Ambulatory follow-up to the alcoholic patients

Authors

  • Adalberto Montanet Avendaño Hospital Psiquiatrico Provincial Dr "Isidro de Armas Rodriguez". Pinar del Río.
  • Carmen María Bravo Cruz Hospital General “Abel Santamaría Cuadrado” Pinar del Río.
  • Marta Maria Diaz Valdes Hospital Psiquiatrico Provincial Dr. "Isidro de Armas Rodriguez". Pinar del Río.
  • Marlen Pérez Calzada Hospital General “Abel Santamaría Cuadrado” Pinar del Río.

Keywords:

Alcoholism/therapy, Therapeutics.

Abstract

Introduction: the management of alcoholic patients constitutes a challenge concerning their necessary willingness to be helped, which is an indispensable attitude to achieve the objectives.
Objective: to determine the characteristics of the alcohol use disorder in patients attending to the provincial office for addiction of the Community Mental Health Center belonging to Pedro Borrás Astorga health area in Pinar del Río.
Material and Method: a descriptive study was conducted with a sample of 250 alcoholic patients who were treated in the provincial office for addictions of the Community Mental Health Center belonging to Pedro Borrás Astorga university polyclinic in Pinar del Río during the last 5 years (2009-2013). An individual characterization of the patient according to clinical history, along with an interview for the patient and family was carried out.
Results: male sex prevailed (52.8%), out of them 18% were single and 29.2% divorced, during alcohol intake, the greatest group with 38.4% was included between 5 to 10 years. The syndrome of alcohol abuse or dependence appeared in 56.7% of the patients, whereas 66.4% suffered from a harmful intake with relapses. The treatment included Metronidazole (38.5%) ambulatory way, Disulfiram (46.4%) and Acamprosate in hospital due to the lack of availability.
Conclusions: male sex prevailed, ages between 31-50 years old, length of treatment and abstinence in the group from 7 months to 5 years stood up. Individual psychotherapy associated with Disulfiram, Metronidazole and Acamprosate was the most notable therapeutic; showing that to address patients' alcohol problems and to get rid of alcohol intake a combined therapy is required.

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Author Biographies

Adalberto Montanet Avendaño, Hospital Psiquiatrico Provincial Dr "Isidro de Armas Rodriguez". Pinar del Río.

Especialista de Primer Grado en Psiquiatría. Máster en Longevidad Satisfactoria. Profesor Auxiliar.

Carmen María Bravo Cruz, Hospital General “Abel Santamaría Cuadrado” Pinar del Río.

Especialista de Primer Grado en Psiquiatría. Máster en Longevidad Satisfactoria.

Marlen Pérez Calzada, Hospital General “Abel Santamaría Cuadrado” Pinar del Río.

Especialista de Primer Grado en Psiquiatría. Instructor.

References

1. Fabelo Roche JR, Iglesias Moré S, Bachir Orozco S , Ramirez Muñoz A, Montejo. JA. Percepción de apoyo social por pacientes con enfermedad alcohólica en fase de recuperación. Rev. Hosp. Psiquiátrico de la Habana [internet].2012 [Citado 2014 Feb 8]; 9 (1): [Aprox 2p]. Disponible en:http://www.revistahph.sld.cu/rev1-2012/hph07112.html

2. World Health Organization (WHO). Global status report on alcohol and health [internet]. 2011 [citado 8 de marzo de 2011] Disponible en:http//www.who.int/substanceabuse/ publications/global_alcohol_report/msbgsruprofiles.pdf

3. Chang de la R M. El consumo de alcohol como un problema de salud pública. Rev Cubana Hig Epidemiol [Internet]. 2012 [Citado 2014 Feb 8]; 50(3):[Aprox. 2p]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-30032012000300017&lng=es

4. González Menéndez R. Los valores morales. Rev. Cubana Salud Pública [Internet]. 2005 [Citado 2014 Feb 8]; 31(4): [Aprox. 2p]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-34662005000400001&lng=es

5. Hernández Pérez J, González Menéndez R, Chávez Gálvez Z, González Jorge E. Tácticas de afrontamiento, patrones de consumo y funcionamiento familiar de los pacientes alcohólicos. Rev. Hosp. Psiquiátrico de la Habana [Internet]. 2011 [Citado 2014 Feb 8]; 8 (1): [Aprox.4p]. Disponible en: http://www.revistahph.sld.cu/hph0111 /hph09111.html

5. Otero Ojeda AA et al: Diagnostico y clasificación de los Trastornos Mentales. Tercer Glosario Cubano de Psiquiatría. Hospital Psiquiátrico de la Habana. Ciudad de la Habana: MINSAP. 2001,p.91-109.

6. Sierra Pérez MC. Estudio Epidemiológico del Alcoholismo en la Ciudad de Pinar del Río. Rev. Hosp. Psiquiátrico de la Habana. Enero Junio. 1994; XXXV (1) : 43-49 .

7. García Penedo H,Verdecia Machado M R, Hernández Pérez A . Estrategias de sostén de la abstinencia de alcohol en un grupo de dependientes rehabilitados. Rev. Hosp. Psiquiátrico de la Habana [Internet]. 2011 [Citado 2014 Feb 8]; 8 (1):[Aprox 4 p]. Disponible en: http://www.revistahph.sld.cu/hph0111/hph05111.html

8. Monteiro MG: Alcohol y salud publica en América Latina ¿Cómo impedir un desastre sanitario? Adicciones. 2013; 25 (2): 99-105.

9. Romero Hung MK ,Viera Bravo AW , Hernández Roca C V, González Menéndez R, Sarracent SarracentA, Rodríiguez Jorge R et al. Caracterización sociodemográfica y de factores influyentes en alcohólicos y cocainómanos. Rev. Hosp. Psiquiátrico de la Habana [Internet]. 2011 [Citado 2014 Feb 8]; 8(2): [Aprox.2p]. Disponible en:http://www.revistahph.sld.cu/hph0211/hph07211.html

10. Swift Robert, M: Tratamiento farmacológicos del Alcoholismo. The New England Journal of Medicine. Mayo 340 (9), 1999.

11. Gárciga Ortega O, Alburquerque Fernández F. Las conductas adictivas: análisis crítico y propuestas para su prevención. Rev. Hosp. Psiquiátrico de la Habana[Internet]. 2012 [Citado 2014 Feb 8]; 9(2): [aprox. 4p]. Disponible en : http://www.revistahph.sld.cu/Revista%202-2012/hphrev3-2-12.html

12. Betancourt Pulsan A, Izquierdo Hernández C, Barbeito Guardado AI. Prevención de alcoholismo en jóvenes guantanameros. experiencia en la comunidad de san justo. Memorias Convención Internacional de Salud Pública. Cuba Salud 2012. La Habana 3-7 de diciembre [Internet]. 2012 [Citado 2014 Feb 8].Disponible en: http://www.convencionsalud2012.sld.cu/index.php/convencionsalud/2012/paper/viewFile/2271/772

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Published

2015-04-28

How to Cite

1.
Montanet Avendaño A, Bravo Cruz CM, Diaz Valdes MM, Pérez Calzada M. Ambulatory follow-up to the alcoholic patients. Rev Ciencias Médicas [Internet]. 2015 Apr. 28 [cited 2025 Aug. 29];19(2):244-52. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/2137

Issue

Vol. 19 No. 2 (2015)

Section

ORIGINAL ARTICLES

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