[pt] O burnout é uma síndrome psicológica resultante do estresse crônico proveniente do ambiente de trabalho. Ele é caracterizado por três dimensões: Exaustão Emocional, Despersonalização e baixa Realização no Trabalho. O objetivo da presente pesquisa foi investigar o papel das variáveis sociodemográficas (sexo, idade e escolaridade), dos fatores contextuais e dos traços de personalidade no desfecho do burnout. No total, 343 profissionais brasileiros (75,80 por cento mulheres) responderam à uma bateria online de pesquisa. Os(as) respondentes eram atuantes nas áreas da saúde, educação, serviços administrativos, segurança, bancários e atendimento ao público (e.g. telemarketing, call-centers). Os resultados obtidos não apresentaram relação estatisticamente significativa entre as variáveis sociodemográficas o burnout. Neuroticismo e a Abertura à experiência foram os traços de personalidade que apresentaram relação significativa com todas dimensões do burnout e a Socialização, com a dimensão de Despersonalização. Para todas as facetas do Burnout, o Neuroticismo foi o maior preditor (Beta = 0,60 para Exaustão Emocional, Beta = 0,48 para Despersonalização e Beta = 0,62 para a Realização no Trabalho). A partir dos dados, pode-se dizer que os recursos pessoais, principalmente os traços de personalidade, apresentam relação importante com o burnout, especialmente o traço de Neuroticismo. / [en] Burnout is a psychological syndrome resulting from the chronic stress of the work environment. It is characterized by three dimensions: Emotional Exhaustion, Depersonalization and Low Personal Accomplishment. The objective of the present study was to investigate the role of sociodemographic variables (gender, age and level of education), contextual factors and personality traits in the outcome of burnout. In total, 343 Brazilian professionals (75.80 percent women) responded to an online battery of surveys. The interviewees were active in the areas of health, education, administrative services, security, banking and customer service (e.g. telemarketing, call centers). The results obtained did not present a statistically significant relationship between sociodemographic variables and burnout. Neuroticism and Openness to experience were the personality traits that presented significant relation with all dimensions of Burnout and Socialization, with the Depersonalization dimension. For all Burnout factors, Neuroticism was the most important predictor (Beta = 0,60 to Emotional Exhaustion, Beta = 0,48 to Depersonalization and Beta = 0,62 to Low Personal Accomplishment). Personal resources, especially personality traits, have an important relation with burnout, especially the trait of Neuroticism.

Introducción: Siendo el útero crucial en la identidad social de la mujer, ya que su significado simbólico se refleja en la conexión sociocultural con la feminidad, el ciclo menstrual y la maternidad, y con el interés de tener un conocimiento previo de la mujer que ha sido candidata a histerectomía, la cual conlleva en su realización múltiples connotaciones tanto orgánicas como psicológicas que impactan en su vida cotidiana posterior a la cirugía. Objetivo: Determinar las características clínicas y sociodemográficas de pacientes histerectomizadas del servicio de Ginecología del Hospital Almanzor Aguinaga Asenjo durante el año 2019. Materiales y Métodos: Se realizó un estudio observacional, descriptivo, retrospectivo, censal. empleándose estadística descriptiva, tomándose como población a pacientes histerectomizadas. Resultados: El mayor porcentaje de pacientes fueron amas de casa, multíparas, con educación secundaria, procedentes de la región Lambayeque, con edad mediana de 48 años, con motivo de consulta de sangrado uterino anormal y con indicación quirúrgica de Miomatosis Uterina seguido de neoplasias ginecológicas. Dentro de los más frecuentes antecedentes: la cesárea fue en lo quirúrgico; otras neoplasias en los familiares y la ausencia de antecedentes en los personales patológicos y no patológicos. La histerectomía más frecuente realizada es la total, seguido por la radical, siendo el abordaje abdominal el más usado, y la salpinguectomía y ooforectomía uni/bilateral la intervención concomitante más realizada. No se encontraro complicaciones inmediatas, mediatas o tardías.

