Healthcare professionals' experiences in preparing patients for elective alcohol detoxification - a service-level qualitative case-study.

IF 1.1 4区医学 Q3 SUBSTANCE ABUSE

Journal of Addictive Diseases Pub Date : 2025-08-05 DOI:10.1080/10550887.2025.2538259

Darren Quelch, Nyle Davies, Gareth Roderique-Davies, Mark Pucci, Bev John

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引用次数: 0

Abstract

Background: Services for individuals severely physically dependent on alcohol, wishing to undergo detoxification are limited. This is partly due to a lack of evidence surrounding safe alcohol reduction advice.

Objectives: To summarize the practices from an elective alcohol detoxification service provided by Sandwell and West Birmingham NHS Trust (SWB) (Birmingham, United Kingdom) aimed at preparing high-risk individuals for detoxification.

Methods: Semi-structured interviews were conducted with healthcare professionals working at the SWB elective detoxification service, representing a collective experience of 50+ years in the management of alcohol related presentations. A descriptive qualitative analysis approach was adopted.

Results: Four categories of discourse were observed: 1) establishing a motivation to change, 2) the importance of an in-depth alcohol history, and 3) an individualized approach to patients, and 4) the role that readiness to change attitudes play in preparedness for detoxification. Practical advice relating to alcohol reduction included: consolidation of multiple beverages to fewer, 'measure and discard' techniques, and spacing out consumption/diluting beverages.

Conclusions: Core components to elective detoxification preparation were: 1) safety, 2) the requirement of an individualized approach and 3) a willingness to take ownership of recovery. The approaches discussed may help improve translation of alcohol detoxification services to those considered high-risk. The Standards for Reporting Qualitative Research framework was applied throughout.

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医疗保健专业人员在准备选择性酒精解毒病人的经验-一个服务水平定性案例研究。

背景：为身体严重依赖酒精并希望进行戒毒的个人提供的服务有限。这在一定程度上是由于缺乏有关安全减酒建议的证据。目的：总结由Sandwell和西伯明翰NHS信托（SWB）（伯明翰，英国）提供的选择性酒精戒毒服务的做法，旨在为高危人群戒毒做准备。方法：对在SWB选择性戒毒服务工作的卫生保健专业人员进行了半结构化访谈，代表了50多年来管理酒精相关症状的集体经验。采用描述性定性分析方法。结果：观察到四类话语：1)建立改变的动机，2)深入的酒精史的重要性，3)对患者的个性化方法，以及4)准备改变态度在戒毒准备中的作用。与减少酒精有关的实际建议包括：将多种饮料合并为更少的饮料，“测量和丢弃”技术，以及间隔消费/稀释饮料。结论：选择性戒毒准备的核心要素是：1)安全性；2)个体化治疗方法的要求；3)自愿承担康复的责任。所讨论的方法可能有助于改善对那些被认为是高风险的人的酒精解毒服务的翻译。报告定性研究框架的标准贯穿始终。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Addictive Diseases SUBSTANCE ABUSE-

CiteScore

4.30

自引率

4.30%

发文量

期刊介绍： The Journal of Addictive Diseases is an essential, comprehensive resource covering the full range of addictions for today"s addiction professional. This in-depth, practical journal helps you stay on top of the vital issues and the clinical skills necessary to ensure effective practice. The latest research, treatments, and public policy issues in addiction medicine are presented in a fully integrated, multi-specialty perspective. Top researchers and respected leaders in addiction issues share their knowledge and insights to keep you up-to-date on the most important research and practical applications.