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ORIGINAL ARTICLE
Health personnel, family relationships and codependency of psychoactive substances: a phenomenological approach
- Leone Mendes Dias
, - Marcelo da Silva Alves ,
- Maria Odete Pereira ,
- Laércio Deleon de Melo ,
- Camila Cristina Gregório de Assis , [ ... ],
- Thelma Spindola
03-24-2021
Resumo
ORIGINAL ARTICLEHealth personnel, family relationships and codependency of psychoactive substances: a phenomenological approach
Revista Brasileira de Enfermagem. 2021;74(1):e20200309
03-24-2021DOI 10.1590/0034-7167-2020-0309
- Leone Mendes Dias ,
- Marcelo da Silva Alves ,
- Maria Odete Pereira ,
- Laércio Deleon de Melo ,
- Camila Cristina Gregório de Assis ,
- Thelma Spindola
Visualizações0ABSTRACT
Objectives:
to reflect on the daily life of family members dependent on psychoactive substances and the role of health professionals in Primary Care.
Methods:
a descriptive investigation outlined in Maffesoli’s phenomenological approach, carried out at a Basic Health Unit in Minas Gerais with eight family members dependent on psychoactive substances. Sociodemographic characterization data and in-depth interviews were collected and analyzed with support of NVivo Pro11® software. All ethical and legal aspects were met.
Results:
physicians were the professionals most mentioned in participants’ statements, who took on a dubious role with other health professionals: welcoming (positive perceptions about care received) and neglect (negative perceptions).
Final Considerations:
dependence on psychoactive substances imposes a burden on persons, their family members and health professionals. The role of establishing good relationships in the triad professionals-users-family members of primary care is inseparable in favor of treatment and preservation of their mental health.
Palavras-chave: CodependencyFamily RelationsHealth PersonnelPrimary Health CareSubstance-Related DisordersVer maisVisualizações0
Resumo
ORIGINAL ARTICLEHealth personnel, family relationships and codependency of psychoactive substances: a phenomenological approach
Revista Brasileira de Enfermagem. 2021;74(1):e20200309
03-24-2021DOI 10.1590/0034-7167-2020-0309
- Leone Mendes Dias ,
- Marcelo da Silva Alves ,
- Maria Odete Pereira ,
- Laércio Deleon de Melo ,
- Camila Cristina Gregório de Assis ,
- Thelma Spindola
Visualizações0ABSTRACT
Objectives:
to reflect on the daily life of family members dependent on psychoactive substances and the role of health professionals in Primary Care.
Methods:
a descriptive investigation outlined in Maffesoli’s phenomenological approach, carried out at a Basic Health Unit in Minas Gerais with eight family members dependent on psychoactive substances. Sociodemographic characterization data and in-depth interviews were collected and analyzed with support of NVivo Pro11® software. All ethical and legal aspects were met.
Results:
physicians were the professionals most mentioned in participants’ statements, who took on a dubious role with other health professionals: welcoming (positive perceptions about care received) and neglect (negative perceptions).
Final Considerations:
dependence on psychoactive substances imposes a burden on persons, their family members and health professionals. The role of establishing good relationships in the triad professionals-users-family members of primary care is inseparable in favor of treatment and preservation of their mental health.
Palavras-chave: CodependencyFamily RelationsHealth PersonnelPrimary Health CareSubstance-Related DisordersVer mais - Leone Mendes Dias
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ORIGINAL ARTICLE
Guidelines to the families of mental health service users from the multi-professional team’s perspective
- Paula Antunes Bezerra Nacamura ,
- Sonia Silva Marcon ,
- Marcelle Paiano ,
- Maria Aparecida Salci ,
- Cremilde Aparecida Trindade Radovanovic , [ ... ],
- Bianca Cristina Ciccone Giacon
12-04-2020
Resumo
ORIGINAL ARTICLEGuidelines to the families of mental health service users from the multi-professional team’s perspective
Revista Brasileira de Enfermagem. 2020;73(Suppl 1):e20200389
12-04-2020DOI 10.1590/0034-7167-2020-0389
- Paula Antunes Bezerra Nacamura ,
- Sonia Silva Marcon ,
- Marcelle Paiano ,
- Maria Aparecida Salci ,
- Cremilde Aparecida Trindade Radovanovic ,
- Thamires Fernandes Cardoso da Silva Rodrigues ,
- Bianca Cristina Ciccone Giacon
Visualizações0ABSTRACT
Objective:
to apprehend the guidelines provided by the interdisciplinary team to the user’s family member at a Centro de Atenção Psicossocial Álcool e Drogas (Psychosocial Care Center for Alcohol and Drugs).
