Family of users of psychoactive substances in search of care

Lúcia Margarete dos Reis, Cleiton José Santana, Érica Gomes de Almeida, Cremilde Aparecida Trindade Radovanovic, Magda Lúcia Félix de Oliveira

Abstract


Objective: to describe the experiences of family members of psychoactive substance users in search of care in the psychosocial care network. Method: this is a quantitative, exploratory, and cross-sectional study, with 29 family members of users of psychoactive substances hospitalized with physical trauma, reported to an information and toxicological assistance center, using a semi-structured script and home interviews. Data were compiled in an electronic spreadsheet using Microsoft Office Excel 10.0 software and analyzed using simple descriptive statistics. Results: it is revealed that family members lived, on average, for 20.8 years with domestic addictive behavior, especially the use of alcohol, in a scenario of short periods of relapse and abstinence and high intrafamily and social violence. There was high access to emergency hospital services and low access and link to primary care and community-based services. After hospitalization due to trauma, 15 family members (51.7%) reported a decrease in addictive behavior, on average, for 30 days. Conclusion: it is concluded that the opportunity to stop the cycle of addiction and continuity of care, focusing on psychosocial care and family arrangement, did not happen in the investigated families. Descriptors: Health Services; Social Support; Health Services Accessibility; Substance-Related Disorders; Public Health Nursing; Family Health. 

Resumo

Objetivo: descrever as vivências de familiares de usuários de substâncias psicoativas em busca de cuidado na rede de atenção psicossocial. Método: trata-se de um estudo quantitativo, exploratório e transversal, com 29 familiares de usuários de substâncias psicoativas internados com trauma físico, notificados em um centro de informação e assistência toxicológica, utilizando um roteiro semiestruturado e entrevistas domiciliares. Compilaram-se os dados em planilha eletrônica no software Microsoft Office Excel 10.0 e os analisando pela estatística descritiva simples. Resultados: revela-se que os familiares conviviam, em média, há 20,8 anos com comportamento aditivo intrafamiliar, principalmente o uso de bebida alcoólica, em um contexto de períodos curtos de recaídas e abstinência e elevada violência intrafamiliar e social. Observaram-se acesso elevado a serviços hospitalares de urgência e baixo acesso e vínculo a serviços de atenção primária e de base comunitária. Relatou-se, após a internação hospitalar por trauma, por 15 familiares (51,7%), diminuição do comportamento aditivo, em média, por 30 dias. Conclusão: conclui-se que a oportunidade de quebra do ciclo de dependência e continuidade do cuidado, com foco na atenção psicossocial e na unidade familiar, não aconteceu nas famílias investigadas. Descritores: Serviços de Saúde; Apoio Social; Acesso aos Serviços de Saúde; Transtornos Relacionados ao Uso de Substâncias; Enfermagem em Saúde Pública; Saúde da Família.  

Resumen

Objetivo: describir las experiencias de los familiares de los usuarios de sustancias psicoactivas en busca de atención en la red de atención psicosocial. Método: se trata de un estudio cuantitativo, exploratorio y transversal, con 29 familiares de usuarios de sustancias psicoactivas hospitalizados con trauma físico, notificados en un centro de información y asistencia toxicológica, utilizando un guion semiestructurado y entrevistas domiciliadas. Los datos se compilaron en una hoja de trabajo en el software Microsoft Office Excel 10.0 y se analizaron mediante estadísticas descriptivas simples. Resultados: se revela que los familiares convivieron, en promedio, durante 20,8 años con comportamientos intrafamiliares adictivos, principalmente el uso de bebidas alcohólicas, en un contexto de cortos períodos de recaída y abstinencia y alta violencia intrafamiliar y social. Se observó un alto acceso a los servicios hospitalarios de urgencia y bajo acceso y vínculo a servicios de atención primaria y comunitaria. Después de la hospitalización por trauma, 15 familiares (51,7%) reportaron disminución del comportamiento aditivo, en promedio, durante 30 días. Conclusión: se concluye que la oportunidad de romper el ciclo de dependencia y continuidad del cuidado, centrándose en la atención psicosocial y en la unidad familiar, no ocurrió en las familias investigadas. Descriptores: Servicios de Salud; Apoyo Social; Accesibilidad a los Servicios de Salud; Trastornos Relacionados con Sustancias; Enfermería en Salud Pública; Salud de la Familia


