Community Based Nursing Intervention Strategies and its effectiveness on Alcohol Dependence and Quality of Life among Alcoholics
Keywords:
alcoholics, Quality of life, Alcohol dependence, Community based nursing intervention strategiesAbstract
Alcoholism or alcohol dependence is a serious problem that needs to be recognized and addressed in India at the individual, medical and social levels. There is a need to develop comprehensive, integrated and people-centered alcohol control and prevention programs. This study utilizes the community resources, brings the importance of community participation through community forums, community camps, group discussions, community mapping, and diagnoses the nursing problems in alcohol dependence. Comprehensive, coordinated interventions with involvement of the community were developed and implemented for alcohol dependents. The community based nursing interventions were Individual need- based nursing interventions, Alcohol Education, Family counselling, Detoxification and Training of local workers. The overall mean difference in the score of level of dependence and quality of life was statistically significant revealing the effectiveness of the intervention. The individual based alcoholic education, nursing interventions based on the individual need and family counseling proved to be effective. Community volunteers provided support in identification and motivating the alcoholics for the interventions. There was a high correlation between the level of dependence and quality of life among alcoholics. This revealed that the Quality of life among alcoholics is directly related to the level of their dependence on alcohol.
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Gururaj G, Pratima M, Girish RN, Vivek B. Alcohol related harm: Implications for public health and policy in India [Internet]. Bangalore, KA: NIMHANS; 2011 [cited 2016Mar9
Kamla G, Fred A, Lhungdim H. Health and Living Conditions in Eight Indian Cities. Health and Living Conditions in Eight Indian Cities. Deonar, Mumbai: National Family Health Survey (NFHS-3) India; 2009.
Alcohol Related Harm in India – a fact sheet [Internet]. Indian Alcohol Policy Alliance; [cited 2016Mar18]. Retrieved from: http://docplayer.net/3941667-alcohol- related-harm-in-india-a-fact-sheet.html
Sam L, Manickam S. Management of Alcohol Dependence: A Community Based Multi -Model Approach [Internet]. psychology4all.com. [cited 2016Mar18]. Retrieved from:http://www.psychology4all.com/sammanickam- alcoholismmanagement.htm
Guide to Drug Abuse Epidemiology [Internet]. Department of Mental Health and Substance Dependence Noncommunicable Diseases and Mental Health Cluster World Health Organization; 2000 [cited 2016Mar18]. Retrieved from: http://apps.who.int/iris/bitstream/10665/63850/1/a58352_parta.pdf
Role of nurses in the management of alcoholism. Chennai, TN: T T Ranganathan Clinical Research Foundation; 2009.
Murthy P, Chand P, Harish MG, Thennarasu K, Prathima S, Karappuchamy, et al. Outcome of alcohol dependence: The role of continued care. Indian Journal of Community Medicine [Internet]. [cited 2016Mar18];34(2):148–51. Retrieved from:http://www.ijcm.org.in/article.asp?issn=09700218;year=2009;volume=34;issue= 2;spage=148; epage=151;aulast=murthy
Dinesh Selvam S. Community based nursing intervention strategies in management of alcohol dependence and quality of life among alcoholics in rural communities: ICCRJNR Jan-Jun 2016:1(1):24-28.
L.Sam S. Manickam. Management of Alcohol Dependence: community based multi-model approach available at http://www.psychology4all.com/SamManickam-Alcoholism Management.htm.
K Srinivasan, Mary Kutty Augustine. A Study of Alcohol Related Physical Diseases in General Hospital Patients. Indian J Psychiatry 2000;42:3
Murthy P, ChandP, Harish MG, Thennarasu K, Prathima S, Karappuchamy, Janakiramiah N. Outcome of alcohol dependence: the role of continued care. Indian J Community Med (serial online) 2009 (cited 2012 Oct 29):34:148-51. Available from: http://www.ijcm.org.in/text.asp2009/34/2/148/51226
John Abraham, R.Chandrasekeran, V.Chitralekha. A prospective study of treatment outcome in Alcohol dependence from a deaddiction centre in India. Indian J Pschiatry: 1997; 39(1), 18-23
Donovan D, Mattson ME, Cisler RA, Longabaugh R, Zweben A. Quality of life as an outcome measure in alcoholism treatment research. J Stud Alcohol Suppl. 2005 Jul ;(15):119-39; discussion 92-3.
John P. Meehan, Marcus G. T. Webb, Antony R. Unwin. The Severity of Alcohol Dependence Questionnaire (SADQ) in a Sample of Irish Problem Drinkers. British Journal of Addiction. Volume 80, Issue 1, pages 57–63, March 1985
Foster JH, Peters TJ, Marshall EJ.Quality of life measures and outcome in alcohol-dependent men and women. Alcohol 2000 Aug;22(1):45-52. Available from URL http://www.ncbi.nlm.nih.gov/pubmed/11109027.
Nattala P, Leung KS, Nagarajaiah, Murthy P. Family member involvement in relapse prevention improves alcohol dependence outcomes: a prospective study at an addiction treatment facility in India. J Stud Alcohol Drugs. 2010 Jul;71(4):581-7.
Gilli Elliot, MIchela Morleo, Penry A.Cook. Identifiying Effective Interventions for preventing underage Alcohol consumption. Final report; Aug.2009
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