急性酒精损伤护理评估工具的研究进展

doi:10.3761/j.issn.0254-1769.2023.21.018

摘要/Abstract

摘要：

急性酒精损伤的评估是评估患者生理、心理状态，判断其治疗与护理措施的重要依据。国外学者对急性酒精损伤的探索较多，但国内却鲜见相关研究报告。该文对急诊背景下急性酒精损伤的起源与发展、相关测评工具进行综述，并比较各测评工具的内容、评估方法、适用人群、信度和效度，总结其优缺点，以期为国内急诊急性酒精损伤患者的评估、治疗及护理提供参考依据。

关键词: 急诊, 急性酒精损伤, 测评工具, 综述

Abstract:

The evaluation of acute alcohol impairment is an important basis for evaluating the physiological and psychological status of patients and judging their treatment and nursing measures. There is a large number of research on acute alcohol impairment by foreign researchers，but there are few relevant research reports in China. This article reviews the origin，development and the evaluation tools of acute alcohol impairment in the context of emergency treatment，and summarizing its advantages and disadvantages by comparing the content，evaluatio. Methods，applicable population，reliability and validity of each evaluation tool，in order to provide scientific references for the evaluation，treatment and nursing care of acute alcohol impairment for emergency departments in China.

Key words: Emergency Department, Acute Alcohol Impairment, Assessment Tools, Review

郭云飞, 杜丽霞, 张祁, 邱惠, 臧舒婷, 任莹. 急性酒精损伤护理评估工具的研究进展[J]. 中华护理杂志, 2023, 58(21): 2683-2688.

GUO Yunfei, DU Lixia, ZHANG Qi, QIU Hui, ZANG Shuting, REN Ying. Recent developments of acute alcohol impairment assessment tools[J]. Chinese Journal of Nursing, 2023, 58(21): 2683-2688.