Tackling obesity among adolescents requires the optimization of existing obesity treatment strategies. For this purpose, social and personal circumstances, individual needs and behavior of therapy participants need to be analyzed to tailor aims, content and methods of therapy interventions to the target groups. A total of 432 obesity therapy participants between 11 and 17 years completed a written survey in a national multi-center study conducted in 2015. The data collection on behavior, in terms of physical activity, media use and sociodemographic variables, was based on questionnaires from the KiGGS, HBSC and JIM studies. The results show that participants were found to be physically active together with friends (75.5%), alone (41.4%) and in sports clubs (34.9%). Girls (OR 1.55) were less likely to participate in sports clubs. Social networks, especially YouTube, WhatsApp, Instagram and Facebook, were widely used. However, differences emerged among sociodemographic groups (e.g., boys vs. girls) regarding the use of social network features. A third of participants reported that smartphone apps regularly encouraged them to exercise. The findings imply that obesity therapy approaches need to be adapted and more differentiated according to the specific needs of the target groups.

Objetivo: Identificar la prevalencia y factores sociodemográficos que se asocian a la automedicación para la prevención del COVID-19 en adultos atendidos en un hospital del distrito de Ferreñafe 2020 – 2021. Materiales y Métodos: Estudio descriptivo transversal con muestreo no probabilístico por conveniencia realizado en el Hospital Agustín Arbulú Neyra. Se aplicó un cuestionario validado por expertos. Resultados: Se entrevistaron 345 adultos. El promedio de edad fue de 58,7 ± 12,4 años, mediana de 57, (rango: 40 a 94 años). La prevalencia de automedicación de forma preventiva contra el COVID-19 durante los primeros 6 meses de la pandemia fue el 38,8% y los últimos 6 meses del año 2021 fue del 1,4%. El medicamento más usado fue la ivermectina (65,7%). La fuente que mayor influencia generó en los pacientes fueron los medios de comunicación como la televisión o la radio (32,1%). Conclusiones: Se encontró una prevalencia de automedicación moderada. Tuvieron mayor frecuencia quieres se encontraban en la quinta década de su vida, procedentes de Pueblo Nuevo, con un nivel educativo mayor y que presentaban una comorbilidad. / Objective: To determine the prevalence and sociodemographic factors associated with self-medication for the prevention of COVID-19 in adults treated at a hospital in the district of Ferreñafe 2020 - 2021. Methods: Descriptive cross-sectional study with a convenience non-probabilistic sampling method performed in Agustin Arbulu Neyra Hospital. A survey validated by experts was used. Results: 345 adults were interviewed. The mean age was 58,7 ± 12,4, median of 57; (range: 40 to 94 years). The frequency of self-medication as a preventive treatment for the first six months of the pandemic was 38,8% and for the last 6 months of 2021 was 1,4%. The most commonly used drug was ivermectin (65,7%). The most frequent source of information that influenced on people were television and radio (32,1%). Conclusions: A moderate prevalence of self-medication was found. They were more frequently found in the fifth decade of their life, coming from Pueblo Nuevo, with a higher educational level and presenting a comorbidity.

El objetivo del estudio descriptivo comparativo fue evaluar y comparar el grado de Síndrome de Burnout percibido por las enfermeras de Nefrolabt Chiclayo S.A.C, en función de diversos parámetros sociodemográficos como género, edad, estado civil y tipo de control. Se seleccionó una muestra de 32 enfermeras que laboran en la clínica mediante un método no probabilístico. Se realizó una encuesta para recoger datos sobre las características demográficas y administrar el Maslach Burnout Inventory. En cuanto a los niveles del síndrome de Burnout, se observó una notable distinción en relación con el sexo, aunque las otras tres características se evaluaron de forma similar en los distintos factores sociodemográficos. / The objective of the descriptive comparative study was to evaluate and compare the degree of Burnout Syndrome perceived by the nurses of Nefrolabt Chiclayo S.A.C., according to different sociodemographic parameters such as gender, age, marital status and type of control. A sample of 32 nurses working in the clinic was selected using a non-probabilistic method. A survey was conducted to collect data on demographic characteristics and to administer the Maslach Burnout Inventory. Regarding the levels of Burnout syndrome, a notable distinction was observed in relation to sex, although the other three characteristics were assessed similarly in the different sociodemographic factors.

