在印度,通过电话咨询进行家庭酒精排毒的可行性和安全性
Abhishek Ghosh1, Sohini Chakrabarty1, Shalini S Naik1
1Drug Deaddiction and Treatment Center, Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Indian journal of psychiatry
|March 9, 2026
概括
远程医疗辅助门诊酒精戒断管理 (TAMAL) 是一个可行的和安全的选择,为患者在低资源的设置. 这项以家庭为基础的计划显示了高的患者满意度和成功的症状管理.
科学领域:
- 成 药物 药物 药物 药物
- 数字健康数字健康
- 公共卫生 公共卫生
背景情况:
- 在医疗监督下戒酒在资源较低的地区是具有挑战性的.
- 采用远程医疗的结构化家庭计划,即远程医疗辅助的酒精戒断门诊管理 (TAMAL) 被实施.
研究的目的:
- 评估TAMAL计划的可行性,安全性和可接受性.
- 评估远程医疗在治疗酒精戒断症状方面的有效性.
主要方法:
- 一项对北印度20名成年男性酒精依赖患者进行的回顾性观察性研究.
- 每天通过电话咨询,根据症状指导使用CIWA-Ar尺度进行氧化定位.
- 对社会人口统计学,临床变量,CIWA-Ar得分,药物使用,药物坚持,不良事件和患者满意度的临床记录的审查.
主要成果:
- 到第4天,CIWA-Ar平均得分从8.5下降到0,表明症状迅速改善.
- 80%的患者是快速反应者;没有报告发作或妄想.
- 观察到高患者满意度 (74%) 和95%的人员随访回归率.
结论:
- 远程医疗辅助的门诊酒精戒断管理对于精心挑选的患者来说是可行的和安全的.
- 结构化的协议和家庭支持可以促进在住院护理有限的家庭脱毒.
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