Burns L, Adams M
New South Wales Health Department, Australia.
J Adv Nurs. 1997 Mar;25(3):509-13. doi: 10.1046/j.1365-2648.1997.1997025509.x.
The aim of this study was to look at how nurses and doctors record alcohol histories on the patients under their care and the frequency and appropriateness of the way they use an alcohol withdrawal scale in the acute hospital setting. To achieve these aims patient records were audited and compared at two points in time, in 1992 and 1994. Results of the study showed that nurses and doctors took alcohol histories from patients on approximately three-quarters of occasions and that this level of recording has not changed over time. The adequacy of alcohol-history taking has, however, increased for both nurses and doctors since 1992. At that time, 71% of the alcohol histories taken by nurses and 74% of alcohol histories taken by doctors were judged to be adequate. By 1994, however, 79% of alcohol histories taken by nurses and 77% of histories by doctors were rated as adequate. The increase in the adequacy of history taking by nurses was significant (chi 2 = 5.05; d.f. = 1; P < 0.05) and the increase by doctors was not significant (chi 2 = 1.03; d.f. = 1; P > 0.05). These results are seen as being positively associated with the major governmental nursing initiative in New South Wales, Australia, the New South Wales Strategic Plan for the Nursing Management of Alcohol and Other Drugs.
本研究的目的是观察护士和医生如何记录其护理患者的饮酒史，以及他们在急性医院环境中使用酒精戒断量表的频率和恰当性。为实现这些目标，在1992年和1994年这两个时间点对患者记录进行了审核和比较。研究结果显示，护士和医生约四分之三的情况下会询问患者的饮酒史，且这一记录水平并未随时间变化。然而，自1992年以来，护士和医生获取饮酒史的充分性均有所提高。当时，护士获取的饮酒史中有71%、医生获取的饮酒史中有74%被判定为充分。到1994年，护士获取的饮酒史中有79%、医生获取的饮酒史中有77%被评为充分。护士获取病史充分性的提高具有显著性（卡方=5.05；自由度=1；P<0.05），而医生的提高不具有显著性（卡方=1.03；自由度=1；P>0.05）。这些结果被视为与澳大利亚新南威尔士州的一项主要政府护理倡议——新南威尔士州酒精及其他药物护理管理战略计划——呈正相关。
