Koivunen Marita, Harju Sanna, Kauko Tommi, Välimäki Maritta
Satakunta Hospital District/University of Turku, Department of Nursing Science, Sairaalantie 3, FI-28500 Pori, Finland.
University of Tampere, School of Social Sciences and Humanities, Pohjoisranta 11, FI-28100 Pori, Finland.
Int Emerg Nurs. 2017 Mar;31:22-29. doi: 10.1016/j.ienj.2016.06.003. Epub 2016 Jun 27.
To evaluate impacts of brief intervention on patients' alcohol risk drinking, quality of life and health state after treatment at the Sobering Unit in the emergency department at three months, six months, and one year follow-up.
This was a quasi-experimental study without control group (one-year follow-up). Alcohol use of patients in emergency department (Sobering Unit) in specialized care in Finland (AUDIT-test), quality of life (EQ-5D-3L) and health state (EQ VAS) at baseline, three months, six months and one year following the brief intervention were analyzed with Wilcoxon Signed-Rank test.
The patients' alcohol risk use decreased statistically significantly after the treatment period at the Sobering Unit. The patients' health-related quality of life did not change statistically significantly during three months following the treatment period, whereas a statistically significant increase took place after six months. Self-perceived health status improved statistically significantly between the treatment period and three- and six-month follow up time points.
The study gave some suggestive evidence that a brief intervention could be effective for harmful drinkers or alcohol-dependent patients when used in an emergency department. The Sobering Unit in the emergency department is one solution to encourage patients to pay attention to their alcohol risk drinking.
评估简短干预对急诊科清醒治疗单元患者在治疗后3个月、6个月和1年随访时的酒精风险饮酒、生活质量和健康状况的影响。
这是一项无对照组的准实验研究(1年随访)。采用Wilcoxon符号秩检验分析芬兰专科护理中急诊科(清醒治疗单元)患者在简短干预前、干预后3个月、6个月和1年时的酒精使用情况(酒精使用障碍识别测试)、生活质量(EQ-5D-3L)和健康状况(EQ视觉模拟量表)。
在清醒治疗单元治疗期后,患者的酒精风险使用情况有显著统计学下降。治疗期后的3个月内,患者与健康相关的生活质量无显著统计学变化,而6个月后有显著统计学提高。在治疗期与3个月及6个月随访时间点之间,自我感知的健康状况有显著统计学改善。
该研究提供了一些提示性证据,表明简短干预用于急诊科时,对有害饮酒者或酒精依赖患者可能有效。急诊科的清醒治疗单元是鼓励患者关注其酒精风险饮酒的一种解决方案。