McCrady B S, Richter S S, Morgan T J, Slade J, Pfeifer C
Rutgers, State University of New Jersey, USA.
J Addict Dis. 1996;15(3):45-58. doi: 10.1300/J069v15n03_03.
(1) Examine physician and nursing staff compliance with conducting an alcohol screening interview; (2) Compare compliance with the interview with usual physician and nurse assessment of drinking; (3) Examine reasons why drinking information might not be collected.
Residents and nurses were taught how to use an alcohol screening interview and were told by the director of residency training or by the Vice-President for Nursing to administer it to all admitted patients. Data on interviewed patients were compared with medical record data on a randomly selected series of 80 patients who were not interviewed.
Teaching hospital in an urban/suburban community.
PATIENTS/PARTICIPANTS: Residents on internal medicine and family practice services; surgical nurses.
Compliance with conducting the interview was low (14.7% of residents' admissions; 13.53% of nurses' admissions). Review of the medical records indicated that some alcohol-related information was recorded in most patients' medical records (physicians recorded information on 94% of patients on the teaching services, nurses on the surgical unit recorded alcohol-related information on 71% of patients). Surgeons and surgical residents recorded alcohol-related information on 30% of their patients. Residents were more likely to interview male than female patients, and residents and nurses tended to interview patients with higher GGTP values.
(1) Compliance with administering a standardized alcohol screening interview was low. (2) Nurses, and residents in family practice and internal medicine made some assessment of drinking for most patients. Surgeons assessed drinking in a minority of patients. (3) Expressed reasons for not administering the standardized interview included discomfort with the interview, viewing the interview as too time-consuming, or not part of the usual responsibilities of the nurses or residents. Other possible reasons for the low levels of compliance are discussed.
（1）检查医生和护理人员在进行酒精筛查访谈方面的依从性；（2）将访谈的依从性与医生和护士对饮酒情况的常规评估进行比较；（3）探究未收集饮酒信息的原因。
向住院医师和护士传授如何使用酒精筛查访谈，并由住院医师培训主任或护理副总裁告知他们对所有入院患者进行该访谈。将接受访谈患者的数据与从80例未接受访谈的患者中随机抽取的系列患者的病历数据进行比较。
城市/郊区社区的教学医院。
患者/参与者：内科和家庭医疗服务的住院医师；外科护士。
进行访谈的依从性较低（住院医师负责的入院患者中有14.7%；护士负责的入院患者中有13.53%）。病历审查表明，大多数患者的病历中记录了一些与酒精相关的信息（教学服务科室的医生记录了94%患者的信息，外科病房的护士记录了71%患者的酒精相关信息）。外科医生和外科住院医师记录了其30%患者的酒精相关信息。住院医师访谈男性患者的可能性高于女性患者，住院医师和护士倾向于访谈γ-谷氨酰转肽酶（GGTP）值较高的患者。
（1）进行标准化酒精筛查访谈的依从性较低。（2）护士以及家庭医疗和内科的住院医师对大多数患者的饮酒情况进行了一些评估。外科医生对少数患者进行了饮酒情况评估。（3）未进行标准化访谈的明确原因包括对访谈感到不适、认为访谈耗时过长，或者认为这不是护士或住院医师的常规职责的一部分。还讨论了依从性低的其他可能原因。