Methods:
descriptive-exploratory study, with a qualitative approach, carried out in a Psychosocial Care Center for alcohol and drugs in the southern region of Brazil, using the Psychiatric Reform as a conceptual basis. Data collection took place from June to August of 2019 through semi-structured interviews with a multidisciplinary team. The data were organized and operationalized in the IRAMUTEQ® software, and submitted to content analysis, thematic modality.
Results:
two classes emerged: “Guidelines referring to moments of crisis and the family members’ arrival to the service” and “Difficult factors and strategies to enhance the guidance to family members”.
Final Considerations:
The guidelines focus on pathology and the service itself. Participants highlighted embracement, the group for families, qualified listening, and cooperation with primary care as ways to enhance the service to families.
Palavras-chave: FamilyMental HealthMental Health ServicesPatient Care TeamSubstance-Related DisordersVer maisVisualizações0Resumo
ORIGINAL ARTICLEGuidelines to the families of mental health service users from the multi-professional team’s perspective
Revista Brasileira de Enfermagem. 2020;73(Suppl 1):e20200389
12-04-2020DOI 10.1590/0034-7167-2020-0389
- Paula Antunes Bezerra Nacamura ,
- Sonia Silva Marcon ,
- Marcelle Paiano ,
- Maria Aparecida Salci ,
- Cremilde Aparecida Trindade Radovanovic ,
- Thamires Fernandes Cardoso da Silva Rodrigues ,
- Bianca Cristina Ciccone Giacon
Visualizações0ABSTRACT
Objective:
to apprehend the guidelines provided by the interdisciplinary team to the user’s family member at a Centro de Atenção Psicossocial Álcool e Drogas (Psychosocial Care Center for Alcohol and Drugs).
Methods:
descriptive-exploratory study, with a qualitative approach, carried out in a Psychosocial Care Center for alcohol and drugs in the southern region of Brazil, using the Psychiatric Reform as a conceptual basis. Data collection took place from June to August of 2019 through semi-structured interviews with a multidisciplinary team. The data were organized and operationalized in the IRAMUTEQ® software, and submitted to content analysis, thematic modality.
Results:
two classes emerged: “Guidelines referring to moments of crisis and the family members’ arrival to the service” and “Difficult factors and strategies to enhance the guidance to family members”.
Final Considerations:
The guidelines focus on pathology and the service itself. Participants highlighted embracement, the group for families, qualified listening, and cooperation with primary care as ways to enhance the service to families.
Palavras-chave: FamilyMental HealthMental Health ServicesPatient Care TeamSubstance-Related DisordersVer mais
- Paula Antunes Bezerra Nacamura
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ORIGINAL ARTICLE
Prevalence and factors associated with the consumption of psychoactive substances by health care workers
Revista Brasileira de Enfermagem. 2020;73(Suppl 1):e20200279
12-04-2020
Resumo
ORIGINAL ARTICLEPrevalence and factors associated with the consumption of psychoactive substances by health care workers
Revista Brasileira de Enfermagem. 2020;73(Suppl 1):e20200279
12-04-2020DOI 10.1590/0034-7167-2020-0279
Visualizações0ABSTRACT
Objective:
to estimate prevalence and factors associated with the consumption of psychoactive substances among health care workers in hospitals.
Method:
cross-sectional study, with a sample of 289 health care professionals in a large hospital in Teresina, Piauí, Brazil.
Results:
243 (84.1%) reported consumption of psychoactive substances; 124 (86.7%) of professionals who classed their level of satisfaction as moderate had double the chance (OR = 1.98 CI95% 1.02- 3.85) of consuming psychoactive substances; 40 (93%) of those with low level of satisfaction showed a four times higher chance (OR = 4.05 CI95% 1.15-14.26) of consumption; and 72 (75.8%) of those who reported a “good” state of health before work had a 54% lower chance of consumption (OR= 0.46 CI95% 0.234-0919).
