Development of Alcohol Withdrowal Care System to Admitted In-Patient Department, Na Chuak Hospital

Abstract

Purposes : To develop and evaluate the system for the care and treatment of patients with Alcohol Withdrawal Syndrome admitted to the inpatient unit at Na Chuak Hospital.

Study design : Research and Development (R&D).

Materials and Methods : The target group consists of 57 patients with Alcohol Withdrawal and a multidisciplinary team of 30 members. The research was conducted from April to October 2023, and divided into two phases: research and development. Data collection was carried out using questionnaires and focus group discussion guidelines. The data were analyzed using frequency, percentage, mean, standard deviation and content analysis.

Main findings : 1) Research Phase: Empirical data reveal issues across the service system, including service providers, service recipients, assessment tools for the severity of alcohol withdrawal, risk management, and adherence to treatment regimens. There was a significant concern with patients relapsing into alcohol consumption within a three-month period, which in turn impacts and increases treatment costs. The care system for patients with alcohol withdrawal comprises seven steps: (1) creating an appropriate atmosphere and environment, (2) assessing and monitoring withdrawal symptoms, (3) administering sedatives to alleviate withdrawal symptoms, (4)using Haloperidol as an adjunctive treatment, (5) providing symptomatic relief, (6) administering additional supportive medications, and (7) preparing patients for psychosocial rehabilitation, 2) Results of System Evaluation: (1) Severity Assessment of alcohol withdrawal syndrome, 36 individuals (86.67%) were assessed for the severity of alcohol withdrawal, Of these, 22 individuals (48.89%) were identified with moderate risk, Additionally, 27 individuals (60.00%) were categorized as having severe alcohol withdrawal. (2) Risk Management for Hospitalized Alcohol Drinkers: Short counseling sessions were provided, and 19 individuals (42.22%) were referred for further evaluation, Of those referred, 12 individuals (70.59%) attended their follow-up appointments However, 12 individuals (70.58%) resumed alcohol consumption within three months of rehabilitation.

Conclusion and recommendations : The results of this study indicate that the developed care system for patients with Alcohol Withdrawal Syndrome has led to improved patient outcomes.