Department of Medical and Health Sciences, Linköping University, SE-58183 Linköping, Sweden.
Occup Med (Lond). 2011 Oct;61(7):472-9. doi: 10.1093/occmed/kqr070. Epub 2011 Sep 20.
Occupational health care (OHC) was part of the Swedish Risk Drinking Project, a government-supported continuing professional education (CPE) endeavour for health professionals, 2004-10.
To investigate OHC professionals' perceived knowledge concerning patient counselling on alcohol, perceived efficiency in achieving patient changes, use of questionnaires and biomarkers, amount and content of their alcohol-related CPE, their reasons for participating in this CPE and improvements experienced in addressing alcohol issues in the last 3 years.
Baseline 2005 and follow-up 2008 data were collected by means of anonymous questionnaires to all physicians and nurses in OHC.
Response rates ranged from 53 to 80%. The share of nurses and physicians who had taken part in ≥ 3 days training on risk drinking issues rose from 10 to 59% and from 7 to 59%, respectively. The OHC professionals' perceived knowledge and efficiency concerning lifestyle counselling improved from 2005 to 2008, considerably more so for alcohol than the other lifestyle issues. The most competent nurses and physicians were more likely to have participated in training lasting ≥ 3 days. The most competent nurses and physicians had become better at initiating conversations about alcohol and at informing, providing advice and discussing alcohol with their clients.
There were major improvements in the OHC professionals' perceived knowledge concerning alcohol counselling and efficiency in influencing patients' alcohol habits after participation in a comprehensive CPE project. Overall, the nurses achieved more improvements than the physicians.
职业保健（OHC）是瑞典风险饮酒项目的一部分，这是一项政府支持的、针对卫生专业人员的持续专业教育（CPE）活动，时间为 2004 年至 2010 年。
调查 OHC 专业人员对患者饮酒咨询的感知知识、对实现患者改变的感知效率、对问卷和生物标志物的使用、与酒精相关的 CPE 的数量和内容、他们参与这种 CPE 的原因以及在过去 3 年中在解决饮酒问题方面的改进。
2005 年基线和 2008 年随访数据通过对 OHC 所有医生和护士的匿名问卷收集。
回应率从 53%到 80%不等。参加过≥3 天风险饮酒问题培训的护士和医生比例从 10%上升到 59%和 7%到 59%。OHC 专业人员对生活方式咨询的感知知识和效率从 2005 年到 2008 年有所提高，与其他生活方式问题相比，对酒精的提高更为显著。更有能力的护士和医生更有可能参加持续≥3 天的培训。更有能力的护士和医生在开始讨论酒精问题、告知、提供建议和与客户讨论酒精问题方面变得更有成效。
OHC 专业人员在参与全面的 CPE 项目后，对酒精咨询的感知知识和影响患者饮酒习惯的效率有了显著提高。总体而言，护士的改进比医生更为显著。