Keywords


Serviços de saúde; Apoio social; Acesso aos serviços de saúde; Transtornos relacionados ao uso de substâncias; Enfermagem em Saúde Pública; Saúde da Família

References


Csete J, Kamarulzaman A, Kazatchkine M, Altice F, Balicki M, Buxton J, et al. Public health and international drug policy. Lancet. 2016 Mar; 387(10026):1427-80. DOI: 10.1016/S0140-6736(16)00619-X

Siniak DS, Pinho LB. Emotional support received by families state of the crack users. J Nurs UFPE on line. 2015 Apr; 9(Suppl 3):7656-63. DOI: 10.5205/1981-8963-v9i3a10505p7656-7663-2015

Costa PHA, Medeiros AX, Loures BP, Silva WMD, Ronzani TM, Colugnati FAB. Survey of the care network for drug users: an exploratory study. Estud Psicol. 2017 June; 22(2):160-71. DOI: 10.22491/1678-4669.20170017

Vieira FS, Minelli M, Corradi-Webster CM. Drug use among psychiatric diagnosed persons: possible pathways in a psychosocial network. Physis. 2017 Oct/Dec; 27(4):1243-63. DOI: 10.1590/S0103-73312017000400020

Moreira MIB, Onocko-Campos RT. Mental health care actions in the psychosocial care network viewed by users. Saúde Soc. 2017 Apr/June; 26(2):462-74. DOI: 10.1590/S0104-12902017171154

Costa PHA, Ronzani TM, Colugnati FAB. “On paper it is nice, but in practice…” Analyzing the care network for drug users in policies and normative instruments of the área. Saúde Soc. 2017 July/Sept; 26(3):738-50. DOI: 10.1590/s0104-12902017170188

Siqueira DF, Backes DS, Moreschi C, Terra MG, Soccol kls, Souto VT. Social reintegration of crack addicts: actions taken by the family. Texto contexto-enferm. 2015 Apr/June; 24(2):548-53. DOI: 10.1590/0104-07072015001332014

Ribeiro JP, Gomes GC, Bonow FC, Mota MS, Santos EO, Eslabão AD. Analysis of the components of the Psychosocial Care Network in the care of the adolescent crack user. Evidentia [Internet]. 2019 [cited 2020 Apr 10]; 16. Available from: http://ciberindex.com/c/ev/e12362

Sanches JFA, Almeida KPB, Magalhães JM. The meaning of users of alcohol and other drugs on relapses. R Interd [Internet]. 2015 May/June [cited 2020 Apr 10]; 8(2):53-9. Available from: https://revistainterdisciplinar.uninovafapi.edu.br/index.php/revinter/article/view/503/pdf_211

Rigotti D, Garcia APRF, Silva NG, Mitsunaga TM, Toledo VP. Drug users hosting in a Basic Health Unit. Rev Rene. 2016 May/June;17(3):346-55. DOI: 10.15253/2175-6783.2016000300007

Alvarez SQ, Gomes GC, Xavier DM. Causes of addiction and its consequences for the user and the family. J Nurs UFPE on line. 2014 Mar; 8(3):641-8. DOI: 10.5205/1981-8963-v8i3a9720p641-648-2014

Lima AIO, Dimenstein M. Consumption of Alcohol and Other Drugs in Primary Care. Cad Bras Saúde Mental [Internet]. 2018 Mar [cited 2020 Apr 10]; 10(26):46-65. Available from: https://periodicos.ufsc.br/index.php/cbsm/article/view/69044

