Owens L, Gilmore I T, Pirmohamed M
Department of Pharmacology and Therapeutics, The University of Liverpool, UK.
Alcohol Alcohol. 2000 May-Jun;35(3):259-62. doi: 10.1093/alcalc/35.3.259.
Nurses in general practice (termed practice nurses) are an under-utilized resource for the detection and management of patients with alcohol misuse. However, little is known about their knowledge and attitudes towards alcohol use and misuse. We therefore conducted a postal questionnaire survey of 132 practice nurses in Liverpool (UK). The results of our survey (response rate 77%) show that a knowledge and skills gap exists in the delivery of effective advice on alcohol-related issues. Indeed, our results suggest that only one in two women and one in three men are receiving correct advice on sensible limits of alcohol consumption, this despite the fact that alcohol histories are taken. Further training was requested by most nurses to develop their screening and health promotion roles, and to become involved in the management of patients with alcohol-related problems in primary care. We suggest practice nurses should be encouraged to become involved in screening for, and management of, alcohol-related problems. However, it is important to ensure that the nurses receive appropriate training and have adequate back-up facilities from doctors and other workers involved in the care of patients with alcohol-related problems.
普通诊所的护士（称为执业护士）在酒精滥用患者的检测和管理方面是一种未得到充分利用的资源。然而，对于她们对酒精使用和滥用的知识及态度却知之甚少。因此，我们对英国利物浦的132名执业护士进行了问卷调查。我们的调查结果（回复率77%）表明，在提供与酒精相关问题的有效建议方面存在知识和技能差距。事实上，我们的结果显示，尽管进行了饮酒史询问，但只有二分之一的女性和三分之一的男性得到了关于合理饮酒限量的正确建议。大多数护士要求进一步培训，以发展她们的筛查和健康促进角色，并参与到初级保健中酒精相关问题患者的管理工作中。我们建议应鼓励执业护士参与酒精相关问题的筛查和管理。然而，重要的是要确保护士接受适当的培训，并能从参与酒精相关问题患者护理的医生和其他工作人员那里获得足够的支持设施。