Conclusion:
consumption of psychoactive substances was associated with factors related to level of job satisfaction and perceived health status before work
Palavras-chave: Health PersonnelNursingOccupational HealthPsychotropic DrugsSubstance-Related DisordersVer maisVisualizações0Resumo
ORIGINAL ARTICLEPrevalence and factors associated with the consumption of psychoactive substances by health care workers
Revista Brasileira de Enfermagem. 2020;73(Suppl 1):e20200279
12-04-2020DOI 10.1590/0034-7167-2020-0279
Visualizações0ABSTRACT
Objective:
to estimate prevalence and factors associated with the consumption of psychoactive substances among health care workers in hospitals.
Method:
cross-sectional study, with a sample of 289 health care professionals in a large hospital in Teresina, Piauí, Brazil.
Results:
243 (84.1%) reported consumption of psychoactive substances; 124 (86.7%) of professionals who classed their level of satisfaction as moderate had double the chance (OR = 1.98 CI95% 1.02- 3.85) of consuming psychoactive substances; 40 (93%) of those with low level of satisfaction showed a four times higher chance (OR = 4.05 CI95% 1.15-14.26) of consumption; and 72 (75.8%) of those who reported a “good” state of health before work had a 54% lower chance of consumption (OR= 0.46 CI95% 0.234-0919).
Conclusion:
consumption of psychoactive substances was associated with factors related to level of job satisfaction and perceived health status before work
Palavras-chave: Health PersonnelNursingOccupational HealthPsychotropic DrugsSubstance-Related DisordersVer mais -
ORIGINAL ARTICLE
Nursing students: medication use, psychoactive substances and health conditions
- Bárbara de Oliveira Prado Sousa ,
- André Luiz Thomaz de Souza ,
- Jacqueline de Souza ,
- Sivani Andreia dos Santos ,
- Manoel Antônio dos Santos , [ ... ],
- Sandra Cristina Pillon
06-01-2020
Resumo
ORIGINAL ARTICLENursing students: medication use, psychoactive substances and health conditions
Revista Brasileira de Enfermagem. 2020;73(Suppl 1):e20190003
06-01-2020DOI 10.1590/0034-7167-2019-0003
- Bárbara de Oliveira Prado Sousa ,
- André Luiz Thomaz de Souza ,
- Jacqueline de Souza ,
- Sivani Andreia dos Santos ,
- Manoel Antônio dos Santos ,
- Sandra Cristina Pillon
Visualizações0Ver maisABSTRACT
Objective:
to assess the use of nonprescription psychoactive medications and their associations with psychoactive substance use and health aspects among nursing students.
Method:
a cross-sectional study conducted with 182 students at a nursing school in the city of Vale do Ribeira, Brazil. Sociodemographic information, screening for alcohol, tobacco and other drug use, information on physical and mental health and physical activity practices were assessed.
Results:
more than half of the students (79.2%) used psychoactive drugs without prescription, with a predominance of monthly consumption. Consumption of these drugs was found to be associated with alcohol use, binge drinking, smoking and illicit drug use.
Conclusion:
the findings have implications for the implementation of health promotion strategies among nursing students, in view of lifestyle changes.
Visualizações0Resumo
ORIGINAL ARTICLENursing students: medication use, psychoactive substances and health conditions
Revista Brasileira de Enfermagem. 2020;73(Suppl 1):e20190003
06-01-2020DOI 10.1590/0034-7167-2019-0003
- Bárbara de Oliveira Prado Sousa ,
- André Luiz Thomaz de Souza ,
- Jacqueline de Souza ,
- Sivani Andreia dos Santos ,
- Manoel Antônio dos Santos ,
- Sandra Cristina Pillon
Visualizações0Ver maisABSTRACT
Objective:
to assess the use of nonprescription psychoactive medications and their associations with psychoactive substance use and health aspects among nursing students.
Method:
a cross-sectional study conducted with 182 students at a nursing school in the city of Vale do Ribeira, Brazil. Sociodemographic information, screening for alcohol, tobacco and other drug use, information on physical and mental health and physical activity practices were assessed.
Results:
more than half of the students (79.2%) used psychoactive drugs without prescription, with a predominance of monthly consumption. Consumption of these drugs was found to be associated with alcohol use, binge drinking, smoking and illicit drug use.