En Côte d’Ivoire, la problématique de l’accessibilité aux soins reste entière en raison de l’insuffisance des infrastructures sanitaires et du manque de ressources financières. Aussi, la population a t-elle souvent recours à l’odontologie traditionnelle pour répondre à ses besoins prioritaires de santé. Cependant, l’absence de données factuelles dans un contexte de pluralité de soins constitue un handicap pour la définition d’une politique de santé bucco-dentaire efficiente. L’objectif de la présente étude a été de décrire l’activité des tradipraticiens, puis de déterminer les facteurs influençant le recours et le renoncement aux soins bucco-dentaires des populations. L’étude de type transversale pilote a portée sur un échantillon de 28 tradipraticiens et 927 adultes. Les résultats ont montré que les consultations bucco-dentaires répresentaient le 1/5 de l’ensemble des activités des tradipraticiens. La majorité des tradipraticiens a déclaré prendre en charge les douleurs bucco-dentaires et était disposé à collaborer avec la médecine conventionnelle. Les tradipraticiens ont déclaré être satisfaits des honoraires perçus. Les ressources végétales et minérales étaient principalement utilisées pour la confection des remèdes. S’agissant de l’étude menée auprès des usagers, alors que les adultes non scolarisés avaient recours en majorité aux tradipraticiens, ceux qui disposaient d’une assurance de santé ou qui avaient le niveau d’étude du secondaire ou plus ont consulté préférentiellement le chirurgien-dentiste. Les adultes ayant un niveau d’étude secondaire ou plus ont eu recours à un tradipraticien en raison de sa proximité. Le recours au tradipraticien en raison de l’efficacité des soins a été plus évoqué par les adultes ayant un âge compris entre 30 et 44 ans, par ceux résidant en milieu urbain et par ceux situés à plus de 15 km du cabinet dentaire. Quant au recours au chirurgien-dentiste en raison de la confiance faite aux soins modernes et la propreté des cabinets dentaires, il a été majoritairement le fait d’adultes vivant dans des habitats modernes. Le renoncement aux soins traditionnels en raison de l’automédication a été le plus évoqué par les femmes. Les adultes situés entre 5 et 15 km du cabinet dentaire ont majoritairement renoncé aux soins traditionnels en raison de la non perception de leur nécessité. Le manque de ressources financières a été le plus évoqué par les adultes vivant en milieu urbain pour justifier leur renoncement aux soins modernes. La non perception de la nécessité des soins a été plus évoquée par les adultes situés entre 5 et 15 km du cabinet dentaire pour justifier le renoncement aux soins modernes. Cette étude a mis en évidence la relation entre l’accessibilité aux soins bucco-dentaires et la pauvreté. Ainsi l’amélioration de l’accès aux soins bucco-dentaires doit s’inscrire dans le cadre global de la lutte contre les inégalités sociales, de l’alphabétisation et de l’aménagement du territoire. En outre, l’odontologie traditionnelle doit être valorisée pour venir en aide au système de santé dans un contexte marqué par l’insuffisance des ressources financières / In Côte d'Ivoire, the issue of access to care remains unanswered due to the lack of good public health infrastructure and very limited financial resources. As a result, poor and disadvantage people often prefer to address their priority health needs to traditional healers. However, the lack of evidence data in a context of plurality of care is a handicap for the definition an efficient oral health strategy. The main objectives of this study were to describe the activities of traditional healers practicing in the department of Dabou and determine the various factors influencing the populations in using them or not in oral. The cross-sectional pilot study focused on 28 traditional healers and 927 adults. The results showed that the consultations represented 1/5 of all the activities of the traditional healers. The majority of traditional healers reported that they were called to heal oral pain of patients and were ready to work with conventional medicine. Traditional healers declared to be satisfied by the level of fees. However 15 traditional healers reported to have another job. Vegetable and mineral resources were mainly used for making medicines. Regarding the survey of users, the main determinant of seeking care was the educational level of respondents. While no schooling adults visited in priority traditional healers, those who had health insurance and those who