Dinesh Selvam, S (2013) Effectiveness of Community Based Nursing Intervention Strategies on Alcohol Dependence and Quality of Life among Alcoholics in Selected Rural Communities. Doctoral thesis, Omayal Achi College of Nursing, Chennai.
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Abstract
INTRODUCTION: Alcohol has now become a common word in the Indian society. According to (WHO) estimates, there are about 2 billion people worldwide who consume alcoholic beverages and 76.3 million with diagnosable alcohol-use disorders. Research in the past few years has conclusively demonstrated that nearly one in 3 male adults consume alcohol, and 5% of Indian women are already regular users. All India averages were Male 31.9% and Female: 2.2% for alcohol consumption (Source: NFHS 3). In Tamil Nadu, about 15% of the respondents report to have consumed alcohol in past 12 months and 11% consumed in last 30 days preceding the survey. The habit was higher among men with 30% consuming alcohol in past 12 months as compared to only 0.1% among women. Alcohol abuse/dependence is a serious clinical condition, signifying a major impairment in the dependent individual’s quality of life (QOL) in conjunction with the severity of alcohol misuse. Quality of life is defined as individuals' perceptions of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns. The field of Community Based Participatory Research (CBPR) is a growing discipline in the field of public health. CBPR is an approach that involves the community of focus in many components of the research process. Alcohol dependence and its impact on QOL demands participatory research to control the problem with the help of community involvement and resources. Communities can be supported and empowered by governments and other stakeholders to use their local knowledge and expertise in adopting effective approaches to prevent and reduce the harmful use of alcohol by changing collective rather than individual behaviour while being sensitive to cultural norms, beliefs and value systems. The various research studies conducted on alcoholics and the approaches to manage the alcoholics have supported the investigator to involve in this study. Through this community based nursing intervention strategies, the investigator has implemented the nursing strategies to improve the quality of life and reduce the level of dependence among alcoholics. OBJECTIVES: 1. To determine the effectiveness of community based nursing intervention strategies on the level of alcohol dependence and Quality of Life among the alcoholics. The Research Process for the study was guided by the conceptual framework based on Kurt Lewin Systems Model of Action Research and Change Theory. RESEARCH METHODOLOGY: A Pre-experimental – one group pre-test and post-test design was adapted for the study. The dependent variables were level of alcohol dependence and quality of life among alcoholics and the independent variable was the community based nursing intervention strategies. The study was conducted at 5 adopted rural villages of OACHC. Total enumeration of all the alcoholics identified as clinically significantly in the 5 adopted rural villages were considered as samples. The Sample size estimated by power analysis was 369 and hence the sample size of the study comprised of total estimated 473 alcoholics. The CAGE Questionnaire was used to identify the clinically significant alcoholics. The level of alcohol of dependence was assessed through SADQ-C (Severity of Alcohol Dependence Quotient- Community). The Quality of Life was assessed through WHO WOL BREF 26 items modified tool which has 4 dimensions like Physical, Psychological, Social Relationship and Environmental domains. The tools were validated from various experts. The pilot study revealed that the tool was reliable and the study was researchable. The identified alcoholics were administered with community based nursing intervention strategies over a period of 3 months. The interventions included individual need based nursing interventions, alcoholic education, family counseling, detoxification and training of local workers. The investigator considered and followed the ethical principles preceding the investigation. The investigator adhered to the human rights, beneficence and nonmaleficience, dignity, confidentiality and justice. RESULTS: SPSS statistical Package was utilized for the data analysis. The analysis revealed that the Overall Mean difference between the pre-test and post-test level of alcohol dependence was 1.57 with t-value 31.66 which was highly significant at p<0.001. The mean differences between pre-test and post-test Overall QOL, was 23.93 with t-value 32.99. These scores were highly significant at p<0.001 level suggesting that the community based nursing interventions were effective in reducing the level of alcohol dependence and improving the QOL among alcoholics. CONCLUSION: The study concluded that the community based nursing intervention strategies was effective in reducing the level of alcohol dependence and improving the Quality of Life among alcoholics, the study emphasized the need for community based participatory research in enhancing the health of the people. The study recommended the utilization of the community based nursing intervention strategies for the Community Health Nurses, Nurse Educators, Nurse Administrators and Nurse Researchers to aide them in reducing the alcohol dependence and thereby improving the Quality of Life among alcoholics.
| Item Type: | Thesis (Doctoral) |
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| Uncontrolled Keywords: | Effectiveness, Community Based Nursing Intervention Strategies, Alcohol Dependence, Quality of Life, Alcoholics, Selected Rural Communities. |
| Subjects: | NURSING > Community Health Nursing |
| Depositing User: | Subramani R |
| Date Deposited: | 17 Jun 2017 09:51 |
| Last Modified: | 24 Oct 2022 16:42 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/61 |
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