Conclusion:
the findings have implications for the implementation of health promotion strategies among nursing students, in view of lifestyle changes.
- Bárbara de Oliveira Prado Sousa
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ORIGINAL ARTICLE
Discourse of psychoactive substance dependents on their discursively constructed image
- Sonia Regina Zerbetto ,
- Ana Carolina Acorinte ,
- Tatiana Ferraz de Araújo Alecrim ,
- Simone Teresinha Protti-Zanatta ,
- Angélica Martins de Souza Gonçalves , [ ... ],
- Claudinei José Gomes Campos
02-10-2020
Resumo
ORIGINAL ARTICLEDiscourse of psychoactive substance dependents on their discursively constructed image
Revista Brasileira de Enfermagem. 2020;73(1):e20180196
02-10-2020DOI 10.1590/0034-7167-2018-0196
- Sonia Regina Zerbetto ,
- Ana Carolina Acorinte ,
- Tatiana Ferraz de Araújo Alecrim ,
- Simone Teresinha Protti-Zanatta ,
- Angélica Martins de Souza Gonçalves ,
- Claudinei José Gomes Campos
Visualizações0Ver maisABSTRACT
Objective:
to analyze the discourse of psychoactive substance users undergoing treatment regarding their image of themselves as drug dependent subjects, of other dependents and the social position assumed by them.
Method:
qualitative study conducted between March and September of 2016 through a semi-structured interview and drawings, based on the theoretical-methodological reference of French Discourse Analysis. Participation of 12 drug dependent subjects undergoing treatment in the service that substitutes the asylum.
Results:
The images that psychoactive substance dependents have of themselves and of chemically dependent subjects are associated with the image of a negative, diabolical, transgressive, sick and socially excluded individual.
Final considerations:
The ideological effects of meanings produced by users’ discourses reproduce the biological and moral model. Health professionals, including nurses, need to invest in discourses that address the psychosocial model to demythologize this stigmatizing image and modify their work practice.
Visualizações0Resumo
ORIGINAL ARTICLEDiscourse of psychoactive substance dependents on their discursively constructed image
Revista Brasileira de Enfermagem. 2020;73(1):e20180196
02-10-2020DOI 10.1590/0034-7167-2018-0196
- Sonia Regina Zerbetto ,
- Ana Carolina Acorinte ,
- Tatiana Ferraz de Araújo Alecrim ,
- Simone Teresinha Protti-Zanatta ,
- Angélica Martins de Souza Gonçalves ,
- Claudinei José Gomes Campos
Visualizações0Ver maisABSTRACT
Objective:
to analyze the discourse of psychoactive substance users undergoing treatment regarding their image of themselves as drug dependent subjects, of other dependents and the social position assumed by them.
Method:
qualitative study conducted between March and September of 2016 through a semi-structured interview and drawings, based on the theoretical-methodological reference of French Discourse Analysis. Participation of 12 drug dependent subjects undergoing treatment in the service that substitutes the asylum.
Results:
The images that psychoactive substance dependents have of themselves and of chemically dependent subjects are associated with the image of a negative, diabolical, transgressive, sick and socially excluded individual.
Final considerations:
The ideological effects of meanings produced by users’ discourses reproduce the biological and moral model. Health professionals, including nurses, need to invest in discourses that address the psychosocial model to demythologize this stigmatizing image and modify their work practice.
- Sonia Regina Zerbetto
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ORIGINAL ARTICLE
Motivation and difficulties to reduce or quit smoking
- Maria Odete Pereira ,
- Bianca Cristina Silva de Assis ,
- Natália de Magalhães Ribeiro Gomes ,
- Alisson Rubson Alves ,
- Amanda Márcia dos Santos Reinaldo , [ ... ],
- Mark Anthony Beinner
02-10-2020
Resumo
ORIGINAL ARTICLEMotivation and difficulties to reduce or quit smoking
Revista Brasileira de Enfermagem. 2020;73(1):e20180188
02-10-2020DOI 10.1590/0034-7167-2018-0188
- Maria Odete Pereira ,
- Bianca Cristina Silva de Assis ,
- Natália de Magalhães Ribeiro Gomes ,
- Alisson Rubson Alves ,
- Amanda Márcia dos Santos Reinaldo ,
- Mark Anthony Beinner
Visualizações0ABSTRACT
Objective:
To understand what factors motivate people to reduce or stop tobacco use and what difficulties they face in this process.
