The factors related to Alcohol withdrawal in Risk Alcohol Consumption Patients on Ruammetta Ward Orthopedics division Udon Thani hospital

  • Weawta Inchum โรงพยาบาลอุดรธานี
  • Panwarada Suwan Faculty of Nursing, Ratchathani University Udonthani Campus
  • Nuntawadee Sirichantra Faculty of Nursing, Ratchathani University Udonthani Campus
  • Nattawan Chaimeekhieo Faculty of Nursing, Ratchathani University Udonthani Campus
  • Rungrawee Thanomsap Faculty of Nursing, Ratchathani University Udonthani Campus
  • Sutin Chanaboon Sirindhorn College of Public Health Khon kaen
Keywords: Key words: Alcohol withdrawal/ Risk Alcohol Consumption/ Patients selected factors/ Orthopedic Ward

Abstract

This was a Retro-Prospective descriptive research. The objects were to1) examine the alcohol withdrawal onset of symptoms and 2) the selected factors related to alcohol withdrawal in Risk Alcohol Consumption Patients on Male Orthopedic Ward at Udon Thani hospital. The sample consisted of 160 risk alcohol consumption Inpatients   set of 5 years backward (2557-2561), selected by simple sampling. Data collecting from 1. Patient historical data Files and 2. Collecting data forward from Admitted patients during October 2561-August 2562. The data collection instruments were used by Alcohol Use Disorders Identification Test (AUDIT), Clinical Institute Withdrawal Assessment - Alcohol (CIWA - Ar) and the risk alcohol consumption Patient historical data and physical examination Form Reports. The Content Validity Index (CVI) =1. Descriptive statistics included frequency, percentage, Chi-square statistics; Fisher exact test, Pearson correlation method and Logistic regression analysis.

The findings of the research revealed that there were 24 (15%) High risk alcohol consumption Patients and 136 (85%) Low risk alcohol consumption Patients, Alcohol withdrawal onset 53 (33.12%) patients and Non-Alcohol withdrawal onset 107 (66.88%) patients. The selected factors  related to Alcohol withdrawal consisted of  1) Levels of alcohol drinking (Adj.OR=32.5,95% CI=5.88 -139.37,p=.000) ,         2) Drinking frequent ( Adj.OR =43.03,95%CI=4.64-98.63,p=.001) ,3) Combined substance using  (Adj.OR =5.66,95%CI=1.09-29.29,p=.039), 4) History of seizures (Adj.OR =6.19,95%CI=1.71-22.37,p=.005), 5) History of alcoholic withdrawal (Adj.OR =9.15,95%CI=1.99-42.14,p=.004), 6)Age (Adj.OR =2.95,95%CI=1.07-8.15,p =.037), 7)Balance of electrolytes (Adj.OR =2.78,95%CI=1.16-6.33,p=.021) ,8)Liver function test levels   (Adj.OR =3.18,95%CI=1.32-7.69 p=.01) and 9)Admission blood pressure of Systolic level  (Adj.OR =3.99,95%CI=1.85-8.92,p=.002)

Conclusions: All of the selected factors that related to Alcohol withdrawal in Risk Alcohol Consumption Patients on Male Orthopedic Ward at Udon Thani hospital provided nurses with efficiently management of caring Alcoholic withdrawal patients and reducing their violence of alcohol withdrawal onset of symptoms.

Key words: Alcohol withdrawal/ Risk Alcohol Consumption/ Patients selected factors/ Orthopedic Ward   

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Published
2021-03-31