Nursing care in alcohol withdrawal syndrome

care flowchart

Authors

  • Isabella Fernanda da Silva Universidade de São Paulo - USP, Escola de Enfermagem - EE, São Paulo SP , Brasil, Universidade de São Paulo - USP, Escola de Enfermagem - EE. São Paulo, SP - Brasil. Prefeitura Municipal de São Paulo, CAPSad III Vila Leopoldina. São Paulo, SP - Brasil. http://orcid.org/0000-0001-6532-6616
  • Gabriella de Andrade Boska USP, EE, São Paulo SP , Brasil, USP, EE. São Paulo, SP - Brasil. Universidade de Lisboa, Escola Superior de Enfermagem. Lisboa - Portugal. http://orcid.org/0000-0002-5827-6486
  • Márcia Aparecida Ferreira de Oliveira USP, EE, São Paulo SP , Brasil, USP, EE. São Paulo, SP - Brasil. Universidade Federal de Santa Maria - UFSM, Centro de Ciências da Saúde. Santa Maria, RS - Brasil. http://orcid.org/0000-0002-1069-8700
  • Heloísa Garcia Claro Universidade Estadual de Campinas - UNICAMP, Faculdade de Enfermagem, Campinas SP , Brasil, Universidade Estadual de Campinas - UNICAMP, Faculdade de Enfermagem. Campinas, SP - Brasil. http://orcid.org/0000-0003-1504-7074
  • Renato de Angelo Araújo Universidade de São Paulo - USP, Escola de Enfermagem - EE, São Paulo SP , Brasil, Universidade de São Paulo - USP, Escola de Enfermagem - EE. São Paulo, SP - Brasil. Prefeitura Municipal de São Paulo, CAPSad III Vila Leopoldina. São Paulo, SP - Brasil. http://orcid.org/0000-0003-1454-8408
  • Maria Regina Camargo Ferraz Souza USP, EE, São Paulo SP , Brasil, USP, EE. São Paulo, SP - Brasil. Prefeitura Municipal de Boituva, Divisão de Saúde. Boituva, SP - Brasil. Prefeitura Municipal de Araçoiaba da Serra, Secretaria da Saúde. Araçoiaba da Serra, SP - Brasil. http://orcid.org/0000-0002-7197-1846

DOI:

https://doi.org/10.5935/1415.2762.20210032

Keywords:

Alcohol Abstinence, Nursing Care, Nursing, Protocols, Substance-Related Disorders, Alcohol-Related Disorders

Abstract

Objective: to review the literature and, through the synthesis of evidence, elaborate a flowchart of
Nursing care in the alcohol withdrawal syndrome (AWS). Method: the first steps of elaboration of
a clinical Nursing protocol were carried out. In step “a” the objective of the protocol was defined;
in step “b” a search of the scientific literature was carried out to gather evidence; and in step “c”,
based on the evidence, a flowchart of Nursing care in the AWS was elaborated. Data collection
took place in January 2019 in the following databases: Virtual Health Library, PubMed, CINAHL,
PSYINFO and MEDLINE. The results were presented in tables and figures. Results: eight studies
were included in the review. The evidence supported the elaboration of the Nursing care flowchart
in the AWS systematized in the following phases: reception and approach to alcohol users with
manifestation of AWS signs and symptoms; Tracking; interventions; and forwarding. Conclusion:
with the synthesis of evidence, it was possible to develop a flowchart of Nursing care in the SAA,
which can contribute to the improvement of health responses to this problem, as well as being
sufficient to follow up on the steps of validation of a clinical protocol.

Downloads

Download data is not yet available.

References

Organização Mundial da Saúde. Global status report on alcohol and health 2018. Geneva: OMS; 2018.

Ministério da Saúde (BR). Coordenação Nacional de DST e Aids. A Política do Ministério da Saúde para a Atenção Integral a Usuários de Álcool e Ou-tras Drogas. Brasília; 2003.

Organização Mundial da Saúde. Relatório sobre saúde no mundo 2001 - Saúde mental: nova concepção, nova esperança. Genebra: OMS; 2001.

Bastos FIPM, Vasconcellos MTL, De Boni RB, Reis NB, Coutinho CFS. III Levantamento Nacional sobre o uso de drogas pela população brasileira. Rio de Janeiro: ICICT/Fiocruz; 2017. Disponível em: https://www.arca.fiocruz.br/bitstream/icict/34614/1/III%20LNUD_PORTUGU%c3%8aS.pdf

Organização Mundial da Saúde. Marco de Parceria das Nações Unidas para o Desenvolvimento Sustentável 2017-2021: relatório de progresso 2018 . Genebra: OMS; 2018.

Mafra AZ, Martins P. Protocolos de atenção à saúde: síndrome de abstinência alcoólica. Belo Horizonte: Fhemig; 2014.

Oliveira H, Ribeiro VF. Diretrizes Clínicas Protocolos Clínicos - Síndrome de Abstinência Alcoólica. Belo Horizonte: Fhemig; 2013.