had secondary educational level or more preferably consulted the dentist. Adults with secondary educational level or more claimed to have been to a traditional healer because of its proximity. The effectiveness of care as a reason for attending a traditional healer was more often mentioned by adults within 30 and 44 years, by adults living in urban areas and those living at a distance of more than 15 km from the dental office. Seeking modern treatment because of the confidence and the cleanliness in dental offices was more the fact of adults living in a modern home. The renunciation of traditional care because of self-medication was more often reported by women. Abandoning the traditional treatments because of failure to perceive the need of care was mentioned by adults ranged between 5 and 15 km from the dental practice. Lack of financial resources was cited by most adults living in urban areas to justify the renunciation to modern health care. Failure to perceive needs for care was mentioned by adults ranged between 5 and 15 km from office dental to justify their abandonment of modern oral health care. This study gave evidence of the complex relationship between access to oral health care and the level of poverty. Thus, improving access to oral health care must fit into the overall framework of the fight against social inequality, illiteracy and the territory development. In addition, traditional odontology should be valued and integrated in any strategy the health system given the low level of current financial resources to the public health sector in Côte d’Ivoire

INTRODUÇÃO: É importante que programas de intervenção nutricional sejam avaliados. Estudo anterior mostrou que o Projeto Vivaleite, programa de distribuição de leite fortificado no Estado de São Paulo, é efetivo quando se comparam as médias dos escores z do indicador de peso para idade (P/I) de crianças ainda fora do programa com as crianças no programa, na faixa etária de 6 a 23 meses, independentemente de variáveis sociodemográficas. OBJETIVO: Estudar a associação entre fatores sociodemográficos e a proporção de crianças que deixam de ter baixo P/I, nas idades de 6 a 23 meses, durante sua participação, no período de janeiro/2003 a setembro/2008, em programa governamental de distribuição de leite fortificado. MÉTODOS: Estudo de coorte prospectiva com dados de 327 crianças residentes no interior do Estado de São Paulo que ingressaram, aos seis meses de idade, com baixo P/I (escore z P/I <-2) no Vivaleite. Foram selecionadas as seguintes variáveis: a) Resposta: baixo P/I, indicadora da situação de baixo P/I (escore z P/I < -2) apresentado pela criança durante as pesagens após a criança ingressar no programa (dicotômica, sim=0|não=1); b) Explanatórias: aleitamento materno (não recebe=0|recebe=1), condição conjugal da mãe (sem companheiro=0|com companheiro=1), idade materna (adolescente=0|não adolescente=1), peso ao nascer (contínua: 1400g a 4400g), sexo (masculino=0|feminino=1), situação de trabalho materno (não trabalha=0|trabalha=1), escolaridade materna (0-4 anos=1|5-8anos=2|9 anos ou mais=3), idade da criança na pesagem (contínua: 6 a 23 meses). Foram realizadas modelagens com regressão logística e regressão logística múltipla mista, esta última para ajuste de observações repetidas da mesma criança, usando a variável de identificação de cada criança. O processamento foi realizado com o pacote Stata 10.1. RESULTADOS: A categoria da variável que se associou positivamente ao ganho de peso das crianças foi não receber aleitamento materno (OR=0,20, p=0,001), ter um maior peso ao nascimento (OR=1,0011; p=0,022), além da maior idade da criança na pesagem (OR=1,20; p=0,001). As variáveis que não se associaram estatisticamente com o ganho de peso das crianças foram: condição conjugal da mãe (com companheiro: p=0,972), idade materna (não adolescente: p=0,935), sexo (feminino: p=0,805), situação de trabalho materno (trabalha: p=0,235) e escolaridade materna (5-8 anos: p=0,965; 9 anos ou mais: p=0,828). CONCLUSÃO: Os fatores associados positivamente à maior proporção de crianças que deixaram a condição de baixo P/I foram não receber aleitamento materno ao ingressar no programa e ter um maior peso ao nascimento, além da maior idade da criança na pesagem / BACKGROUND: It is important that nutritional intervention programs are evaluated. A previous study showed that the Project Vivaleite, a fortified milk distribution program in the State of São Paulo, is effective when comparing the means of weight-for- age