在非酒精性慢性肝脏疾病患者中，简短的酒精干预措施未得到充分利用。
Brief alcohol interventions are underutilized in persons with nonalcohol-associated chronic liver diseases.
机构信息
Department of Internal Medicine, Division of Digestive and Liver Diseases, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
出版信息
Hepatol Commun. 2024 Apr 3;8(4). doi: 10.1097/HC9.0000000000000420. eCollection 2024 Apr 1.
BACKGROUND
Brief alcohol interventions use patient-provider communication to promote alcohol cessation. We characterized the receipt of this intervention in chronic liver disease (CLD).
METHODS
We surveyed patients with CLD for weekly drinking patterns and examined associations with patient-provider communication receipt.
RESULTS
Among 840 participants, 82.1% and 56.5% reported ≥1 standard drink weekly and excessive alcohol consumption, respectively. Patient-provider communication was lower in noncirrhotic (adjusted odds ratio:0.34, 95% CI: 0.22-0.54) and nonalcohol-associated CLD (adjusted odds ratio: 0.22, 95% CI: 0.15-0.34) among individuals drinking ≥1 standard drink weekly, and similarly in noncirrhotic CLD (adjusted odds ratio: 0.45, 95% CI: 0.21-0.95) among those with excessive drinking.
CONCLUSIONS
Brief alcohol interventions are underutilized in noncirrhotic and nonalcohol-associated CLD.
背景
简短的酒精干预措施利用医患沟通来促进戒酒。我们描述了慢性肝病（CLD）中接受这种干预的情况。
方法
我们调查了 CLD 患者的每周饮酒模式，并研究了与接受医患沟通之间的关联。
结果
在 840 名参与者中，分别有 82.1%和 56.5%的人报告每周至少饮用 1 标准杯和过量饮酒。每周至少饮用 1 标准杯的非肝硬化（调整后的优势比：0.34，95%CI：0.22-0.54）和非酒精相关 CLD（调整后的优势比：0.22，95%CI：0.15-0.34）患者中，医患沟通较少，而非肝硬化 CLD 患者（调整后的优势比：0.45，95%CI：0.21-0.95）中过量饮酒者也存在同样情况。
结论
在非肝硬化和非酒精相关 CLD 中，简短的酒精干预措施的使用不足。
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