Primary health care nurses' and physicians' attitudes, knowledge and beliefs regarding brief intervention for heavy drinkers

Primary health care nurses' and physicians' attitudes, knowledge and beliefs regarding brief intervention for heavy drinkers
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DOI:
10.1046/j.1360-0443.2001.96230514.x
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发表时间:
2001-02-01
期刊:
影响因子:
6
通讯作者:
Seppä, K
Seppä, K
中科院分区:
医学1区
文献类型:
--
作者:
Aalto, M;Pekuri, P;Seppä, K

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目标。确定医疗保健提供者进行适当的简短干预以帮助重度饮酒者减少饮酒的障碍。设计与参与者一份关于态度、技能、知识、培训需求和实施简短干预措施的建议的调查问卷邮寄给芬兰两个城市从事初级卫生保健工作的所有护士和医生。167名初级卫生保健护士和84名医生返回了问卷。调查结果和结论。根据问题的不同,护士的反应率在66%到99%之间,医生的反应率在76%到95%之间。与知识有关的因素似乎是采用简短干预的障碍:只有18%的受访者表示有足够的知识提供称职的简短干预,一半的受访者表示希望更多的培训。与预期相反,医生认为自己比护士更适合做简短的干预。在酒精调查问卷的使用和简短干预的内容方面的实际培训将有助于促进这一点,90%的受访者认为这种培训很重要。提供更多关于支持简短发言的证据的信息也是有益的。
Aims. To identify barriers to healthcare providers carrying out competent brief interventions to help heavy drinkers to reduce their drinking. Design and participants. A questionnaire on attitudes, skills, knowledge, training needs and suggestions for implementation of brief interventions was mailed to all nurses and physicians working in primary health care in two Finnish cities. One hundred and sixty-seven primary health care nurses and 84 physicians returned the questionnaire. Findings and conclusions. The response rates among nurses varied between 66 and 99% and among physicians between 76 and 95% depending on the issue. Factors related to knowledge seem to be a barrier to the adoption of brief intervention: only 18% of respondents reported having enough knowledge to provide competent brief intervention and half of the respondents reported wanting more training. Contrary to expectations, physicians consider themselves to be better equipped to do brief intervention than nurses. Practical training in using alcohol questionnaires and on the content of brief intervention would help promote it. Such training was seen as important by 90% of the respondents. Giving more information on the evidence in favour of brief intervention would also be useful.