Vol. 6 (04) pp. 1006-1012 DOI: 10.21474/IJAR01/6942

EFFECTIVENESS OF SPECIFIC NURSING INTERVENTION PROGRAME ON MOTIVATION AND RELAPSE AMONG CLIENTS WITH ALCOHOL DEPENDENCE SYNDROME-A PILOT STUDY.

  • Research Scholar, Saveetha University, Thandalam, Chennai, India.
  • Principal, Aswini College of Nursing, Thrissur, Kerala, India.
  • Director, Department of Research, Saveetha University Thandalam, Chennai, India.
  • Principal, Billroth College of Nursing, Chennai
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Abstract

Motivation plays an important role in alcoholism treatment by influencing patients to seek, complete, and comply with treatment as well as make successful long-term changes in their drinking in prevention of relapse. The present study was aimed at assessing the effectiveness of structured intervention programme on motivation and relapse of clients with alcohol dependence syndrome admitted in a selected hospital, Ernakulam, Kerala. True experimental- pretest post test control group was the study design.The sample consisted of 20 clients with alcohol dependence syndrome, who were admitted in the de-addiction ward, and the subjects were selected by systematic random sampling method. Tool used were demographic and clinical data sheet related to alcoholism, Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES 8A) and Advance WArning of RElapse -AWARE. Pretest was done on the first day. Second day onwards specific nursing intervention programe was scheduled with risk reward analysis, coping skill training programme, assertiveness training programme, family based intervention and psycho education for experimental group from 2nd to 12 th day on alternate days. First post test was conducted one week after the intervention on 19th day, second post test on 42nd day, one month after intervention and after 3 months of intervention, on 102nd day, third post test was conducted. Friedman repeated measures ANOVA revealed a significant difference in the motivation scores and relapse scores of experimental group between the pre-test and post-test I, II and III is (χ = 20.25, P<0.001) and (χ = 28.92, P<0.001) respectively. The intervention programme motivated the clients with alcohol dependence syndrome to face the existing problems and to prevent or reduce relapse, which is a pre-requisite for successful recovery.

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References

  1. Gelder M, Mayou R, Cowen P.(2004). Shorter oxford textbook of Psychiatry, 4th Oxford University press, 533-44.
  2. Gururaj G, Isaac MK(2001). Epidemiology of suicide in Bangalore, NIMHANS journal, 43.
  3. Benegal V, Gururaj G, Murthy P, Taly AB, Kiran S, Chandrasekharan R, Chandrasekharan H.(2002). Report for the WHO- injury and alcohol: emergency department study, Bangalore.
  4. Chandra PS, Krishna VA, Benegal V, Ramakrishna J(2003). High risk sexual behaviour and sensation seeking among heavy alcohol users. Indian Journal of Medical Research, 117, 88-92.
  5. Rajeswary R,Chandrasekaran V, Suhadev M,Sivasubrahmanyam S, Sudha G, Renu G(2002). factors associated with patients and health system delays in the diagnosis of tuberculosis in India. International journal of tuberculosis and lung disorders,6,789-95.
  6. Chitra S, Ashok L, Anand L,Srinivasan V, Jayanthi V. (2004). Risk factors for esophageal cancer in Coimbatore, souther India: A hospital based case control study. Indian journal of Gastroenterology,23,17-118
  7. Sarin S, Bhatt A, Malhotra V, Sachdev G, Jiloha RC, Munjal GC.(1988). Pattern of alcohol related liver disease in independent alcoholcs: the Indian dimension. British Journal of ADDICTIOIN, 83,279-84.
  8. Jain A, Buddhiraja S, Khurana B, Singhal R, Nair D, Arora P.(1999). Risk factors for duodenal ulcer in north India. Tropical Gastroenterology, 20, 36-39
  9. Ghosh S, Samanta A, Mukherjee S, Patterns of alcohol consumption among male adults at a slum in Kolkata, India. J Health Popul Nutr. 2012 Mar;30(1): 73-81.
  10. McQuade WM, Sheldon ML,Yanek LR, Davis SW, Leipman MR. Detecting symptoms of Alcohol abuse in primary care settings. Arch Fam Med. 2000;(9): 814-21
  11. Andreasson S, Hjalmarsson K, Rehman C.Implementation and dissemination of methods for prevention of alcohol problems in primary health care- a feasibility study. Alcohol and alcoholsm.2000;35(5): 525-530.
  12. Adityanjee MD, Wig NN(1989). Alcohol related problem in the emergency room of an Indian general hospital. Australian and New Zealand journal of psychiatry,23, 274-8.
  13. Tempesta E, Janiri L, Bignamini A, Chabac S,Potgieter A. Acamprosate and relapse prevention in the treatment of alcohol dependence: A placebo-controlled study: Alcohol and alcoholsm 2000; 35(2): 202-9.
  14. DiClemente CC,Schlundt D, Gemell L. Am J Addict. 2004 Mar-Apr;13(2): 103-19. Readiness and stages of change n addiction treatment
  15. Lariemer ME, Palmer RS, Marlatt GA. Alcohol Res Health.1999;23(2): 151-60. Relapse prevention. An overview of Marlatt?s cognitive ?behavioral model.
  16. Sureshkumar PN, Thomas B.(2007). Family intervention therapy in alcohol dependence syndrome: One year follow up study. Indian journal of Psychiatry, 200-204.
  17. Noknoy S, Rangsin R, Saengcharnchai P, Tantibhaedhyangkul U,McCambridge J(2010). RCT of effectiveness of motivational enhancement therapy delivered by nurses for hazardous drinkers in primary care units in Thailand. Alcohol and Alcoholism, 45(3), 263-70.
  18. Srikosai S, (2006) Effectiveness of motivational enhancement therapy among alcohol dependence clients receiving services at Suan Prung Psychiatric Hospital, Alcohol research
  19. Khosla ,V., Thankappan,K.R., Mini, G.,K., & Sarma, P.S.(2008). Prevalence & predictors of alcohol use among college students in Ludhiana, Punjab, India . Indian Journal of Medical Research ,79-81
  20. Schuckit, M.A. (2000). Comprehensive text book of psychiatry. (7th ed), Alcohol related disorders.? Lippincotts Williams and Wilkins

How to Cite This Article

Suma Jose, Indra Selvam Venkatakrishnan2, Vijayaraghavan R and Susila C . (2018); EFFECTIVENESS OF SPECIFIC NURSING INTERVENTION PROGRAME ON MOTIVATION AND RELAPSE AMONG CLIENTS WITH ALCOHOL DEPENDENCE SYNDROME-A PILOT STUDY., Int. J. of Adv. Res., 6 (04), 1006-1012, ISSN 2320-5407. DOI: https://doi.org/10.21474/IJAR01/6942

Corresponding Author

SUMA JOSE
Ph.D.Scholar, Saveetha University