Method:
Qualitative, empirical and interpretative research that used a focal group technique for data collection and Discourse Analysis as a theoretical reference for analysis.
Results:
The responses centered on the following aspects: motivation for reduction or cessation of smoking, family and community support received during treatment, benefits from cessation of tobacco, difficulties encountered and strategies for overcoming triggers.
Final Considerations:
The results showed that the users expressed their desire for cessation of tobacco use and that to achieve this goal, family and group support, professional help and changing habits are key factors for this process.
Palavras-chave: Mental HealthPsychiatric NursingSubstance-Related DisordersTobacco Use CessationTobacco Use DisorderVer maisVisualizações0Resumo
ORIGINAL ARTICLEMotivation and difficulties to reduce or quit smoking
Revista Brasileira de Enfermagem. 2020;73(1):e20180188
02-10-2020DOI 10.1590/0034-7167-2018-0188
- Maria Odete Pereira ,
- Bianca Cristina Silva de Assis ,
- Natália de Magalhães Ribeiro Gomes ,
- Alisson Rubson Alves ,
- Amanda Márcia dos Santos Reinaldo ,
- Mark Anthony Beinner
Visualizações0ABSTRACT
Objective:
To understand what factors motivate people to reduce or stop tobacco use and what difficulties they face in this process.
Method:
Qualitative, empirical and interpretative research that used a focal group technique for data collection and Discourse Analysis as a theoretical reference for analysis.
Results:
The responses centered on the following aspects: motivation for reduction or cessation of smoking, family and community support received during treatment, benefits from cessation of tobacco, difficulties encountered and strategies for overcoming triggers.
Final Considerations:
The results showed that the users expressed their desire for cessation of tobacco use and that to achieve this goal, family and group support, professional help and changing habits are key factors for this process.
Palavras-chave: Mental HealthPsychiatric NursingSubstance-Related DisordersTobacco Use CessationTobacco Use DisorderVer mais - Maria Odete Pereira
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ORIGINAL ARTICLE
Use of psychoactive substances in women in outpatient treatment
- Jessica Adrielle Teixeira Santos ,
- Ludmila Gonçalves Perruci ,
- Natália Priolli Jora Pegoraro ,
- Zeyne Alves Pires Scherer ,
- Jacqueline de Souza , [ ... ],
- Sandra Cristina Pillon
12-13-2019
Resumo
ORIGINAL ARTICLEUse of psychoactive substances in women in outpatient treatment
Revista Brasileira de Enfermagem. 2019;72(suppl 3):178-183
12-13-2019DOI 10.1590/0034-7167-2018-0399
- Jessica Adrielle Teixeira Santos ,
- Ludmila Gonçalves Perruci ,
- Natália Priolli Jora Pegoraro ,
- Zeyne Alves Pires Scherer ,
- Jacqueline de Souza ,
- Manoel Antônio dos Santos ,
- Sandra Cristina Pillon
Visualizações0Ver maisABSTRACT
Objective:
to characterize the sociodemographic and psychiatric profile of women users of psychoactive substances in treatment for drug addiction.
Method:
descriptive study of quantitative approach performed with women attended at a Psychosocial Care Center for Users of Alcohol and Other Drugs (CAPS ad) from the interior of São Paulo State.
Results:
the sample consisted of 349 adult women, single, low educational level and unemployed, users of alcohol, cocaine, crack and tranquillizers. Among the consequences of use include withdrawal syndrome, overdose, depressive and suicidal symptoms. Most were referred for treatment by the family or health services. Almost 20% of these women had previously started treatments.
Conclusion:
The results suggest marked morbidity and high levels of psychosocial vulnerability, which require thorough investigation at the patient’s admission, as well as damage associated with use, withdrawal symptoms and depressive symptoms.
