Patterns of alcohol use and related issues: analysis of
					nurses' knowledge

Vargas, Divane de; Soares, Janaina

doi:10.1590/S0080-6234201400002000018

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Revista da Escola de Enfermagem da USP

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Original Article • Rev. esc. enferm. USP 48 (02) • Apr 2014 • https://doi.org/10.1590/S0080-6234201400002000018 copy

Patterns of alcohol use and related issues: analysis of nurses' knowledge

Patrones De Consumo De Alcohol Y Problemas Relacionados: Un Análisis Del Conocimiento Entre Los Enfermeros

Authorship SCIMAGO INSTITUTIONS RANKINGS

 Descriptive study that aimed to identify and compare the nurses’ knowledge addressed to patterns of alcohol use and related issues. The study included 185 nurses of which 84 had attended a training course on the subject. Data were collected through a questionnaire of knowledge showing that while the trained group obtained the highest average on correct answers, there was a lack of knowledge in both groups, especially with regard to the identification of complications from alcohol use. Important definitions to nursing practice in the area of addictions are presented, suggesting that future training may consider the various dimensions involved in caring for people with problems related to alcohol. 

Education, nursing ; Alcoholism; Health knowledge ; Attitudes, practice 

Variable	X	Group 1				Group 2
Variable	X	n=80	X	SD	p	n=100	X	SD	p*
X	5.6	(%)	5.1	1.4	p	(%)	4.1	1.1	p*
Gender	Female	70 (87.5)	5	1.5	0.59	90 (90)	4.2	1.1	0.05*
Gender	Male	10 (12.5)	5.3	1.3		10 (10)	3.5	1
Variable	X	Group 1				Group 2
Variable	X	n=80	X	SD	p	n=100	X	SD	p*
X	5.6	(%)	5.1	1.4	p	(%)	4.1	1.1	p*
Marrital status	Married	37 (46.3)	5.1	1.2	0.67	52 (52)	3.9	1	0.15
	Other**	3 (3.7)	5.8	1.6		5 (5)	4.8	1.7
	Separated	4 (5)	4.5	0.8		3 (3)	5.2	1.7
	Single	36 (45)	5.2	1.5		40 (40)	4.2	1.1
Professional experience with alcohol addicted	No	37 (46.3)	5	1.3	0.89	52 (52)	3.9	1.1	0.1
Professional experience with alcohol addicted	Yes	43 (53.7)	5.4	1.5		48 (48)	4.3	1.1
Graduate studies	No	20 (25)	5.2	1.6	0.7	12 (12)	4.4	0.9	0.32
Graduate studies	Yes	60 (75)	5	1.4		88 (88)	4.1	1.1
Characterization of studied institution	Private	54 (67.5)	5.1	1.3	0.82	60 (60)	4	1	0.07
Characterization of studied institution	Public	26 (32.5)	5	1.8		40 (40)	4.2	1.2
Were trained to work with AA in undergraduate studies	No	43 (53.7)	4.9	1.4	0.59	61 (61)	3.9	1.2	0.14
Were trained to work with AA in undergraduate studies	Yes	37 (46.3)	5.3	1.5		39 (39)	4.4	0.9
Workload during undergradute trainning about addiction AOD n=35	Up to 10 hours	9 (25.7)	5.6	1.2	0.89	12 (34.4)	4.1	0.96	0.61
	15h	0	0	0		4 (11.4)	5	0.68
	20h	10 (28.6)	7.7	1.9		4 (11.4)	4.5	0.48
	30h	0	0	0		4 (11.4)	5.2	1.25
	Other	16 (45.7)	4.9	1.2		11 (31.4)	4.2	0.95
Clinical experience in AA	Before undergraduate course	8 (10)	4.7	0.9	0.06	0	0	0	0.35
	After undergraduate course	32 (40)	4.8	1.2		67 (67)	4.3	1
	During undergraduation course	40 (50)	5.3	1.6		33 (33)	4.7	0.9

Question	Correct answer	G1 (n=80)	G2 (n=100)	Total (n=180)	p^a
1- 50 year-old patient makes use of alcohol since 20 years. Use of distilled drink (whiskey) every day: one dose (50 ml) at lunch and another (50 ml) at dinner. He is married and his wife often gets annoyed with the amount of drink. Over the past five months he has been showing depressive symptoms, such as depression, loss of appetite and insomnia.	Met criteria for harmful use of alcohol.	35 (43.8%)	20 (20%)	55 (30.6%)	0.001
2- Patient with a diagnosis of alcohol dependence, decreased intake for 3 days and present auditory hallucinations (voices of men calling his name). No change in level of consciousness.	The diagnosis is alcoholic hallucinosis.	14 (17.7%)	18(18%)	17.90%	0.882
3- Patient with diagnosis of alcohol dependence was admitted to the emergency room with signs of severe agitation after using large quantities of alcohol.	It is acute poisoning	53 (66.2%)	47(47%)	55.60%	0.015
4- When a person says he needs more and more alcohol or another drug to “get high” it can demonstrate:	Tolerance	54 (67.5%)	32 (32%)	47.80%	<0.001

Question	Correct answer	G1 (n=80)	G2 (n=100)	Total (n=180)	p^a
Question	Correct answer	Correct(%)	Correct(%)	Total (n=180)	p^a
5- An adult male can drink up to a maximum of 2 doses of whiskey (total of 100 ml) per day.	T	22 (31)	14 (14)	21.10%	0.001
6- Woman can drink less than men because she has proportionally greater amount of body fat, which increases the bioavailability of alcohol.	T	33 (46.5)	43 (43)	44.40%	0.76
7- The Brief Intervention (BI) is a type of non-pharmacological treatment that is effective for mild addictions and harmful users.	T	53 (74.6)	64 (64.6)	68.80%	0.22
8- The BI can be applied to consultations of 10 to 15 minutes by physicians, nurses, psychologists and other trained professionals.	T	57 (80.3)	67 (67.7)	72.90%	0.09
9- The goal of safe drinking (socially) should be avoided for patients who do harmful use of alcohol.	T	18 (25.4)	6 (6)	86.00%	0.001
10- For patients who are not motivated for treatment, the doctor should respect his opinion and wait until he feels motivated to start treatment.	F	41 (57.7)	69 (69)	35.70%	0.17
11- Patients in the pre-contemplation stage considers whether to stop drinking or not, but cannot change their behavior towards drinking.	F	34 (47.9)	17 (17)	70.20%	<0.001
12 - Once alcohol dependence is identified, the preliminary orientations should be done and patient should be refered to a specialist.	T	33 (46.5)	99 (99)	77.20%	<0.001

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Correspondence: Divane de Vargas Av. Dr. Enéas de Carvalho Aguiar, 419 – Cerqueira César  CEP 05403-000 - São Paulo, SP, Brazil