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初级卫生保健专业人员对孕妇和育龄妇女进行酒精风险评估的需求评估及当前实践。

Needs assessment and current practice of alcohol risk assessment of pregnant women and women of childbearing age by primary health care professionals.

作者信息

Davis Penelope M, Carr Tracey L, La Cindy B

机构信息

Division of Continuing Professional Learning, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan.

出版信息

Can J Clin Pharmacol. 2008 Summer;15(2):e214-22. Epub 2008 Jun 1.

PMID:18515922
Abstract

BACKGROUND

Assessing the current practices and learning and resource needs of primary health care professionals in regards to their alcohol risk assessment practices is an important step in providing optimal training and educational methods. Needs and current practices in alcohol risk assessment of pregnant women and women of child bearing years may vary according to practitioner demographics.

METHODS

To appraise alcohol risk assessment current practices and learning and resource needs among Saskatchewan primary health care professionals, a mail and online survey was distributed in the spring of 2006 to family physicians/general practitioners and nurse practitioners.

RESULTS

In total, 876 surveys were distributed and 386 were returned for an overall response rate of 44.1%. The majority of survey respondents reported either rarely or never using a standardized screening tool in assessing alcohol risk in women or reported using a standardized screening tool that is less sensitive. Current practices varied according to gender, length of time in practice and practice location, while learning and resource needs were more likely to be identified by nurse practitioners, female physicians, and physicians from rural areas. Physicians who had practiced for less than 5 years were more likely to want an online course.

DISCUSSION

Knowing the needs and practices of health care professionals may assist learning and resource training and could assist in teaching best practices in alcohol risk assessment. Assessing alcohol risk in pregnant women and women of childbearing age is critical for prevention of FASD.

摘要

背景

评估初级卫生保健专业人员在酒精风险评估方面的现行做法以及学习和资源需求,是提供最佳培训和教育方法的重要一步。孕妇和育龄妇女酒精风险评估的需求和现行做法可能因从业者的人口统计学特征而异。

方法

为了评估萨斯喀彻温省初级卫生保健专业人员在酒精风险评估方面的现行做法以及学习和资源需求,2006年春季通过邮件和在线方式向家庭医生/全科医生以及执业护士发放了调查问卷。

结果

总共发放了876份调查问卷,回收386份,总体回复率为44.1%。大多数受访者表示在评估女性酒精风险时很少或从未使用标准化筛查工具,或者表示使用的是敏感性较低的标准化筛查工具。现行做法因性别、执业时间长短和执业地点而异,而执业护士、女医生以及农村地区的医生更有可能提出学习和资源需求。执业时间少于5年的医生更希望获得在线课程。

讨论

了解卫生保健专业人员的需求和做法有助于学习和资源培训,并有助于传授酒精风险评估的最佳做法。评估孕妇和育龄妇女的酒精风险对于预防胎儿酒精谱系障碍至关重要。

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