参考文献 39

[1]	Hennessey M. Statistics on alcohol:England,2013[EB/OL]. [2023-01]. https://www.hscic.gov.uk.
[2]	WHO. Global status report on alcohol and health 2018[EB/OL]. [2023-01]. https://www.who.int/publications.
[3]	Mullins PM, Mazer-Amirshahi M, Pines JM. Alcohol-related visits to US emergency departments, 2001-2011[J]. Alcohol Alcohol, 2017, 52(1):119-125. DOI URL
[4]	Comelli I, Lippi G, Sanchis-Gomar F, et al. Visits for alcohol-related problems in a large urban emergency department. Results of a 15-year survey[J]. Acta Biomed, 2018, 88(4):514-518. DOI PMID
[5]	王丽华. 急诊病人就诊现状调查对人力资源管理的启示[J]. 中华护理杂志, 2002, 37(6):439-441.
	Wang L. The investigation of the present situation of emer-gency patients to human resource management[J]. Chin J Nurs, 2002, 37(6):439-441.
[6]	Hack JB, Goldlust EJ, Gibbs F, et al. The H-Impairment Index (HII):a standardized assessment of alcohol-induced impair-ment in the emergency department[J]. Am J Drug Alcohol Abuse, 2014, 40(2):111-117. DOI URL
[7]	Hack JB, Goldlust EJ, Ferrante D, et al. Performance of the hack’s impairment index score:a novel tool to assess impair-ment from alcohol in emergency department patients[J]. Acad Emerg Med, 2017, 24(10):1193-1203. DOI URL
[8]	Burns M, Moskowitz H. Psychophysical tests for driving while intoxicated arrest[Z]. United States. National Highway Traffic Safety Administration, 1977.
[9]	Afshar M, Smith GS, Terrin ML, et al. Blood alcohol content,injury severity,and adult respiratory distress syndrome[J]. J Tra-uma Acute Care Surg, 2014, 76(6):1447-1455.
[10]	Aw J. Measuring alcohol in blood and breath for forensic pur-poses:a historical review[J]. Forensic Sci Rev, 1996, 8(1):13-44.
[11]	Skaggs L, Heizler A, Kalscheur D, et al. Comparison of breath- and blood-alcohol concentrations in a controlled drinking study[J]. J Anal Toxicol, 2022, 46(6):683-688. DOI URL
[12]	Chesher G, Greeley J. Tolerance to the effects of alcohol[J]. Alcohol Drugs & Driving, 1992, 8.
[13]	Hingson RW. Prevention of alcohol-impaired driving[J]. Alco-hol Health Res World, 1993, 17(1):28-34.
[14]	Horton L, Duffy T, Hollins Martin C, et al. Comprehensive as-sessment of alcohol-related brain damage(ARBD):gap or chasm in the evidence?[J]. J Psychiatr Ment Health Nurs, 2015, 22(1):3-14. DOI URL
[15]	Alcoholism NIOA. Alcohol-related impairment:alcohol alert No.25-1994[EB/OL].(2000-10) [2023-01]. https://pubs.niaaa.nih.gov/publications/aa25.htm.
[16]	Shaw JM, Kolesar GS, Sellers EM, et al. Development of opti-mal treatment tactics for alcohol withdrawal. I. Assessment and effectiveness of supportive care[J]. J Clin Psychopharmacol, 1981, 1(6):382-389. PMID
[17]	Gray S, Borgundvaag B, Sirvastava A, et al. Feasibility and reliability of the SHOT:a short scale for measuring pretreat-ment severity of alcohol withdrawal in the emergency depart-ment[J]. Acad Emerg Med, 2010, 17(10):1048-1054. DOI URL
[18]	Glann JK, Carman M, Thompson J, et al. Alcohol withdrawal syndrome:improving recognition and treatment in the emer-gency department[J]. Adv Emerg Nurs J, 2019, 41(1):65-75. DOI URL
[19]	Gross MM, Lewis E, Nagarajan M. An improved quantitative system for assessing the acute alcoholic psychoses and related states(TSA and SSA)[M]//Advances in experimental medicine and biology. Boston, MA: Springer US, 1973:365-376.
[20]	Sullivan JT, Sykora K, Schneiderman J, et al. Assessment of alcohol withdrawal:the Revised Clinical Institute Withdrawal Assessment for Alcohol Scale(CIWA-Ar)[J]. Br J Addict, 1989, 84(11):1353-1357. DOI PMID
[21]	Higgins J, Bugajski AA, Church D, et al. A psychometric ana-lysis of CIWA-Ar in acutely ill and injured hospitalized patients[J]. J Trauma Nurs, 2019, 26(1):41-49. DOI PMID
[22]	Kraus ML, Gottlieb LD, Horwitz RI, et al. Randomized clinical trial of atenolol in patients with alcohol withdrawal[J]. N Engl J Med, 1985, 313(15):905-909. DOI URL
[23]	Rappaport D, Chuu A, Hullett C, et al. Assessment of alcohol withdrawal in native American patients utilizing the Clinical Institute Withdrawal Assessment of Alcohol Revised Scale[J]. J Addict Med, 2013, 7(3):196-199. DOI PMID
[24]	Livshits V, Rella J. The SHOT scale and measuring the seve-rity of alcohol withdrawal in the emergency department[J]. Acad Emerg Med, 2011, 18(4):447-448. DOI PMID
[25]	Ward D, Murch N, Agarwal G, et al. A multi-centre survey of inpatient pharmacological management strategies for alcohol withdrawal[J]. QJM, 2009, 102(11):773-780. DOI PMID
[26]	McPherson A, Benson G, Forrest EH. Appraisal of the Glas-gow assessment and management of alcohol guideline:a com-prehensive alcohol management protocol for use in general hospitals[J]. QJM, 2012, 105(7):649-656. DOI PMID
[27]	Foy A, McKay S, Ling S, et al. Clinical use of a shortened alcohol withdrawal scale in a general hospital[J]. Intern Med J, 2006, 36(3):150-154. PMID
[28]	Swift RA, Peers EA, Jones BL, et al. Utilisation of a purpose-designed chart for the nursing management of acute alcohol withdrawal in the hospital setting[J]. Australas Emerg Nurs J, 2010, 13(3):70-77. DOI URL
[29]	Kline P. The handbook of psychological testing[M]. London: Routledge, 2000.
[30]	Maguire D, Talwar D, Burns A, et al. A prospective evaluation of thiamine and magnesium status in relation to clinico-pathological characteristics and 1-year mortality in patients with alcohol withdrawal syndrome[J]. J Transl Med, 2019, 17(1):384. DOI PMID
[31]	Holzman SB, Rastegar DA. Ast:a simplified 3-item tool for managing alcohol withdrawal[J]. J Addict Med, 2016, 10(3):190-195. DOI PMID
[32]	Suárez-Cuenca JA, Toledo-Lozano CG, Espinosa-Arroyo MD, et al. Diagnostic performance of AST scale in Mexican male population for alcohol withdrawal syndrome[J]. Int J Environ Res Public Health, 2022, 19(15):9208. DOI URL
[33]	Fillmore MT. Reliability of a computerized assessment of psy-chomotor performance and its sensitivity to alcohol-induced impairment[J]. Percept Mot Ski, 2003, 97(5):21. DOI URL
[34]	Administration NHTS. Standardized field sobriety test(SFST) validated at BACs below 0.10 percent[EB/OL].(1998-08-01)[2023-01-20]. https://rosap.ntl.bts.gov/view/dot/1616.
[35]	Benoit JL, Hart KW, Soliman AA, et al. Developing a standar-dized measurement of alcohol intoxication[J]. Am J Emerg Med, 2017, 35(5):725-730. DOI URL
[36]	Volz TM, Boyer KS. The development of a behaviorally-based alcohol intoxication scale[J]. J Emerg Nurs, 2014, 40(4):330-335. DOI PMID
[37]	Jason B,Hack,MD, et al. Introduction of an electronic mobile device version of an alcohol impairment scale(the Hack’s Impairment Index Score) does not impair nursing assessment of patients in emergency departments[J]. Curr Ther Res, 2021, 94:100630. DOI URL
[38]	高静, 许冬梅, 牛雅娟, 等. 以反复线索暴露为基础的综合干预对酒依赖患者心理渴求的影响[J]. 中华护理杂志, 2015, 50(2):184-188.
	Gao J, Xu DM, Niu YJ, et al. The effect of comprehensive intervention based on repeated cue-exposure therapy on psy-chological craving in patients with alcohol dependence[J]. Chin J Nurs, 2015, 50(2):184-188.
[39]	巴正玲, 方蘅英, 陈敏华, 等. 移动应用程序在双相障碍患者疾病自我管理中的研究进展[J]. 中华护理杂志, 2023, 58(11):1389-1396. DOI
	Ba ZL, Fang HY, Chen MH, et al. Research progress of mobile application in disease self-management of patients with bipo-lar disorder[J]. Chin J Nurs, 2023, 58(11):1389-1396.