Department of Psychology, Swansea University, Swansea, UK.
Faculty of Medicine, University of Southampton, Southampton, UK.
J Adv Nurs. 2021 Apr;77(4):1945-1955. doi: 10.1111/jan.14777. Epub 2021 Feb 16.
To provide insight into patient experiences of a general hospital-based alcohol specialist nurse intervention during alcohol detoxification, experiences of alcohol specialist nurse hospital-based follow-up appointments (Pathway A) as well as the experiences of patients who did not have access to this additional help post detoxification (Pathway B).
A longitudinal qualitative study.
A thematic analysis of semi-structured interviews (2016-2017) with 24 patient participants (N = 12 in each pathway; purposive selection) 1-4 weeks post-detoxification and at 3 and 6 months, to identify patient experiences of these interventions.
Participants gave accounts of how 'empathic' and 'straight talking' interactions with alcohol specialist nurses during detoxification helped them to 'open up' and orient towards change. After detoxification follow-up, outpatient appointments in the hospital setting were seen as supporting change in early recovery and engagement with a wider range of services. Those with no access to nurse follow-up described experiencing a 'void' in available help. Participants in both groups described barriers to engagement with community alcohol services, peer groups and access to help for mild-moderate mental health problems.
Patient accounts indicate alcohol specialist nurse interventions during and after unplanned detoxification in a hospital setting can help orient patients towards change and support early recovery.
Providing alcohol specialist nurse interventions in general hospitals offers one route to initiating recovery in alcohol-dependent patients. This has potential to improve the lives of those affected and to reduce related demands on hospital services, but further research is needed.
深入了解在酒精解毒过程中，综合医院酒精专科护士干预的患者体验；了解酒精专科护士在医院随访预约（途径 A）中的体验，以及那些在戒毒后无法获得这种额外帮助的患者的体验（途径 B）。
纵向定性研究。
对 24 名患者参与者（每组途径 12 名；有目的选择）在戒毒后 1-4 周以及 3 个月和 6 个月进行半结构化访谈的主题分析，以确定患者对这些干预措施的体验。
参与者描述了与酒精专科护士在戒毒过程中的“同理心”和“直言不讳”的互动如何帮助他们“敞开心扉”并走向改变。戒毒后，在医院环境中进行门诊随访被视为支持早期康复和参与更广泛服务的方式。那些无法接受护士随访的人描述了在可用帮助方面存在“空缺”。两组参与者都描述了参与社区酒精服务、同伴群体和获得轻度至中度心理健康问题帮助的障碍。
患者的描述表明，在医院环境中进行的计划外戒毒期间和之后的酒精专科护士干预可以帮助患者转向改变，并支持早期康复。
在综合医院提供酒精专科护士干预为酒精依赖患者开始康复提供了一条途径。这有可能改善受影响者的生活，并减少对医院服务的相关需求，但需要进一步研究。
