PDF(Pubmed)
Abstract：
Foetal alcohol spectrum disorder (FASD) is the leading preventable cause of nongenetic mental disability. Given the patient care pathway, the General Practitioner (GP) is in the front line of prevention and identification of FASD. Acknowledging the importance of the prevalence of FASD, general practitioners are in the front line both for the detection and diagnosis of FASD and for the message of prevention to women of childbearing age as well as for the follow-up.
The main objective of the scoping review was to propose a reference for interventions that can be implemented by a GP with women of childbearing age, their partners and patients with FASD. The final aim of this review is to contribute to the improvement of knowledge and quality of care of patients with FASD.
A scoping review was performed using databases of peer-reviewed articles following PRISMA guidelines. The search strategy was based on the selection and consultation of articles on five digital resources. The advanced search of these publications was established using the keywords for different variations of FASD: \"fetal alcohol syndrome,\" \"fetal alcohol spectrum disorder,\" \"general medicine,\" \"primary care,\" \"primary care\"; searched in French and English.
Twenty-three articles meeting the search criteria were selected. The interventions of GPs in the management of patients with FASD are multiple: prevention, identification, diagnosis, follow-up, education, and the role of coordinator for patients, their families, and pregnant women and their partners. FASD seems still underdiagnosed.
The interventions of GPs in the management of patients with FASD are comprehensive: prevention, identification, diagnosis, follow-up, education, and the role of coordinator for patients, their families, and pregnant women and their partners. Prevention interventions would decrease the incidence of FASD, thereby reducing the incidence of mental retardation, developmental delays, and social, educational and legal issues. A further study with a cluster randomized trial with a group of primary care practitioners trained in screening for alcohol use during pregnancy would be useful to measure the impact of training on the alcohol use of women of childbearing age and on the clinical status of their children.
The main objective of the scoping review was to propose a reference for interventions that can be implemented by a GP with women of childbearing age, their partners and patients with FASD. The final aim of this review is to contribute to the improvement of knowledge and quality of care of patients with FASD.
A scoping review was performed using databases of peer-reviewed articles following PRISMA guidelines. The search strategy was based on the selection and consultation of articles on five digital resources. The advanced search of these publications was established using the keywords for different variations of FASD: \"fetal alcohol syndrome,\" \"fetal alcohol spectrum disorder,\" \"general medicine,\" \"primary care,\" \"primary care\"; searched in French and English.
Twenty-three articles meeting the search criteria were selected. The interventions of GPs in the management of patients with FASD are multiple: prevention, identification, diagnosis, follow-up, education, and the role of coordinator for patients, their families, and pregnant women and their partners. FASD seems still underdiagnosed.
The interventions of GPs in the management of patients with FASD are comprehensive: prevention, identification, diagnosis, follow-up, education, and the role of coordinator for patients, their families, and pregnant women and their partners. Prevention interventions would decrease the incidence of FASD, thereby reducing the incidence of mental retardation, developmental delays, and social, educational and legal issues. A further study with a cluster randomized trial with a group of primary care practitioners trained in screening for alcohol use during pregnancy would be useful to measure the impact of training on the alcohol use of women of childbearing age and on the clinical status of their children.
摘要：
背景：胎儿酒精谱系障碍（FASD）是非遗传性精神障碍的主要可预防原因。鉴于患者护理途径，全科医生（GP）处于预防和识别FASD的第一线。承认FASD流行的重要性，全科医生在FASD的检测和诊断以及向育龄妇女提供预防信息以及进行后续行动方面处于第一线。
目的：范围审查的主要目的是为全科医生对育龄妇女实施的干预措施提供参考，他们的伴侣和FASD患者。本综述的最终目的是有助于提高FASD患者的知识和护理质量。
方法：根据PRISMA指南，使用同行评审文章的数据库进行范围审查。搜索策略基于对五种数字资源的文章的选择和咨询。对这些出版物的高级搜索是使用FASD不同变体的关键字：“胎儿酒精综合症，胎儿酒精谱系障碍，\"\"一般医学,初级保健，\"\"初级保健\";用法语和英语搜索。
结果：选择了23篇符合搜索标准的文章。全科医生在FASD患者管理中的干预措施是多方面的：预防，identification,诊断,后续行动,教育,以及患者协调员的角色，他们的家人,孕妇和她们的伴侣.FASD似乎仍未被诊断。
结论：全科医生在FASD患者管理中的干预措施是全面的：预防，identification,诊断,后续行动,教育,以及患者协调员的角色，他们的家人,孕妇和她们的伴侣.预防干预措施将降低FASD的发病率，从而减少智力低下的发生率，发育迟缓,社会,教育和法律问题。对一组接受过怀孕期间酒精使用筛查培训的初级保健从业人员进行集群随机试验的进一步研究将有助于衡量培训对育龄妇女酒精使用及其子女临床状况的影响。
目的：范围审查的主要目的是为全科医生对育龄妇女实施的干预措施提供参考，他们的伴侣和FASD患者。本综述的最终目的是有助于提高FASD患者的知识和护理质量。
方法：根据PRISMA指南，使用同行评审文章的数据库进行范围审查。搜索策略基于对五种数字资源的文章的选择和咨询。对这些出版物的高级搜索是使用FASD不同变体的关键字：“胎儿酒精综合症，胎儿酒精谱系障碍，\"\"一般医学,初级保健，\"\"初级保健\";用法语和英语搜索。
结果：选择了23篇符合搜索标准的文章。全科医生在FASD患者管理中的干预措施是多方面的：预防，identification,诊断,后续行动,教育,以及患者协调员的角色，他们的家人,孕妇和她们的伴侣.FASD似乎仍未被诊断。
结论：全科医生在FASD患者管理中的干预措施是全面的：预防，identification,诊断,后续行动,教育,以及患者协调员的角色，他们的家人,孕妇和她们的伴侣.预防干预措施将降低FASD的发病率，从而减少智力低下的发生率，发育迟缓,社会,教育和法律问题。对一组接受过怀孕期间酒精使用筛查培训的初级保健从业人员进行集群随机试验的进一步研究将有助于衡量培训对育龄妇女酒精使用及其子女临床状况的影响。
