Motivação em alcoolistas tratados em ambulatório específico para alcoolismo e em ambulatório de gastroenterologia
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Arquivos
Data
1999
Autores
Figlie, Neliana Buzi [UNIFESP]
Orientadores
Laranjeira, Ronaldo [UNIFESP]
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
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Resumo
O objetivo geral deste trabalho foi tracar o perfil de alcoolistas em dois diferentes tipos de tratamentos ambulatoriais, diferenciando a motivacao/estagios de mudanca entre pacientes com disturbios gastricos que procuraram atendimento clinico em hospital geral, de alcoolistas que procuraram atendimento especializado para dependencia do alcool. A amostra inicial contou com 45 pacientes do ambulatorio de gastroenterologia e 60 pacientes do ambulatorio especializado no tratamento de alcoolismo. O instrumento utilizado foi uma entrevista que continha: dados demograficos; Short Form Health Survey (SF-36); Alcohol Dependence Data Questionnaire (SADD); Fagerstrom Testfor Nicotine Dependence (FTND); Padrao de consumo de alcool e drogas; University of Rhode Island Change Assessment Scale (URICA); The Stages Readiness and Treatment Eagerness Scale (SOCRATES); The Drinker Inventory of Consequences (Drlnc) e analise laboratorial de TGO, TGP e GGT. Nao foram encontrados resultados estatisticos significantes que demonstrassem diferencas nas duas amostras em dependencia de nicotina, qualidade de vida, analise de testes laboratoriais e consumo de drogas. O padrao de consumo alcoolico foi maior em quantidade e frequencia nos pacientes do ambulatorio especializado quando comparado com o padrao de consumo encontrado na gastroenterologia, porem os ultimos apresentaram historia de consumo mais longa. Em qualidade de vida as duas populacoes apresentaram padrao semelhante, diferindo apenas no aspecto de Saúde mental (p= OO75), que pode estar relacionado ao fato dos pacientes do ambulatorio especializado sofrerem mais as consequencias e enfrentarem mais problemas decorrentes do consumo alcoolico (Drlnc P=O,OOO 1). Nos resultados da URICA e SOCRATES ambos grupos mostraram semelhancas nos estagios de contemplacao (p=O,O7), pre - contemplacao (p=O,O6) e acao (p=O,51). Nas diferencas foi percebida uma certa limitacao na postura de relacionar a doenca hepatica com a doenca alcoolica por parte dos pacientes da gastroenterologia, devido aos baixos escores de reconhecimento da doenca (p=O,OOO2), manutencao (p=O,Ol) e ambivalencia (p= O,OOO)
The general objective of this work was to trace patients' profiles in two different types of treatment service, and to compare the stages of change and levels of motivation in alcoholics with gastric diseases who sought clinical treatment in a general hospital outpatient clinic and alcoholics who sought specialized treatment for alcohol dependence. The initial sample had 45 patient from the gastroenterology clinic and 60 patient of the alcoholism program. The interview schedule consisted of the following: A demographic section; Short Form Health Survey (SF-36); Alcohol Dependence Dates Questionnaire (SADD); Fagerström Test for Nicotine Dependence (FTND); Pattern of consumption of alcohol and drugs; University of Rhode Island Change Assessment Scale (URICA); The Stages Readiness and Treatment Eagerness Scale (SÓCRATES); The Drinker Inventory of Consequences (DrInc) and biological markers: TGO, TGP and GGT. No statistically significant differences were found between the samples in relation to nicotine dependence, quality of life life, biological markers of heavy alcohol consumption and pattern of drug use. The pattern of alcohol consumption was higher in terms of both quantity and frequency in the patients from the specialized alcoholism treatment program when compared patients from the gastroenterology service, although the latter presented with a longer history of alcohol consumption. In terms of quality of life the two populations presented similar patterns, only differing in the item relating to mental health (p = ,0075), which may be due to the fact that patients from the specialized program had suffered more alcohol related consequences and faced more current problems due to their alcohol consumption (DrInc p=0,0001). In both groups the results of the URICA and SÓCRATES scales were similar in terms of contemplation (p=0,07), pre-contemplation (p=0,06) and action (p=0,51). Patients in the gastroenterology clinic did not seem to attribute their hepatic disease with their alcohol dependence, results that can in part be explained by their lower scores of recognition of disease (p=0,0002), maintenance (p=0,01) and ambivalence (p=0,000).
The general objective of this work was to trace patients' profiles in two different types of treatment service, and to compare the stages of change and levels of motivation in alcoholics with gastric diseases who sought clinical treatment in a general hospital outpatient clinic and alcoholics who sought specialized treatment for alcohol dependence. The initial sample had 45 patient from the gastroenterology clinic and 60 patient of the alcoholism program. The interview schedule consisted of the following: A demographic section; Short Form Health Survey (SF-36); Alcohol Dependence Dates Questionnaire (SADD); Fagerström Test for Nicotine Dependence (FTND); Pattern of consumption of alcohol and drugs; University of Rhode Island Change Assessment Scale (URICA); The Stages Readiness and Treatment Eagerness Scale (SÓCRATES); The Drinker Inventory of Consequences (DrInc) and biological markers: TGO, TGP and GGT. No statistically significant differences were found between the samples in relation to nicotine dependence, quality of life life, biological markers of heavy alcohol consumption and pattern of drug use. The pattern of alcohol consumption was higher in terms of both quantity and frequency in the patients from the specialized alcoholism treatment program when compared patients from the gastroenterology service, although the latter presented with a longer history of alcohol consumption. In terms of quality of life the two populations presented similar patterns, only differing in the item relating to mental health (p = ,0075), which may be due to the fact that patients from the specialized program had suffered more alcohol related consequences and faced more current problems due to their alcohol consumption (DrInc p=0,0001). In both groups the results of the URICA and SÓCRATES scales were similar in terms of contemplation (p=0,07), pre-contemplation (p=0,06) and action (p=0,51). Patients in the gastroenterology clinic did not seem to attribute their hepatic disease with their alcohol dependence, results that can in part be explained by their lower scores of recognition of disease (p=0,0002), maintenance (p=0,01) and ambivalence (p=0,000).
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Citação
FIGLIE, Neliana Buzi. Motivação em alcoolistas tratados em Ambulatório Específico para Alcoolismo e em Ambulatório de Gastroenterologia - Dados do Projeto Piloto. 1999. 97 f. Dissertação (Mestrado) – Escola Paulista de Medicina, Universidade Federal de São Paulo. São Paulo, 1999.