俄罗斯托木斯克州结核病项目中酒精使用障碍识别与管理的整合。
Integration of alcohol use disorders identification and management in the tuberculosis programme in Tomsk Oblast, Russia.
作者信息
Mathew Trini A, Yanov Sergey A, Mazitov Rais, Mishustin Sergey P, Strelis Aivar K, Yanova Galina V, Golubchikova Vera T, Taran Dmitry V, Golubkov Alex, Shields Alan L, Greenfield Shelly F, Shin Sonya S
机构信息
Division of Infectious Diseases, University of Mississippi Medical Center, Jackson, MS 39216, USA.
出版信息
Eur J Public Health. 2009 Jan;19(1):16-8. doi: 10.1093/eurpub/ckn093. Epub 2008 Dec 26.
Abstract
Alcohol use disorders (AUDs) among tuberculosis (TB) patients are associated with nonadherence and poor treatment outcomes. We developed a multidisciplinary model to manage AUDs among TB patients in Tomsk, Russia. First, we assessed current standards of care through stakeholder meetings and ethnographic work. The Alcohol Use Disorders Identification Test (AUDIT) was incorporated into routine assessment of all patients starting TB treatment. We established treatment algorithms based on AUDIT scores. We then hired specialists and addressed licensing requirements to provide on-site addictions care. Our experience offers a successful model in the management of co-occurring AUDs among patients with chronic medical problems.
摘要
结核病（TB）患者中的酒精使用障碍（AUDs）与治疗依从性差和治疗效果不佳有关。我们开发了一种多学科模式来管理俄罗斯托木斯克结核病患者中的酒精使用障碍。首先，我们通过利益相关者会议和人种志研究评估了当前的护理标准。酒精使用障碍识别测试（AUDIT）被纳入所有开始结核病治疗患者的常规评估中。我们根据AUDIT评分建立了治疗算法。然后，我们聘请了专家并满足许可要求以提供现场成瘾护理。我们的经验为管理患有慢性疾病的患者中同时存在的酒精使用障碍提供了一个成功的模式。
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