Context:

One of the responses to addiction to psychoactive substances is medication-based programs. Knowledge about the impact of these programs is scarce and it is necessary to assess the contribution and impact of the nursing consultation integrated in these programs.

Objective:

To characterize the nursing care provided to a population with dependence on psychoactive substances in a Specialized Technical Treatment Team.

Methodology:

Cross-sectional, observational, analytical study, with a quantitative approach, with a population dependent on psychoactive substances, integrated in a pharmacological program and in a nursing consultation. Convenience sampling. A form was used for sociodemographic, psychosocial and health status characterization; Substance Addiction Consequences Scale (SAC) and the Alcohol Use Disorders Identification Test (AUDIT). Two diagnoses and two priority interventions were recorded.

Results:

162 people participated. Average Age 46.96, mostly men (76.5%), single (51.9%), unemployed (58.6%), in a medication-based program with methadone (68.6%), polydrug users, with harmful consumption and dependence on alcohol (34.9%) and with several comorbidities. About SAC, and in decreasing order of severity "anxiety", "difficulty in maintaining a job", "sadness", "difficulty in maintaining financially", "problems in family relationships". “Adherence to the compromised therapeutic regime”, “present anxiety”, “abusive / dependent alcohol use” was diagnosed. The main nursing interventions "reinforce the therapeutic relationship", "teach and encourage self-care", "teach / reinforce / assist about adherence to the therapeutic regime".

Conclusions:

The data show that the diagnoses most worked by nurses are therapeutic adherence, minimizing consumption and self-care. Other domains will eventually be under diagnosed in clinical practice, according to the assessment of the consequences of substance use.

        · abstract in Portuguese     · text in Portuguese     · Portuguese ( pdf )