Frausto Kenneth A, Bazargan-Hejazi Shahrzad
Alameda County Medical Center-Highland General Hospital, Department of Emergency Medicine, 1411 E. 31st St., Oakland, CA 94602.
Department of Psychiatry, Charles Drew University of Medicine and Science, Los Angeles, CA 90059, USA. ; David Geffen School of Medicine, University of California, Los Angeles, CA 90059, USA. Email:
Subst Abuse. 2009 Aug 31;3:53-60. doi: 10.4137/sart.s2651. eCollection 2009.
To identify emergency department patients who are ready to change their illicit drug use behavior.
A cross-sectional study of 198 Emergency Department patients at least 18 years old, seeking emergency department services, using at least one illicit drug, and scoring positive for alcohol problem based on CAGE score ≥ 1.
Of the patients, 46% were "not ready" to change their drug behavior, 21% and 33% were "unsure" and "ready", respectively. Our results identified that "Readiness to change alcohol behavior" [t (197) = 3.37, p ≤ 0.001], health insurance [t (197) = -3.011, p ≤ 0.003], number of drug use [t (197) = 2.88, p ≤ 0.004], and drug-related injury [t (197) = 1.98, p ≤ 0.049] were related to readiness to change illicit drug behavior.
Our results re-iterate the need for intervention programs that focus on screening and treatment for both drugs and alcohol.
识别急诊科中准备改变其非法药物使用行为的患者。
对198名年龄至少18岁、寻求急诊科服务、使用至少一种非法药物且基于CAGE评分≥1酒精问题得分呈阳性的急诊科患者进行横断面研究。
在这些患者中，46% “未准备好” 改变其药物行为，21% 和33% 分别 “不确定” 和 “准备好”。我们的结果表明，“改变酒精行为的准备程度” [t (197) = 3.37，p ≤ 0.001]、医疗保险 [t (197) = -3.011，p ≤ 0.003]、药物使用次数 [t (197) = 2.88，p ≤ 0.004] 以及与药物相关的伤害 [t (197) = 1.98，p ≤ 0.049] 与改变非法药物行为的准备程度有关。
我们的结果再次强调了针对药物和酒精的筛查及治疗的干预项目的必要性。
