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任务分担与团队合作:心脏病学中临床医生对酒精筛查及简短干预的偏好

Task sharing and teamwork: clinician preferences for alcohol screening and brief interventions in cardiology.

作者信息

Welfordsson Paul, Danielsson Anna-Karin, Björck Caroline, Grzymala-Lubanski Bartosz, Hambraeus Kristina, Löfman Ida Haugen, Braunschweig Frieder, Lidin Matthias, Wallhed Finn Sara

机构信息

Department of Global Public Health, Karolinska Institutet, Solna, Sweden.

Department of Women's and Children's Health, Uppsala University, Akademiska sjukhuset, Uppsala, Sweden.

出版信息

BMC Res Notes. 2025 Aug 29;18(1):373. doi: 10.1186/s13104-025-07452-4.

Abstract

OBJECTIVE

To investigate clinicians' preferences for alcohol screening and brief interventions in clinical cardiology settings.

RESULTS

A total of 664 cardiology clinicians responded to a cross-sectional survey (30.9% response rate), including 55.1% nurses, 21.4% assistant nurses, 18.8% doctors, and 4.7% other clinical staff. Among these participants, 87.5% indicated that patients should be screened for alcohol use on cardiology wards, 79.8% in outpatient clinics, 49.1% in emergency departments, and 45.9% on coronary care units. Doctors and nurses were the preferred professions to be responsible for screening across all clinical contexts, while fewer respondents indicated that assistant nurses or physiotherapists should be responsible for screening (p < .001). Most participants (85.2%) indicated that patients should be screened in more than one clinical context and 84.6% indicated that more than one profession should be responsible for alcohol screening. Clinicians' preferred modality for assessing alcohol use was verbal screening (92% of participants), followed by questionnaires (53.5%), digital tools (28.5%), and alcohol biomarkers (22.1%, p < .001). Just over half of participants (58%) indicated that they would like to attend training on brief interventions. Findings suggest that task sharing, teamwork, and training may be effective strategies for implementation of alcohol screening and brief interventions in clinical cardiology.

摘要

目的

调查临床心脏病学环境中临床医生对酒精筛查和简短干预措施的偏好。

结果

共有664名心脏病学临床医生对一项横断面调查做出了回应(回应率为30.9%),其中护士占55.1%,助理护士占21.4%,医生占18.8%,其他临床工作人员占4.7%。在这些参与者中,87.5%表示应在心脏病病房对患者进行酒精使用筛查,在门诊诊所为79.8%,在急诊科为49.1%,在冠心病监护病房为45.9%。在所有临床环境中,医生和护士是负责筛查的首选职业,而较少的受访者表示助理护士或物理治疗师应负责筛查(p<0.001)。大多数参与者(85.2%)表示应在多个临床环境中对患者进行筛查,84.6%表示应由多个职业负责酒精筛查。临床医生评估酒精使用的首选方式是口头筛查(92%的参与者),其次是问卷调查(53.5%)、数字工具(28.5%)和酒精生物标志物(22.1%,p<0.001)。略超过一半的参与者(58%)表示他们愿意参加简短干预措施的培训。研究结果表明,任务分担、团队合作和培训可能是在临床心脏病学中实施酒精筛查和简短干预措施的有效策略。

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