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综合医院环境中针对问题饮酒的机会性简短干预措施的有效性:系统评价

Effectiveness of opportunistic brief interventions for problem drinking in a general hospital setting: systematic review.

作者信息

Emmen Maria J, Schippers Gerard M, Bleijenberg Gijs, Wollersheim Hub

机构信息

Amsterdam Institute for Addiction Research, PO Box 3907 1001 AS Amsterdam, Netherlands.

出版信息

BMJ. 2004 Feb 7;328(7435):318. doi: 10.1136/bmj.37956.562130.EE. Epub 2004 Jan 16.

Abstract

OBJECTIVE

To determine the effectiveness of opportunistic brief interventions for problem drinking in a general hospital setting.

DESIGN

Systematic review.

DATA SOURCES

Medline, PsychInfo, Cochrane Library, reference lists from identified studies and review articles, and contact with experts.

MAIN OUTCOME MEASURE

Change in alcohol consumption.

RESULTS

Eight studies were retrieved. Most had methodological weaknesses. Only one study, with a relatively intensive intervention and a short follow up period, showed a significantly large reduction in alcohol consumption in the intervention group.

CONCLUSIONS

Evidence for the effectiveness of opportunistic brief interventions in a general hospital setting for problem drinkers is still inconclusive.

摘要

目的

确定在综合医院环境中针对问题饮酒进行机会性简短干预的有效性。

设计

系统评价。

数据来源

医学期刊数据库、心理学文摘数据库、考克兰图书馆、已识别研究和综述文章的参考文献列表,以及与专家的联系。

主要观察指标

酒精摄入量的变化。

结果

检索到八项研究。大多数研究存在方法学上的缺陷。只有一项研究采用了相对密集的干预措施且随访期较短,该研究显示干预组的酒精摄入量有显著大幅下降。

结论

在综合医院环境中对问题饮酒者进行机会性简短干预的有效性证据仍不确凿。

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