Residentes em psiquiatria têm documentado problemas relacionados ao álcool em pacientes ambulatoriais?

Abstract

ResumoIntrodução: O consumo de álcool por pacientes que fazem tratamento psiquiátrico pode trazer inúmeras consequências negativas. Os objetivos deste estudo foram identifi car o uso problemático de álcool entre pacientes psiquiátricos ambulatoriais e verifi car se esse consumo foi documentado nos prontuários por residentes de psiquiatria. Método: Estudo descritivo, transversal, realizado em serviço ambulatorial de clínica psiquiátrica de hospital universitário localizado em Ribeirão Preto (SP). Foi utilizada uma amostra de conveniência formada por pacientes psiquiátricos ambulatoriais (n = 127). A coleta de dados foi realizada por meio de entrevista (dados sociodemográfi cos e instrumento de rastreamento de abuso de álcool -CAGE) e pela leitura de todas as anotações feitas por residentes de psiquiatria nos prontuários dos pacientes entrevistados (fi cha para coleta de dados do prontuário). Para a análise dos dados, foram utilizados os pontos de corte ≥ 1 e ≥ 2 para o CAGE. Resultados: Com CAGE ≥ 1, 33,9% pontuaram positivo (n = 43) e, entre estes, 60,5% (n = 26) não tinham registros em seus prontuários sobre o uso de álcool (qui-quadrado = 20,12; p < 0,001). Com CAGE ≥ 2, 16,5% pontuaram positivo (n = 21) e, entre estes, 38,1% (n = 8) não tinham registros em seus prontuários referentes ao consumo de bebidas alcoólicas (qui-quadrado = 29,10; p < 0,001). Conclusões: O número de subnotifi cações encontrado foi alto. Sugere-se que, no treinamento dos residentes de psiquiatria, sejam incluídos conteúdos relacionados a identifi cação precoce e intervenções para a prevenção de problemas relacionados ao uso de álcool. Descritores: Diagnóstico, pacientes ambulatoriais, psiquiatria, alcoolismo. AbstractIntroduction: Consumption of alcohol by psychiatric patients can lead to many negative consequences. The objectives of this study were to identify the problematic use of alcohol in a group of psychiatric outpatients and to verify if this consumption was documented in their medical records by psychiatry medical residents. Methods: Descriptive and cross-sectional study, carried out at the psychiatric outpatient clinic of a university hospital located in Ribeirão Preto, state of São Paulo, Brazil. A convenience sample comprising 127 psychiatric outpatients was used. Data were collected using an interview (sociodemographic data and alcohol disorder screening instrument -CAGE) and by means of a review of all the notes written by psychiatry residents on medical charts (questionnaire for collecting data from the records). For data analysis, the CAGE cutoff points ≥ 1 and ≥ 2 were used. Results: At CAGE ≥ 1, 33.9% were CAGE positive (n = 43). Among the individuals with a positive CAGE score, 60.5% (n = 26) had no record of alcohol use on their medical charts (chi-square = 20.12; p < 0.001). At CAGE ≥ 2, 16.5% were CAGE positive (n = 21). In 38.1% (n = 8) of these cases, alcohol use was not documented on their medical charts (chi-square = 29.10; p < 0.001). Conclusions: Undernotifi cation of alcohol use was high. Topics related to ...

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