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躯体门诊护理中过度饮酒患者的病假缺勤率和死亡率

Sickness absenteeism and mortality in patients with excessive drinking in somatic out-patient care.

作者信息

Persson J, Magnusson P H

机构信息

Department of Internal Medicine, University Hospital, Lund, Sweden.

出版信息

Scand J Prim Health Care. 1989 Dec;7(4):211-7. doi: 10.3109/02813438909088666.

DOI:10.3109/02813438909088666
PMID:2533993
Abstract

In a study of 2114 patients attending somatic outpatient clinics, 208 were classified as excessive drinkers. Sickness benefit days and sickness periods per year, disability pension, and mortality were studied for the years 1981 to 1985. The excessive drinkers as a group had 13 to 27 more sickness days per year than the other patients. They also had more sickness periods and a higher rate of disability pension than patients without alcohol overconsumption. The study thus showed that a group with varying degrees of excessive drinking had an increased need for sickness benefits. The mortality was considerably increased among the excessive drinkers. The patients who had undergone treatment or were registered because of alcohol problems had most sickness benefit days. The excessive drinking patients without advanced alcohol problems did not have more sickness days than the other patients. Most of these patients (75%) were sick-listed without recognition of their excessive drinking by their doctor. This emphasizes the importance, in terms of sickness benefits and mortality, of better identification of patients with excessive drinking.

摘要

在一项针对2114名到躯体门诊就诊患者的研究中,208人被归类为过度饮酒者。对1981年至1985年期间的每年病假天数和病假时长、残疾抚恤金及死亡率进行了研究。过度饮酒者群体每年的病假天数比其他患者多13至27天。他们的病假时长也更多,且残疾抚恤金领取率高于无酒精过度消费的患者。该研究因此表明,不同程度过度饮酒的群体对病假补贴的需求增加。过度饮酒者的死亡率大幅上升。因酒精问题接受治疗或登记在册的患者病假天数最多。没有严重酒精问题的过度饮酒患者的病假天数并不比其他患者多。这些患者中的大多数(75%)被列入病假名单时,医生并未识别出他们过度饮酒的情况。这强调了在病假补贴和死亡率方面更好地识别过度饮酒患者的重要性。

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