Sílvia Mondon, Antònia Raich, Concepció Martí, Esteve Fernández, Montse Ballbè, Grupo de Trabajo de Tabaco Y Salud Mental de La Red Catalana de Hospitales Sin Humo
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引用次数: 0
摘要
本研究的目的是描述接受培训的精神卫生专业人员(住院医师)如何对其患者实施关于烟草和酒精消费的简短干预(5As),以及这是否与接受的培训和/或他们自身的消费有关。这是一项横断面研究,对加泰罗尼亚地区(2016-2019 年)精神卫生专业一年级住院医师(精神科医生、心理学家和护士)进行了自我报告问卷调查。我们对变量进行了描述性分析,并采用卡方检验进行了比例比较。154 名专业人员填写了问卷。其中半数未在大学接受过关于吸烟干预(46.8%)或饮酒干预(53.2%)的培训。接受过培训的专业人员更经常地建议、评估和帮助病人戒烟(p = 0.008、p = 0.037 和 p = 0.039;分别为 0.008、p = 0.037 和 p = 0.039)。接受过酒精干预培训的住院医师向患者提供建议、进行评估和帮助戒酒/减少饮酒的频率更高(分别为 p < 0,001; p = 0,001; y p < 0,001; )。与戒烟相比,住院医师通常会更多地帮助患者戒酒或减少饮酒(p < 0,001)。60.1%的住院医师从未或很少帮助患者戒烟,34.6%的住院医师很少帮助患者戒酒。总的来说,无论接受过何种培训,护士对烟草使用的干预都多于对酒精使用的干预。专业人员在大学里缺乏烟酒干预方面的培训,这与他们在专业实践中缺乏对病人的干预有关,与他们自己的消费情况无关。
Training mental health residents in tobacco and alcohol: Relationship with their clinical intervention.
The objective of this study is to describe how mental health professionals in training (residents) apply the brief intervention (5As) on the tobacco and alcohol consumption to their patients, and if this is related to the training received and/or their own consumption. This is a cross-sectional study in which a self-reported questionnaire was administered to first-year residents of mental health professionals in Catalonia (2016-2019) (psychiatrists, psychologists and nurses). We performed a descriptive analysis of the variables and we applied a chi-square test for the comparison of proportions. 154 professionals completed the questionnaire. Half of them had not received any university training on intervention in smoking (46.8%) or in alcohol consumption (53.2%). Those who had received it, advised, assessed and helped their patients to quit smoking more frequently (p = 0.008, p = 0.037 and p = 0.039; respectively). Those who had received training in alcohol intervention gave advice, performed assessments and offered help to quit/reduce alcohol among their patients more frequently (p < 0,001; p = 0,001; y p < 0,001; respectively). Residents usually helped more to quit or reduce alcohol than to quit tobacco (p < 0,001). 60.1% of them never or rarely helped their patients to stop smoking and 34.6% rarely helped in the case of alcohol. In general, nurses did more intervention for tobacco than alcohol use, regardless of the training received. The lack of training of professionals in tobacco and alcohol intervention at university is related to a lack of intervention on patients in their professional practice, regardless of their own consumption.
期刊介绍:
Adicciones publica artículos originales sobre el tratamiento, la prevención, estudios básicos y descriptivos en el campo de las adicciones, como son las drogas ilegales, el alcohol, el tabaco o cualquier otra adicción, procedentes de distintas disciplinas (medicina, psicología, investigación básica, investigación social, etc.). Todos los artículos son seleccionados después de pasar un proceso de revisión anónimo hecho por expertos en ese tema.