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危险及有害饮酒的早期干预
引用本文:李冰,张伯全,沈渔邨,郑晓华,冯雪雁. 危险及有害饮酒的早期干预[J]. 中国心理卫生杂志, 2003, 17(1): 8-11
作者姓名:李冰  张伯全  沈渔邨  郑晓华  冯雪雁
作者单位:1. 北京大学精神卫生研究所,100083
2. 长春一汽职工医院
摘    要:目的 :对危险及有害饮酒者进行干预教育 ,随访观察干预后的效果。方法 :对 1 4 5例危险及有害饮酒者进行有关饮酒危害性的早期干预教育 ,发放自助手册 ,3个月后随访干预效果。结果 :(1 )干预后饮酒量较干预前下降了约 35% ,日饮 4标准杯的人数较干预前明显下降 (P <0 0 0 0 1 )。干预后饮酒频度从每周平均 4 - 5次降至 2 - 3次。每周饮酒大于 5次的人从 47 5 %降至 2 2 5 % ,下降差异有显著性 (P <0 0 0 0 1 )。干预后AUDIT总分和各因子分均较干预前明显下降 (P均小于 0 0 0 1 )。 (2 )干预后躯体损害、精神损害和社会问题总发生的情况 ,均较干预前明显减少 (P均 <0 0 0 1 )。结论 :对危险及有害饮酒者进行早期简短干预 ,可以明显减少饮酒量和饮酒频度 ,继而减少与酒相关的各种损害的发生

关 键 词:早期干预 有害饮酒 饮酒量 饮酒频度 危险饮酒

Early Intervention on Hazardous and Harmful Drinking
LI Bing,ZHANG Boquan,SHEN Yucun et al Institute of Mental Health,Peking University. Early Intervention on Hazardous and Harmful Drinking[J]. Chinese Mental Health Journal, 2003, 17(1): 8-11
Authors:LI Bing  ZHANG Boquan  SHEN Yucun et al Institute of Mental Health  Peking University
Affiliation:LI Bing,ZHANG Boquan,SHEN Yucun et al Institute of Mental Health,Peking University 100083
Abstract:Objective: To study the effect of early intervention on hazardous and harmful drinking Method: Early intervention was done in 141 randomly selected people with hazardous and harmful drinking from 281 with this problem screened out with AUDIT from 420 staffs of a factory After sending "self-help" handbooks, we followed them up for 3 months Result: After 3 months, the amounts of drinking decreased by 35% The number of people drinking 4 standards a day decreased significantly from 111 to 55 The average frequency of drinking decreased from 4-5 times per week to 2-3 times per week Damages due to drinking were also decreased significantly Conclusion: Brief intervention in early stage of problem drinking is effective
Keywords:psychiatry substance abuse and dependence early intervention alcohol hazardous and harmful drinking amount and frequency of drinking  
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