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目的酒类造成的严重危害在澳大利亚许多农村社区中特别突出。偏远地区的全科医生(GPs)在对有害使用酒精患者的识别与治疗方面处于独特地位,然而,他们很少有机会接受关于对有害使用酒精患者进行有效简短心理干预的培训。本项研究介绍了以卡尔古利-博尔德——一个面临严重酒类相关问题的西澳大利亚州偏远社区作为试点,在当地全科医生中开展筛查和简短干预有害使用酒精培训的模式。设计观察性试点研究。研究地点初级卫生保健中心。主要结果测量标准全科医生在识别有害使用酒精患者并做出反应方面所发挥的作用,开展有害使用酒精筛查和简短干预的信心和知识;对酒精筛查和简短干预短期培训课程的满意度;培训对实施酒精筛查和简短干预的作用。结果 50%的全科医生参加了培训。参加培训的全科医生认为有职业责任(对有害使用酒精)做简短干预,不过培训前对实施筛查和干预的信心及技能不足。培训强化了有害使用酒精筛查和简短干预的知识及信心。接受培训后,所有的全科医生增加了酒精筛查频次,培训结束后6个月,88%的全科医生报告增加了简短干预频次。结论初步结果表明,经过培训的全科医生对有害使用酒精的识别和管理的依从性得到改善。在提高农村和偏远地区全科医生酒精危害预防培训的参与率方面,还有更多的工作要做,这对严重酒类相关问题分布并不均衡的社区来说,具有潜在的重要意义。
The serious harm caused by the alcohol of interest is particularly prominent in many rural communities in Australia. GPs in remote areas are uniquely placed to recognize and treat harmful use of alcohol, yet they rarely have the opportunity to receive training on effective brief psychological intervention in patients with harmful alcohol use. This study describes a model of Kalguree-Boulder, a remote community in western Australia facing serious alcohol-related problems, screening and brief interventions for harmful use of alcohol among local GPs. Design observational pilot study. Study Location Primary Health Care Center. Key Outcome Measures Standards General practitioners ’role in identifying and responding to adverse alcohol use patients’ confidence and knowledge of harmful use of alcohol screening and brief interventions; Satisfaction with short-term alcohol screening and brief intervention training courses ; Training on the implementation of alcohol screening and brief interventions. Results 50% of general practitioners attended the training. The attending general practitioners consider that professional responsibility (for the harmful use of alcohol) is a simple intervention, but there is not enough confidence and skills in pre-training screening and intervention. Training reinforces the knowledge and confidence of harmful use of alcohol screening and brief interventions. After training, all general practitioners increased the frequency of alcohol screening, and six months after the training ended, 88% of GPs reported an increase in the frequency of brief interventions. Conclusions The preliminary results indicate that the compliance of trained general practitioners in the identification and management of the harmful use of alcohol has improved. Much more needs to be done to increase the participation of general practitioners in alcohol and tobacco prevention training in rural and remote areas, which is of potential importance to communities that are not evenly distributed with regard to serious alcohol-related problems.