Santana CJ, Silvino MCS, Rosa NM, Almeida EG, Reis LM, Oliveira MLF. Potentiality of a sentinel event for epidemiological surveillance of drug abuse. J Nurs UFPE on line. 2014 Dec; 8(12):4337-44. DOI: 10.5205/1981-8963-v8i12a10181p4337-4344-2014

Cavalcante LP, Falcão RST, Lima HP, Marinho AM, Macedo JQ, Braga VAB. Social support net for chemically dependents: ecomap as instrumental in health assistance. Rev Rene [Internet]. 2012 [cited 2020 Apr 10];13(2):321-31. Available from: http://periodicos.ufc.br/rene/article/view/3920/3112

Sakiyama HM, Padin MFR, Canfield M, Laranjeira R, Mitsuhiro SS. Family members affected by a relative's substance misuse looking for social support: who are they? Drug Alcohol Depend. 2015 Feb; 1(147):276-9. DOI: 10.1016/j.drugalcdep.2014.11.030

Mussi FC, Portela PP, Barretto LES, Gama GGG, Mendes AS, Macêdo TTS. Alcohol consumption and smoking among hypetensive men. Rev Baiana Enferm. 2018 Jan; 32:e20383. DOI: 10.18471/rbe.v32i1.20383

Kuntsche E, Kuntsche S, Thrul J, Gmel G. Binge drinking: Health impact, prevalence, correlates and interventions. Psychol Health. 2017 May; 32(8]:976-1017. DOI: 10.1080/08870446.2017.1325889

Capaldi DM, Kerr DCR, Tiberio SS. Intergenerational Transmission of Risk for Behavioral Problems Including Substance Use. Clin Psychol [internet]. 2017 Mar [cited 2019 Aug 10]. DOI: 10.1093/acrefore/9780190236557.013.42

John WS, Zhu H, Mannelli P, Schwatz RP, Sbramaniam GA, Wu LT. Prevalence, patterns, and correlates of multiple substance use disorders among adult primary care patients. Drug Alcohol Depend. 2018 June; 187(1):79-87. DOI: 10.1016/j.drugalcdep.2018.01.035

Campos RTO, Ferrer AL, Gama CAP, Campos GWS, Trapé TL, Dantas DV. Assesment of quality of access in primary care in a large Brazilian city in the perspective of users. Saúde Debate. 2014 Oct; 38(Spe):252-64. DOI: 10.5935/0103-1104.2014S019

Hirdes A, Marcon G, Branchi RN, Vivian AG. Prevention of alcohol and other drugs use and treatment in primary health care in a southern Brazilian city. Aletheia [Internet]. 2015 Jan/Apr [cited 2020 Apr 10];46:74-89. Available from: http://pepsic.bvsalud.org/pdf/aletheia/n46/n46a07.pdf

Siqueira DF, Terra MG, Soccol KLS, Canabarro JL, Moreschi C. Reasons attributed by users seeking treatment in a psychosocial care center alcohol and drugs. REME Rev Min Enferm. 2018 Feb; 22:e-1082. DOI: 10.5935/1415-2762.20180012

Macedo JP, Abreu MM, Dimenstein M. Regionalization of psychosocial care of alcohol and other drug addiction in Brazil. Tempus, Actas Saúde Colet. 2018 Mar; 11(3):144-62. DOI: 10.18569/tempus.v11i3.2432

Silveira EAA, Oliveira PP, Correio PM, Sanros WJ, Rodrigues AB. The care for chemically dependent: with words from health professional of centers of psychosocial on alcohol and drugs. J Res Fundam Care Online. 2016 Apr/June; 8(2):4347-64. DOI: 10.9789/2175-5361.2016.v8i2.4347-4364




DOI: https://doi.org/10.5205/1981-8963.2020.244356



Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

 

INDEXADORES E BASES BIBLIOGRÁFICAS:

doajPeriódicoscapes

bvs elsevier nlm diadorim periodicaabec

 

cinahl citefactor cuidenplusb socolar ulrichs sumarios