Rehm Jürgen, Gmel G, Kiefer F, Kreutz R, Kugler J, Müller-Walther M, Sandow P, Weisser B
Institut für Klinische Psychologie und Psychotherapie, Technische Universität Dresden; Centre for Addiction and Mental Health, Toronto, Kanada; und Dalla Lana School of Public Health, Toronto, Kanada.
Centre for Addiction and Mental Health, Toronto, Kanada.
Dtsch Med Wochenschr. 2014 Nov;139(48):2457-62. doi: 10.1055/s-0034-1387417. Epub 2014 Nov 19.
Hypertension and alcohol use are both part of the five most important risk factors for burden of disease in Western Europe, mainly because of their impact on non-communicable diseases (NCD). Both risk factors are prevalent with high overlap among patients in primary care. Implementation of a screening for alcohol among patients of hypertension in primary care followed by brief intervention for problem alcohol use or formal treatment for people with alcohol dependence could constitute an important step to reach the goals of the Global WHO Action Plan for Prevention and Control of NCD. In addition, such an intervention could improve the management of hypertension. In a working group of experts from clinical practice and research the rationale and potential barriers for this intervention were discussed and steps for implementation in primary care were developed.
高血压和饮酒都是西欧疾病负担的五个最重要风险因素的一部分，主要是因为它们对非传染性疾病（NCD）有影响。这两个风险因素都很普遍，在初级保健患者中重叠率很高。在初级保健中对高血压患者进行酒精筛查，然后对有问题的饮酒者进行简短干预或对酒精依赖者进行正规治疗，可能是实现世界卫生组织全球非传染性疾病预防和控制行动计划目标的重要一步。此外，这种干预措施可以改善高血压的管理。在一个由临床实践和研究领域的专家组成的工作组中，讨论了这种干预措施的基本原理和潜在障碍，并制定了在初级保健中实施的步骤。
