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背景患者接受全科医生乙醇问询时的信任情况和态度并不明晰,对于务实与尽早的检测、简明的干预技巧的了解尚不充分,需进行进一步研究。方法从更早的一项在澳大利亚悉尼的一家全科诊所进行的调查中,采用目的性抽样法,选取23例参与者。2014年6—8月进行半结构访谈。利用扎根理论研究法对访谈内容进行记录、转录、分析,创建解释模型。结果患者对全科医生乙醇问询接受性的影响因素有3个:乙醇问询对话与问诊相关性的感知、医患沟通的方法和语言、饮酒的道德问题与可耻造成的不安。讨论患者对全科医生在健康提升方面的作用持积极态度,但对于乙醇问询的回答有所保留。为乙醇问询对话设定语境、与患者日程相关联、协作的咨询风格、尊重患者敏感性可以提高乙醇问询接受度。
Background The confidence and attitude of patients receiving general practitioner alcohol inquiries are not clear. Knowledge of concise intervention techniques is not sufficient for pragmatic and early detection, and further research is needed. Methods From the earlier survey conducted at a general practice clinic in Sydney, Australia, 23 patients were selected using the purposeful sampling method. June-August 2014 Semi-structured interview. Use grounded theory research method to record, transcribe, analyze and analyze the contents of the interview to create an explanation model. Results There were three factors influencing the general acceptance of ethanol by the general practitioner: the perception of the relevance of dialogue and inquiry in ethanol, the method and language of communication between doctors and patients, the moral hazard of drinking and the shame caused by discontent. Discussion Patients are positive about the role of general practitioners in improving health, but have reservations about the response to ethanol inquiries. Setting Context for Ethanol Inquiries Dialogue with Patient Calendars, Collaborative Consulting Styles, and Respect for Patient Sensitivity Improve Acceptance of Ethanol Queries.