Pribék IK, Kovács I, Kádár BK, Kovács CS, Richman MJ, Janka Z, Andó B, Lázár BA. Evaluation of the course and treatment of Alcohol Withdrawal Syndrome with the Clinical Institute Withdrawal Assessment for Alcohol - Revised: A systematic review-based meta-analysis, Drug and Alcohol Dependence. Drug Alcohol Depend. 2021[citado em 2021 abr. 21];220. Disponível em: https://doi.org/10.1016/j.drugalcdep.2021.108536

Vilaça CO, Freitas MRG, Nascimento OJM, Orsini M, Leite MAA. Seizures related to alcoholism: update. RevBrasNeurol. 2016[citado em 2020 out. 20];51(2):31-6. Disponível em: https://revistas.ufrj.br/index.php/rbn/article/view/3094

Van Dam MJ, Van Meijel B, Postma A, Oudman E. Health problems and care needs in patients with Korsakoff 's syndrome: A systematic review. J PsychiatrMent Health Nurs. 2020[citado em 2021 abr. 10];27(4):460-81. Disponível em: https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.12587

Pimenta CAM, Jensen R, Shimoda GT, Nishi FA, Amorim AF. Guia para construção de protocolos assistenciais de Enfermagem. Brasília: Conselho Regional de Enfermagem - SP;2015[citado em 2020 out. 20]. Disponível em: https://portal.coren-sp.gov.br/sites/default/files/Protocolo-web.pdf

Hopia H, Latvala E, Liimatainen Leena. Reviewing the methodology of an integrative review. 2016 Scand J CaringSci. 2016[citado em 2020 out. 20];30:662-9. Disponível em: https://onlinelibrary.wiley.com/doi/abs/10.1111/scs.12327

Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med. 2009[citado em 2020 nov. 18];6(7):e1000097. Disponível em: https://doi.org/10.1371/journal.pmed.1000097

Craig M, Sennacherib A, Wright NR, Chase HE, Hogarth L. Evaluation of UN-medicated, self-paced alcohol withdrawal. Plos ONE. 2011[citado em 2020 nov. 18];6(7):e22994. Disponível em: doi: 10.1371/journalese.0022994

Jane L. How is alcohol withdrawal syndrome best managed in the emergency department? Iná EmerjNurs2010[citado em 2020 out. 20];18(2):89-98. Disponível em: https://www.sciencedirect.com/science/article/abs/pii/S1755599X09000809?via%3Dihub

Melson J, Kane M, Mooney R, McWilliams J, Horton T. Improving alcohol withdrawal outcomes in acute care. Perm J. 2014[citado em 2020 out 20];18(2):e141-5. Disponível em: http://www.thepermanentejournal.org/issues/2014/spring/5662-delirium-tremens-icu.html

Luis MAV, Lunetta ACF, Ferreira PS. Protocol for assess in galcohol with drawal syndrome by nursing professionals in emergency services: a pilot test. Acta Paul Enferm. 2008[citado em 2020 dez. 09];21(1):39-45. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-21002008000100006&lng=en

Rundio Jr A. Substance Use Disorders and Evidence-Based Detoxification Protocols. NursClin North America. 2013[citado em 2020 out. 20];48(3):415-36. Disponível em: https://www.sciencedirect.com/science/article/abs/pii/S0029646513000595?via%3Dihub

Maciel C, Kerr-Corrêa F. Complicações psiquiátricas do uso crônico do álcool: síndrome de abstinência e outras doenças psiquiátricas. Braz J Psychiatry. 2004[citado em 2020 out. 20];2(6):47-50. Disponível em: https://www.scielo.br/scielo.php?pid=S1516-44462004000500012&script=sci_abstract&tlng=pt

Ponce TD, Prates JG, Vargas D, Oliveira MAF, Claro HG, Gnatta LR. Training of nursing teams for the attendance of the alcohol with drawal syndrome: integrative review. SMAD Rev Eletrônica Saúde Mental Álcool e Drog. 2016[citado em 2020 out. 20];12(1):58-64. Disponível: http://pepsic.bvsalud.org/scielo.php?script=sci_abstract&pid=S1806-69762016000100008&lng=en&nrm=iso

Laranjeira R, Nicastri S, Jerônimo C, Marques AC. Consenso sobre a Síndrome de Abstinência do Álcool (SAA) e o seu tratamento. Braz J Psychiatry. 2000[citado em 2020 out. 20];22:62-71. Disponível em: https://www.scielo.br/pdf/rbp/v22n2/a06v22n2.pdf

Downloads

Published

2021-09-06

Issue

Vol. 25 (2021)

Section

Review

License

Copyright (c) 2021 Reme: Revista Mineira de Enfermagem

Creative Commons License

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

How to Cite

1.
Nursing care in alcohol withdrawal syndrome: care flowchart. REME Rev Min Enferm. [Internet]. 2021 Sep. 6 [cited 2025 Dec. 10];25. Available from: https://periodicos.ufmg.br/index.php/reme/article/view/55035

Most read articles by the same author(s)