酒精使用作为心脏病的可修改风险因素:瑞典患者观点的定性研究
Paul Welfordsson1, Anna-Karin Danielsson1, Caroline Björck2,3
1Department of Global Public Health, Karolinska Institutet, Solna, Sweden.
PloS one
|August 4, 2025
概括
患有危险酒精使用的心脏病患者发现酒精干预是可以接受的. 尊重生活质量,自主性和个人目标的策略提高了可行性. 改善获得酒精依赖治疗的机会至关重要.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
背景情况:
- 酒精使用是一个重要的心血管风险因素,影响患者的发病率和死亡率.
- 患者接受是成功实施心脏护理中酒精干预的关键.
研究的目的:
- 探索患者对将酒精干预整合到心脏病服务中的可行性观点.
- 了解患者对如何在心脏护理环境中最好地实施酒精干预措施的看法.
主要方法:
- 一项多地点的定性研究,涉及15名患有危险酒精使用的成人心脏病患者的半结构面试.
- 从瑞典的不同地区招募了参与者,他们的人口结构,心血管状况和酒精消费水平各不相同.
- 能力,机会,动机和行为 (COM-B) 系统和反射主题分析被用于数据编码和分析.
主要成果:
- 确定了56个可行性因素,分类为能力 (15),机会 (10) 和动机 (31).
- 主要主题包括:认识到酒精对心血管健康的相关性,与患者目标和社会规范调整干预措施,优先考虑生活质量和自主性,并改善获得酒精依赖治疗的机会.
结论:
- 酒精干预被危险的酒精使用心脏病患者认为是可以接受的.
- 有效的实施取决于强调生活质量的战略,尊重患者的自主权,并与个人的期望和目标保持一致.
- 显然需要加强对酒精依赖治疗的准入,可能是通过多学科的心脏团队或专门的成服务.
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