z scores indicator of children aged 6 to 23 months out of the program with the children in the program, independently of sociodemographic variables. OBJECTIVES: To study the associations between sociodemographic factors and the proportion of children who no longer have low weight-for-age, in the ages of 6 to 23 months, while participating, in the period from September/2008 to January/2003, in the government program of fortified milk distribution. METHODS: Prospective cohort study with data from 327 children residents of the State of São Paulo who joined the Vivaleite at six months of age, with low weight-for-age (z score weightfor-age < -2). The following variables were selected: a) outcome variable: low weight-for-age, indicative of the situation of low weight-for-age presented by the child after joining the program (dichotomous, yes=0|no=1); b) independent variables: breastfeeding when entering the program (not receive=0|receive=1), mothers marital status (no partner=0|with partner=1), maternal age (teenager=0|no teenager=1), birth weight (continuous: 1400 to 4400 grams), gender (male=0|female=1), maternal job status (does not work=0|works=1), maternal education (0-4 years|5-8 years| 9 or more years), age of the child at each weighing occasion (continuous: 6 to 23 months). Logistic regression and mixed multiple logistic regression were done, the last in order to adjust for repeated observations of the same child, using the variable that identifies each one. Processing was carried out with software Stata 10.0. RESULTS: The category of the variable that was positively associated with the weight gain of the children was not receiving breastfeeding (OR=0,20, p=0,001), have a higher birth weight (OR=1,0011; p=0,022), and the higher age of the child at weighing (OR=1,20; p=0,001). The variables that were not statistically associated with weight gain were: mothers marital status (no partner: p=0,972), maternal age (no teenager: p=0,935), gender (female: p=0,805), maternal job status (works: p=0=235) and maternal education (5-8 years: p=0,965; 9 or more years: p=0,828). CONCLUSION: Factors positively associated with a greater proportion of children who have left the condition of low weight-for-age were not receiving breastfeeding when joining the program, having a higher birth weight and higher age of the child at weighing

Objetivo: Medir a prevalência de prováveis diagnósticos psiquiátricos durante a gravidez e os fatores sociodemográficos associados em mulheres gestantes atendidas na rede básica de saúde no sul do Brasil. Método: Estudo transversal, em uma amostra de 712 gestantes entre a 16ª e 36ª semana de gestação, realizado em 18 Unidades Básicas de Saúde em Porto Alegre e Bento Gonçalves. Foram aplicados questionário sociodemográfico e instrumento para Avaliação de Transtornos Mentais na Atenção Primária (PRIME-MD). Na análise dos dados, foi utilizada Regressão de Poisson com variância robusta para o estudo de associação e determinação das Razões de Prevalência bruta e ajustada. Resultados: A prevalência de provável transtorno mental ocorreu em 41,7% das gestantes. O diagnóstico mais prevalente foi o transtorno depressivo maior (21,6%), seguido pelo transtorno de ansiedade generalizada (19,8%), transtorno do pânico (9,3%), transtorno depressivo maior em remissão parcial (9,0%), distimia (8,4%), e bulimia nervosa (0,6%). Após realizar a análise multivariada, os seguintes fatores mantiveram significância: não trabalhar nem estudar RP 1,25 (IC 95% 1,04-1,51), não morar com o companheiro RP 1,24 (IC 95% 1,01-1,52), e ter dois ou mais filhos RP 1,21 (IC 95% 1,01 – 1,46). Conclusão: Evidenciou-se que as gestantes da amostra atendidas na atenção primária à saúde apresentaram alta prevalência de provável transtorno mental. Abordagens para diagnóstico e tratamento deverão ser implementadas no período do pré-natal. / Objective: Measure the prevalence of probable psychiatric diagnoses during pregnancy and sociodemographic factors associated in pregnant women in primary care in southern Brazil. Methods: Cross-sectional study in a sample of 712 pregnant women between 16 and 36 weeks of gestation, conducted in 18 Basic Health Units in Porto Alegre and Bento Gonçalves. The Primary Care Evaluation of Mental Disorders (PRIME-MD) and sociodemographic questionnaire was used for evaluating the probable psychiatric diagnoses. In the data analysis, Poisson regression was applied with robust variance for the association study and determination of crude and adjusted