WONCA研究论文摘要汇编——全科医生对酒精依赖的诊断:欧洲六国大型横断面研究

发布时间：2018-02-03 22:15

本文关键词： 酒精依赖 WONCA 酒精摄入量初级保健卫生服务利用回归分析法复合性横断面研究率更患者数量 　出处：《中国全科医学》2015年10期 　论文类型：期刊论文

【摘要】：目的在欧洲,酒精依赖带来高死亡率和患病率,但治疗率却较低。通过筛查、简单干预、治疗、转诊,初级保健在减少酒精损害方面可以起到关键作用。本研究对欧洲初级保健机构酒精依赖的诊断情况进行调查。方法在欧洲六国搜集13 003份全科医生评估报告和9 098份患者访谈报告(其中8 476份为患者访谈与医生评估结合报告)。通过全科医生诊断和单独采用复合性国际诊断访谈(CIDI)及其他结构式访谈,对酒精依赖、并发症、卫生服务利用进行评估。以加权回归分析法,对两种诊断方法进行比较。结果通过CIDI识别的酒精依赖患者和全科医生诊断出的酒精依赖患者比例没有差异,但是重叠的患者数量并不多。医生诊断出的酒精依赖患者年龄更大,并发症(肝病、高血压)发生率更高,在社交方面更加边缘化。然而,两组评估的平均酒精摄入量和精神并发症发生率没有差异。结论全科医生能够诊断出酒精依赖,但是与CIDI的识别结果有差别。由于CIDI可能会遗漏患有严重并发症的年长酒精依赖患者,应重新检验CIDI作为参考标准的效果。
[Abstract]:Objective in Europe, alcohol dependence leads to high mortality and morbidity, but the treatment rate is low. Through screening, simple intervention, treatment, referral. Primary health care can play a key role in reducing alcohol damage. This study investigated the diagnosis of alcohol dependence in primary health care institutions in Europe. Methods collected in six European countries. 003 GP assessment reports and 9,098 patient interviews (. Of these, 8,476 were reported as a combination of patient interviews and doctors' assessments. CIDI and other structured interviews were conducted through the diagnosis of general practitioners and the use of compound international diagnostic interviews alone. Alcohol dependence, complications, and utilization of health services were evaluated by weighted regression analysis. Results there was no difference between the proportion of alcohol-dependent patients identified by CIDI and those diagnosed by general practitioners. But the number of overlapping patients was small. Doctors diagnosed older alcohol-dependent patients, higher rates of complications (liver disease, high blood pressure), and more social marginalization. There was no difference in the average alcohol intake and the incidence of mental complications between the two groups. Conclusion General practitioners can diagnose alcohol dependence. However, there is a difference between the results of identification and that of CIDI. Since CIDI may omit severe complications in elderly alcohol-dependent patients, the effect of CIDI as a reference standard should be re-tested.
【分类号】：R749.62
【正文快照】： WONCA研究论文摘要汇编——全科医生对酒精依赖的诊断:欧洲六国大型横断面研究@Rehm J @Allamani A @Della Vedova R @本刊编辑部目的在欧洲,酒精依赖带来高死亡率和患病率,但治疗率却较低。通过筛查、简单干预、治疗、转诊,初级保健在减少酒精损害方面可以起到关键作用。

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