Conaty J
Addiction Research Foundation, Toronto, Ontario.
Physiother Can. 1992 Winter;44(1):31-4.
This article focuses on some of the problems presented by alcohol and drug dependent patients and how physiotherapists can respond to them. Approaches used on the Medical Ward of the Clinical Institute of the Addiction Research Foundation (ARF) are presented. The attitude of the physiotherapist toward addictions is important, both in the rehabilitation of the patient's physical problem and in the treatment of his/her alcohol or drug problem. Questions about drug or alcohol use in a physiotherapy assessment can reveal important information about how the patient manages pain and add to understanding of other psycho-social considerations. A brief overview of the types of patient conditions commonly seen on the Medical Ward is given. This is followed by an outline of the ways in which withdrawal from drugs and alcohol is managed. Information is included about pathology related to alcohol abuse. Evidence that many alcohol-related neurological conditions are often reversible suggests that physiotherapists should be optimistic in their expectations about successful alcohol and drug treatment outcomes and should convey this optimism to their patients.
本文重点关注酒精和药物依赖患者所呈现的一些问题，以及物理治疗师应如何应对这些问题。文中介绍了成瘾研究基金会（ARF）临床研究所内科病房所采用的方法。物理治疗师对成瘾问题的态度很重要，这在患者身体问题的康复以及其酒精或药物问题的治疗中都很关键。在物理治疗评估中询问有关药物或酒精使用的问题，可以揭示患者如何应对疼痛的重要信息，并有助于加深对其他心理社会因素的理解。文中简要概述了内科病房常见的患者病情类型。随后概述了管理药物和酒精戒断的方法。还包含了与酒精滥用相关的病理学信息。有证据表明，许多与酒精相关的神经疾病往往是可逆的，这表明物理治疗师对酒精和药物治疗成功结果的预期应持乐观态度，并应将这种乐观态度传达给患者。