prevalence ratios. Results: The prevalence of probable mental disorder occurred in 41.7% of pregnant women. The most prevalent diagnosis was Major Depressive Disorder (21.6%), followed by Generalized Anxiety Disorder (19.8%), Panic Disorder (9.3%), Major Depressive Disorder in partial remission (9.0%), Dysthymia (8.4%) and Bulimia Nervosa (0.6%). After performing a multivariate analysis the following factors remained significant: neither working nor studying PR 1.25 (95% CI 1.04 to 1.51), not living with partner PR 1.24 (95% CI 1.01 to 1.52), and having two or more children PR 1.21 (95% CI 1.01 to 1.46). Conclusion: This study revealed that pregnant women in the sample treated in primary care had a high prevalence of probable mental disorder. Approaches to diagnosis and treatment should be implemented during the prenatal period.

Made available in DSpace on 2015-09-25T12:23:03Z (GMT). No. of bitstreams: 1 PDF - Regiane Fixina de Lucena.pdf: 1218045 bytes, checksum: 9a3484c38d010effe9807ecdcc3c6d4f (MD5) Previous issue date: 2013-03-22 / OBJECTIVE: To describe the feeding, maternal and sociodemographic characteristics of children under one year, met in primary care of Campina Grande-PB and check its impact on the nutritional status of the same. MÉDODO: A longitudinal study that followed a cohort of 202 children, starting from birth, registered in urban units of the Family Health in Campina Grande- PB, between October 2005 and June 2008. Information on the type and period of introduction of foods, weight indicators and length according to age, in addition to sociodemographic factors and maternal were collected in the Family Health units or at home, when necessary, and subsequently organized and analyzed in two semesters. Was used for classification of nutritional status, the Antro software and for statistical analysis, Epi Info 3.5.3. RESULTS: Only one child, from 202, introduced foods properly. Foods liquid, protein/dairy and vegetables were the most introduced in the first half, with percentages of 98.02 %, 91.58 % and 88.61 %, respectively. There were statistically significant relationships the following: maternal age and introduction of carbohydrates, maternal employment and family income and preparations food; the number of pregnancies and the experience with her husband related to the introduction of sugars. There was an increase in the frequency of nutritional disorders, between the first and second halves of life for anthropometric indicators weight/height and height/age, which are related to the introduction of carbohydrates and vegetables. CONCLUSIONS: The introduction has proved inadequate food and associated socioeconomic conditions limited, requiring rethinking effective interventions in primary care to health food education. / OBJETIVO: Descrever a alimentação, características maternas e sociodemográficas de crianças menores de um ano, atendidas na atenção primária de Campina Grande-PB e verificar as repercussões sobre o estado nutricional. MÉDODO: Estudo longitudinal que acompanhou uma coorte de nascimentos de 202 crianças, cadastradas nas unidades urbanas de Saúde da Família de Campina Grande-PB, entre outubro de 2005 e junho de 2008. As informações sobre o tipo e período de introdução dos alimentos, indicadores de peso e comprimento, segundo a idade, além dos fatores sociodemográficos e maternos foram coletados nas unidades Saúde da Família ou nas residências, sendo analisadas no primeiro e segundo semestres. Utilizou-se, para classificação do estado nutricional, o software Antro e, para a análise estatística, o Epi Info 3.5.3. RESULTADOS: Apenas uma criança, das 202, recebeu adequadamente os alimentos. Os alimentos líquidos, proteicos/lácteos e vegetais foram os mais introduzidos no primeiro semestre, com percentuais de 98,02%, 91,58% e 88,61%, respectivamente. Observou-se associação estatisticamente significante entre idade materna e introdução dos carboidratos, trabalho materno e uso de preparações; o consumo de açúcares associou-se à renda familiar, ao número de gestações e à convivência marital. Houve aumento na frequência de desvios nutricionais, entre o primeiro e segundo semestres de vida, para os indicadores antropométricos peso/estatura e estatura/idade, sendo estes relacionados à introdução dos carboidratos e vegetais. CONCLUSÕES: A introdução alimentar mostrou-se inadequada e associada a condições socioeconômicas limitadas, necessitando-se repensar intervenções efetivas da atenção primária de saúde para a educação alimentar.

