Đánh giá tỷ lệ sử dụng rượu sau 3 tháng xuất viện ở bệnh nhân xơ gan rượu có xuất huyết tiêu hóa

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Huyền Nhung Nguyễn, Trường Khanh Vũ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học và công nghệ - Trường Đại học Thành Đông, 2022

Mô tả vật lý: tr.7

Bộ sưu tập: Metadata

ID: 330406

Thêm vào giỏ Liên kết toàn văn

A longitudinal descriptive study on 134 alcoholic cirrhosis patients with GI bleeding at the Gastroenterology and Hepatobiliary Center - Bach Mai Hospital from August 2020 to August 2021 with the aim of determining the prevalence of alcohol use after 3 months of discharge from the hospital, recommendations for treatment interventions and advice on prevention of alcohol reuse after discharge were given. The study results showed that the percentage of patients still using alcohol 3 months after discharge from the hospital is 67.2%. The type of alcohol used by alcoholics is white wine and homemade wine (72.2%). The average daily alcohol intake of the study population was 11.53 ±7.23 standard alcohol units. The mean time to drinking again of the study group was 1.03 ± 0.53 months. Thus, the percentage of alcoholic cirrhosis patients with GI bleeding who still use alcohol after discharge from the hospital is very high, the average amount of alcohol consumed during the day is very large, much higher than the level of safe alcohol use for health established by the World Health Organization recommendations show an alarming problem with alcohol use and alcohol relapse in our country today. The time the subjects drank alcohol returned to concentration within a period of 1 month after discharge, so during this time, patients should receive more special attention and advice in counseling on the harmful effects of alcohol and alcohol addiction treatment after hospital discharge.Nghiên cứu mô tả có theo dõi dọc trên 134 bệnh nhân xơ gan rượu có XHTH tại Trung tâm Tiêu hóa gan mật - Bệnh viện Bạch Mai từ tháng 8/2020 đến tháng 8/2021 nhằm mục tiêu xác định tỷ lệ sử dụng rượu sau 3 tháng xuất viện, từ đó đưa ra các khuyến cáo can thiệp điều trị và tư vấn dự phòng tái sử dụng rượu sau xuất viện cho bệnh nhân. Kết quả nghiên cứu cho thấy tỷ lệ bệnh nhân còn sử dụng rượu sau 3 tháng xuất viện là 67,2%. Loại rượu bia đối tượng nghiện rượu thường sử dụng là rượu trắng, rượu tự nấu (72,2%). Lượng rượu uống trung bình trong ngày của ĐTNC là 11,53 ±7,23 đơn vị rượu chuẩn. Thời gian uống rượu trở lại trung bình của ĐTNC là 1,03 ± 0,53 tháng. Như vậy, tỷ lệ bệnh nhân xơ gan rượu có XHTH còn sử dụng rượu sau xuất viện rất cao, lượng rượu uống trung bình trong ngày rất lớn, vượt quá nhiều so với mức sử dụng rượu an toàn đối với sức khỏe do Tổ chức Y tế thế giới khuyến cáo cho thấy vấn đề đáng báo động đối với việc sử dụng rượu và tái nghiện rượu ở nước ta hiện nay. Thời gian đối tượng uống rượu trở lại tập trung trong khoảng thời gian 1 tháng sau khi xuất viện nên trong thời gian này, bệnh nhân cần nhận được sự tư vấn và quan tâm đặc biệt hơn trong việc tư vấn về tác hại của rượu và điều trị cai nghiện rượu sau khi xuất viện.

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