, MI, United States of America.
与酒精相关的肝病 (ALD) 患者经常误解影响戒酒和复发的因素,影响治疗参与. 解决这些误解是改善酒精戒断和AUD治疗率的关键.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 成 药物 药物 药物 药物
- 定性研究是指质量研究.
背景情况:
- 与酒精有关的肝病 (ALD) 需要戒酒,以改善患者的治疗结果.
- 尽管已知有好处,但患者对戒酒和治疗的参与仍然很低.
研究的目的:
- 探索患者对影响酒精戒断,复发和酒精相关肝病 (ALD) 肝脏健康的因素的理解.
- 确定患者对酒精使用障碍 (AUD) 和肝脏疾病管理的心理模型中的误解和知识差距.
主要方法:
- 进行了一项定性心理模型研究.
- 对被诊断患有ALD的患者进行了采访,使用从专家采访和影响图表中开发的指南.
- 用演和新兴编码分析了字面采访成绩单.
主要成果:
- 参与者表现出了关于复发触发因素和风险因素的重大误解,经常低估外部影响.
- 患者对危险饮酒信号的理解与临床定义不同,重点是后果,而不是消费水平.
- 观察到倾向于将自我效能视为戒烟的唯一因素,忽视了更广泛的影响.
结论:
- 患有ALD的患者在他们的心理模型中表现出有关戒酒和复发的关键差距.
- 针对这些特定误解的有针对性的干预措施可以提高ALD患者的酒精戒断和AUD治疗参与度.
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