Die vorliegende Arbeit beschäftigt sich mit zwei verschiedenen Therapieformen des Alkoholentzugs. Es geht um den Vergleich einer rein somatischen, sechs bis siebentätigen Kurzzeitentgiftung einerseits mit der ca. dreiwöchigen Qualifizierten Entgiftung andererseits. Im Verlauf der letzten Jahre belegten zahlreiche Untersuchungen die Überlegenheit der Qualifizierten Entgiftung (QE) gegenüber der Kurzzeitentgiftung (KE). Allerdings gab es bisher kaum Studien, die zeigen, welche Faktoren eine Teilnahme an der QE begünstigen. Ziel der vorliegenden Arbeit war es daher, patienten- und umweltbezogene Merkmale zu untersuchen, die mit der Qualifizierten Entgiftung assoziiert sind. Zu diesem Zweck erfolgte die retrospektive Auswertung der Krankenakten von 155 Patienten (KE: 99, QE: 56). Anhand eines selbsterstellten Auswertungsbogens wurden 55 Items erhoben. Davon gingen 47 in die Auswertung ein und wurden zunächst hinsichtlich ihres Einflusses auf die gewählte Therapieart untersucht. Anschließend wurden diese Items bezüglich geschlechts- und altersspezifischer Unterschiede beleuchtet. Nach Abschluss der univariaten Analyse erfolgte eine multivariate Analyse, um den unabhängigen Einfluss der Variablen zu prüfen. Da die Untersuchung als retrospektive Aktenauswertung erfolgte, sind die Ergebnisse vorsichtig zu interpretieren. Dennoch konnten zahlreiche Erkenntnisse gewonnen werden, die einen differenzierteren Umgang mit den Patienten ermöglichen und langfristig genutzt werden können, um mehr Patienten in die Qualifizierte Entgiftung zu integrieren. Angesichts der Tatsache, dass es bisher kaum Veröffentlichungen gibt, die zeigen, welche Faktoren eine Teilnahme an der QE begünstigen, liefert die vorliegende Arbeit wichtige neue Erkenntnisse, die gegebenenfalls in prospektiven Studien näher untersucht werden sollten. Unsere Daten zeigen deutlich, dass die Teilnehmer der QE häufiger männlich waren, meist geplant zur Aufnahme kamen, besser sozial integriert und häufig fremdmotiviert waren sowie eine größerer Eigenmotivation aufwiesen. Außerdem zeigten sie weniger Alkoholfolgesyndrome und befanden sich zum Zeitpunkt der Aufnahme in einem besseren Gesundheitszustand. Desweiteren fiel auf, dass Frauen nur sehr selten geplant an einer Qualifizierten Entgiftung teilnahmen, sondern meist nur eine Kurzzeitentgiftung im Rahmen akuter alkoholbedingter Komplikationen oder psychiatrischer Begleiterkrankungen absolvierten. Zusammenfassend lässt sich sagen, dass es nur selten gelang, notfallmäßig aufgenommene Patienten, v.a. Frauen, zur QE zu motivieren. Dies könnte u.a. daran liegen, dass eine sechs- bis siebentägige Entgiftung nicht genügt, um eine ausreichende Rückbildung kognitiver Defizite zu erreichen und eine Motivation zur QE herbeizuführen. Außerdem ist es speziell für Frauen schwierig, sich aufgrund ihres Rollenverständnisses und ihrer Biografie in gemischtgeschlechtlichen Gruppen mit der Alkoholabhängigkeit auseinanderzusetzen. Für die Zukunft wäre es daher wünschenswert, den zeitlichen Rahmen für die Entgiftung zu erweitern und mehr Therapien anzubieten, die speziell auf die Bedürfnisse alkoholabhängiger Frauen ausgerichtet sind. In unserer Klinik waren die Ergebnisse der vorliegenden Studie Anlass, den Anteil der weiblichen Therapeuten in der Qualifizierten Entgiftung zu erhöhen. Wir hoffen, dadurch mehr Frauen für die Teilnahme an der QE zu motivieren und traumatische Biografien in einem geschützten Rahmen aufzuarbeiten. Inwieweit dies langfristig zu einer verstärkten Teilnahme weiblicher Alkoholabhängiger an der QE führt, sollte in weiterführenden Studien geprüft werden. Außerdem sollte versucht werden, das soziale Netz der Patienten und insbesondere die niedergelassenen Haus- und Fachärzte noch stärker in das Suchthilfesystem einzubinden, um eine Qualifizierte Entgiftung langfristig und effektiv vorbereiten zu können. Insgesamt bleibt festzuhalten, dass eine Qualifizierte Entgiftung möglichst frühzeitig erfolgen sollte. Sind