Akvardar Yildiz, Uçku Reyhan, Unal Belgin, Günay Türkan, Akdede Berna B, Ergör Gül, Alptekin Köksal, Tunca Zeliha
Turk Psikiyatri Derg. 2010 Spring;21(1):5-13.
To determine the primary health care working general practitioners' knowledge, attitude and behavior towards alcohol use disorders.
In this descriptive and cross-sectional study 135 general practitioners (GPs) completed the questionnaire.
Pre and post graduate education on alcohol use disorders is low (25.4 % and 11.7% respectively). Most of the GPs do not know the levels of risky alcohol use, screening tests, and biochemical markers. The mean knowledge score is 6.67+/-1.70. Most GPs think that alcohol use disorders are not an important issue in primary health care (57%), they do not have time to deal with patients' alcohol problems (74.1%), it is difficult to diagnose risky alcohol users without clear symptoms (91.1%), patients do not follow advice on alcohol use (85.2%), and physicians themselves are tolerant towards alcohol (71.1%). Half of the GPs reported that they find it difficult to talk about alcohol use with patients and think that patients may be angered by alcohol consumption questions. Mean attitude score is 4.44+/-2.15. Most of the GPs reported that they would ask questions about alcohol use to their patients (91.7%) and declare that the patients' problems were related to alcohol (90.2%). More than half of them reported that they would refer the patient to a specialist or an alcohol treatment center (58.5%). The mean behavior score is 5.96+/-1.46.
In our country it is clear that more education and support for GPs is needed due to their important role in intervention for alcohol use problems.
确定基层医疗工作的全科医生对酒精使用障碍的知识、态度和行为。
在这项描述性横断面研究中，135名全科医生完成了问卷调查。
酒精使用障碍的研究生教育前和教育后水平较低（分别为25.4%和11.7%）。大多数全科医生不知道危险饮酒水平、筛查测试和生化标志物。平均知识得分为6.67±1.70。大多数全科医生认为酒精使用障碍在基层医疗中不是一个重要问题（57%），他们没有时间处理患者的酒精问题（74.1%），没有明显症状很难诊断危险饮酒者（91.1%），患者不遵循关于饮酒的建议（85.2%），医生自己对酒精也持宽容态度（71.1%）。一半的全科医生报告说他们发现很难与患者谈论饮酒问题，并认为患者可能会因饮酒问题而生气。平均态度得分为4.44±2.15。大多数全科医生报告说他们会向患者询问饮酒问题（91.7%），并宣称患者的问题与酒精有关（90.2%）。超过一半的人报告说他们会将患者转介给专科医生或酒精治疗中心（58.5%）。平均行为得分为5.96±1.46。
在我国，由于全科医生在酒精使用问题干预中的重要作用，显然需要对他们进行更多的教育和支持。
