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Previous issue date: 1999 / O objetivo geral deste trabalho foi tracar o perfil de alcoolistas em dois diferentes tipos de tratamentos ambulatoriais, diferenciando a motivacao/estagios de mudanca entre pacientes com disturbios gastricos que procuraram atendimento clinico em hospital geral, de alcoolistas que procuraram atendimento especializado para dependencia do alcool. A amostra inicial contou com 45 pacientes do ambulatorio de gastroenterologia e 60 pacientes do ambulatorio especializado no tratamento de alcoolismo. O instrumento utilizado foi uma entrevista que continha: dados demograficos; Short Form Health Survey (SF-36); Alcohol Dependence Data Questionnaire (SADD); Fagerstrom Testfor Nicotine Dependence (FTND); Padrao de consumo de alcool e drogas; University of Rhode Island Change Assessment Scale (URICA); The Stages Readiness and Treatment Eagerness Scale (SOCRATES); The Drinker Inventory of Consequences (Drlnc) e analise laboratorial de TGO, TGP e GGT. Nao foram encontrados resultados estatisticos significantes que demonstrassem diferencas nas duas amostras em dependencia de nicotina, qualidade de vida, analise de testes laboratoriais e consumo de drogas. O padrao de consumo alcoolico foi maior em quantidade e frequencia nos pacientes do ambulatorio especializado quando comparado com o padrao de consumo encontrado na gastroenterologia, porem os ultimos apresentaram historia de consumo mais longa. Em qualidade de vida as duas populacoes apresentaram padrao semelhante, diferindo apenas no aspecto de Saúde mental (p= OO75), que pode estar relacionado ao fato dos pacientes do ambulatorio especializado sofrerem mais as consequencias e enfrentarem mais problemas decorrentes do consumo alcoolico (Drlnc P=O,OOO 1). Nos resultados da URICA e SOCRATES ambos grupos mostraram semelhancas nos estagios de contemplacao (p=O,O7), pre - contemplacao (p=O,O6) e acao (p=O,51). Nas diferencas foi percebida uma certa limitacao na postura de relacionar a doenca hepatica com a doenca alcoolica por parte dos pacientes da gastroenterologia, devido aos baixos escores de reconhecimento da doenca (p=O,OOO2), manutencao (p=O,Ol) e ambivalencia (p= O,OOO) / The general objective of this work was to trace patients' profiles in two different types of
treatment service, and to compare the stages of change and levels of motivation in alcoholics with
gastric diseases who sought clinical treatment in a general hospital outpatient clinic and
alcoholics who sought specialized treatment for alcohol dependence. The initial sample had 45
patient from the gastroenterology clinic and 60 patient of the alcoholism program.
The interview schedule consisted of the following: A demographic section; Short Form
Health Survey (SF-36); Alcohol Dependence Dates Questionnaire (SADD); Fagerström Test for
Nicotine Dependence (FTND); Pattern of consumption of alcohol and drugs; University of Rhode
Island Change Assessment Scale (URICA); The Stages Readiness and Treatment Eagerness Scale
(SÓCRATES); The Drinker Inventory of Consequences (DrInc) and biological markers: TGO,
TGP and GGT.
No statistically significant differences were found between the samples in relation to
nicotine dependence, quality of life life, biological markers of heavy alcohol consumption and
pattern of drug use.
The pattern of alcohol consumption was higher in terms of both quantity and frequency in
the patients from the specialized alcoholism treatment program when compared patients from the
gastroenterology service, although the latter presented with a longer history of alcohol
consumption.
In terms of quality of life the two populations presented similar patterns, only differing in
the item relating to mental health (p = ,0075), which may be due to the fact that patients from the
specialized program had suffered more alcohol related consequences and faced more current
problems due to their alcohol consumption (DrInc p=0,0001).
In both groups the results of the URICA and SÓCRATES scales were similar in terms of
contemplation (p=0,07), pre-contemplation (p=0,06) and action (p=0,51). Patients in the
gastroenterology clinic did not seem to attribute their hepatic disease with their alcohol
dependence, results that can in part be explained by their lower scores of recognition of disease
(p=0,0002), maintenance (p=0,01) and ambivalence (p=0,000). / BV UNIFESP: Teses e dissertações
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.unifesp.br:11600/16527 |
| Date | January 1999 |
| Creators | Figlie, Neliana Buzi [UNIFESP] |
| Contributors | Universidade Federal de São Paulo (UNIFESP), Laranjeira, Ronaldo [UNIFESP] |
| Publisher | Universidade Federal de São Paulo (UNIFESP) |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | 88 p. |
| Source | reponame:Repositório Institucional da UNIFESP, instname:Universidade Federal de São Paulo, instacron:UNIFESP |
| Rights | info:eu-repo/semantics/openAccess |
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