Visualizações0Resumo
ORIGINAL ARTICLEUse of psychoactive substances in women in outpatient treatment
Revista Brasileira de Enfermagem. 2019;72(suppl 3):178-183
12-13-2019DOI 10.1590/0034-7167-2018-0399
- Jessica Adrielle Teixeira Santos ,
- Ludmila Gonçalves Perruci ,
- Natália Priolli Jora Pegoraro ,
- Zeyne Alves Pires Scherer ,
- Jacqueline de Souza ,
- Manoel Antônio dos Santos ,
- Sandra Cristina Pillon
Visualizações0Ver maisABSTRACT
Objective:
to characterize the sociodemographic and psychiatric profile of women users of psychoactive substances in treatment for drug addiction.
Method:
descriptive study of quantitative approach performed with women attended at a Psychosocial Care Center for Users of Alcohol and Other Drugs (CAPS ad) from the interior of São Paulo State.
Results:
the sample consisted of 349 adult women, single, low educational level and unemployed, users of alcohol, cocaine, crack and tranquillizers. Among the consequences of use include withdrawal syndrome, overdose, depressive and suicidal symptoms. Most were referred for treatment by the family or health services. Almost 20% of these women had previously started treatments.
Conclusion:
The results suggest marked morbidity and high levels of psychosocial vulnerability, which require thorough investigation at the patient’s admission, as well as damage associated with use, withdrawal symptoms and depressive symptoms.
- Jessica Adrielle Teixeira Santos
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ORIGINAL ARTICLE
Multidisciplinary team actions of a Brazilian Psychosocial Care Center for Alcohol and Drugs
- Liana Longo Teixeira Lopes ,
- Mara Regina Santos da Silva ,
- Alessandro Marques dos Santos ,
- Jacqueline Flores de Oliveira
10-21-2019
Resumo
ORIGINAL ARTICLEMultidisciplinary team actions of a Brazilian Psychosocial Care Center for Alcohol and Drugs
Revista Brasileira de Enfermagem. 2019;72(6):1624-1631
10-21-2019DOI 10.1590/0034-7167-2018-0760
- Liana Longo Teixeira Lopes ,
- Mara Regina Santos da Silva ,
- Alessandro Marques dos Santos ,
- Jacqueline Flores de Oliveira
Visualizações0Ver maisABSTRACT
Objective:
to investigate the criteria used by health professionals to identify the phase of consumption of alcohol and drug users, and actions directed to their care.
Method:
a qualitative study developed with 14 professionals from a Brazilian Psychosocial Care Center for Alcohol and Drugs (Centro de Atenção Psicossocial Álcool e Drogas) based in the south of the country. Data were collected in June 2017 through semi-structured interviews and then submitted to thematic analysis.
Results:
the criteria used by the professionals were: periodicity of use; amount and type of drug used; repercussions of misuse; and place that the drug occupies in the person’s life. The actions developed were orientation and referral to support groups, therapeutic workshops and individual care.
Final considerations:
the chronic nature of alcohol/drug use/dependence requires specific care in each phase, and objective criteria to identify and intervene in early phases, aiming at the prevention of chemical dependence.
Visualizações0Resumo
ORIGINAL ARTICLEMultidisciplinary team actions of a Brazilian Psychosocial Care Center for Alcohol and Drugs
Revista Brasileira de Enfermagem. 2019;72(6):1624-1631
10-21-2019DOI 10.1590/0034-7167-2018-0760
- Liana Longo Teixeira Lopes ,
- Mara Regina Santos da Silva ,
- Alessandro Marques dos Santos ,
- Jacqueline Flores de Oliveira
Visualizações0Ver maisABSTRACT
Objective:
to investigate the criteria used by health professionals to identify the phase of consumption of alcohol and drug users, and actions directed to their care.
Method:
a qualitative study developed with 14 professionals from a Brazilian Psychosocial Care Center for Alcohol and Drugs (Centro de Atenção Psicossocial Álcool e Drogas) based in the south of the country. Data were collected in June 2017 through semi-structured interviews and then submitted to thematic analysis.
Results:
the criteria used by the professionals were: periodicity of use; amount and type of drug used; repercussions of misuse; and place that the drug occupies in the person’s life. The actions developed were orientation and referral to support groups, therapeutic workshops and individual care.
Final considerations:
the chronic nature of alcohol/drug use/dependence requires specific care in each phase, and objective criteria to identify and intervene in early phases, aiming at the prevention of chemical dependence.
- Liana Longo Teixeira Lopes
Substance-Related Disorders Archives - Revista Brasileira de Enfermagem
