Intervención breve en accidentados con alcoholemia positiva desde un centro de traumatología
DOI:
https://doi.org/10.20882/adicciones.551Keywords:
traffic casualties, trauma centre, training, alcoholscreening, brief interventionAbstract
Objectives: Main research objective is to verify the effectiveness of brief intervention to reduce alcohol consumption in non-dependent adults injured in a traffic crash, presenting at the emergency department with a positive saliva alcohol test. The aim of the pilot study is to verify the feasibility of the project (staff training, screening and intervention at a trauma centre) and to roughly estimate the prevalence and profile of alcohol-attributable traffic casualties. Method: Training programme and support material are delivered. Saliva alcohol screening is performed by nurses in patients attending the emergency department because of a traffic crash. Positive patients are offered brief intervention. Staff’s opinion on training, esteemed self-efficacy and feasibility of the whole procedure (screening and intervention) is collected by opinion surveys. Prevalence and profile of patients with positive saliva is drawn up by comparative analysis of selected variables. Results: Trained staff considers (80%) training useful and matching objectives. Nurses consider that, despite the nonvalid results in case of mouth dryness, the saliva test is easy (89%), doesn’t pose major problems (55%), and is well accepted by the patient (53%). Trained staff have felt comfortable and self-effective (67%) in delivering the intervention. 261 out of 264 patients accepted screening and 28 (11%) had a positive result. Only 2 patients refused intervention, which was performed on 16. Patients with a positive test present more frequently in the weekends (p: 0.005) and are more hospitalised (p: 0.05) than those with a negative test. Conclusion: The programme is well designed, feasible and accepted by the patient. Main study will use urine alcohol test on patients with dry mouth, and will reinforce screening in the weekends and in sever injured patients.References
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