bereits Alkoholfolgeschäden, kognitive Defizite und soziale Isolation eingetreten, fällt es zunehmend schwerer Patienten in eine QE zu integrieren. / This study deals with two different forms of alcohol detoxification therapy. A “simple” somatic detoxification program (KE), lasting six to seven days, was compared with a qualified detoxification program (QE) having a duration of approximately 3 weeks. In recent years research has shown that qualified detoxification programs are more effective than simple somatic detoxification. However, so far there have been few publications showing which factors cause patients to take part in QE. Consequently, the aim of our study was to examine patient-related and environmental factors that are associated with the assignment to qualified detoxification. We completed a retrospective analysis of 155 patients´ charts (KE: 99, QE: 56). With the help of a self-made questionnaire, 55 items were evaluated, of which 47 were included into statistical analysis. First, their influence on the type of chosen therapy was examined. Then the same items were tested on gender-specific and age-related differences. After finishing the univariate analysis a multivariate analysis was completed to investigate the independent influence of the variables. This study was designed as a retrospective data analysis, and the results should be interpreted critically. Nevertheless useful information could be gained, that allows dealing with the patients in a more differentiated way. This knowledge can be used to increase the number of patients taking part in qualified detoxification. Considering the fact that so far there have been very few publications, examining which factors support assignment to QE, our study provides important new data which should be further examined in prospective studies. Our data clearly shows that participants of qualified detoxification were mostly male and that their admission to hospital was planned in advance. Moreover, they had a good social network, better motivation for therapy, and were motivated more often to take part in therapy by their social network. They showed less negative consequences as a result of drinking and were in a better state of health at the time of admission. Another remarkable aspect was that women hardly ever took part in a planned QE. Mostly they only did a KE during treatment for acute alcohol-related complications or psychiatric comorbidities. Patients who had been admitted to the hospital as an emergency, especially women, rarely could be motivated to take part in QE. One reason might be that the time frame of 6 to 7 days for somatic detoxification might not be long enough to allow patients to recover from cognitive deficits and to motivate them to take part in QE. Another issue is that, due to their social role and personal history, dealing with their addiction is difficult for women, especially in mixed-gender groups. For the future it would be desirable to extend the time frame for somatic detoxification and to offer more programs that specifically deal with problems of female alcoholics. In our clinic, the results of this study caused us to increase the number of female therapists in our qualified detoxification program. This way we hope to motivate more women to take part in QE and to be able to deal with their personal problems in a protected atmosphere. Whether this will increase participation of female alcoholics in QE should be further examined by future studies. The social network of the patient, general practitioners, and outpatient specialists should be better integrated into treatment programs to successfully prepare patients for participation in QE programs. We believe that patients should take part in qualified detoxification programs early in the course of their disease. Once adverse effects of alcohol abuse, cognitive deficits, and social isolation have occurred, it becomes increasingly difficult to integrate patients into QE.