Alcohol use of diabetes patients: the need for assessment and intervention.

Alcohol use of diabetes patients: the need for assessment and intervention.
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DOI:
10.1007/s00592-010-0200-x
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发表时间:
2013-04
期刊:
影响因子:
3.8
通讯作者:
Smith, Robert J.
Smith, Robert J.
中科院分区:
医学3区
文献类型:
--
作者:
Engler, Patricia A.;Ramsey, Susan E.;Smith, Robert J.

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众所周知,糖尿病的自我护理行为对于疾病进展至关重要。不幸的是,尽管糖尿病自我护理建议很重要,但许多患者并没有遵守这些建议。饮酒已被确定为糖尿病自我护理依从性的障碍。过量饮酒不仅会对糖尿病患者的自我保健依从性产生负面影响,还会影响糖尿病的病程。有饮酒风险的糖尿病患者可能对糖尿病治疗依从性较差,导致发病率和死亡率增加。糖尿病患者的饮酒量在医疗护理中往往没有得到充分的评估和解决。减少高危饮酒的简短干预措施已在各种患者群体中得到充分验证,并有可能提高糖尿病治疗的依从性和结果。对高危饮酒的评估和治疗可以很容易地纳入常规糖尿病护理中。提供了对高危饮酒进行简要评估和干预的策略。
It is well known that diabetes self-care behaviors are critical to disease progression. Unfortunately, many patients do not adhere to diabetes self-care recommendations despite their importance. Alcohol use has been identified as a barrier to diabetes self-care adherence. Excessive alcohol consumption not only negatively impacts diabetes self-care adherence but also affects the course of diabetes. Diabetes patients who are at-risk drinkers are likely to have poor diabetes treatment adherence, leading to increased morbidity and mortality. Alcohol consumption by diabetes patients is often inadequately assessed and addressed in their medical care. Brief interventions to reduce at-risk drinking have been well validated in a variety of patient populations and offer the potential to improve diabetes treatment adherence and outcome. Assessment and treatment of at-risk drinking could be readily incorporated into routine diabetes care. Strategies for brief assessment of and intervention for at-risk drinking are offered.
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