Barnett Mary Ann
J Am Acad Nurse Pract. 2003 Oct;15(10):467-72. doi: 10.1111/j.1745-7599.2003.tb00333.x.
To emphasize the family as the unit of treatment when one member has alcoholism, discuss the impact of alcoholism on families, and identify resources and referrals available for primary care nurse practitioners (NPs) to assist the patient and family in improving recovery outcomes and family function.
Extensive review of current research, literature, and Internet-based resources, supplemented and illustrated with a case study.
Alcohol dependency flourishes within the social context of the family system and is one of the leading causes of family dysfunction. Understanding the impact that alcoholism has on the family system and being familiar with resources and referrals are critical facets of the overall management of treatment for the patient and family.
Patients often seek health care in a primary care clinic for treatment of medical problems related to alcohol use or abuse, and the primary care NP is frequently the initial point of contact. It is imperative that the family be recognized as the unit of treatment and be included in the treatment plan. As the first line of defense, primary care NPs play a critical role in making appropriate referrals for management of family alcoholism. Helping families make changes leads to improved functioning and recovery outcomes for patients with alcoholism as well as to improved family function.
强调当家庭成员患有酒精中毒时，家庭应作为治疗单位，探讨酒精中毒对家庭的影响，并确定可供初级保健执业护士（NP）利用的资源和转诊途径，以协助患者及其家庭改善康复效果和家庭功能。
对当前研究、文献及网络资源进行广泛综述，并辅以案例研究进行补充和说明。
酒精依赖在家庭系统的社会环境中滋生，是家庭功能失调的主要原因之一。了解酒精中毒对家庭系统的影响并熟悉相关资源和转诊途径，是对患者及其家庭进行全面治疗管理的关键环节。
患者常因与酒精使用或滥用相关的医疗问题在初级保健诊所寻求医疗护理，而初级保健NP往往是最初的接触点。必须将家庭视为治疗单位并纳入治疗计划。作为第一道防线，初级保健NP在为家庭酒精中毒管理进行适当转诊方面发挥着关键作用。帮助家庭做出改变可改善酒精中毒患者的功能和康复效果，同时改善家庭功能。
