Suzana de Oliveira Mangueira

Família disfuncional no contexto do alcoolismo: análise de conceito

Alcoholism is considered an associated factor to the family dysfunction, revealing the need for health professionals to overcome the purely individual perspective to offer a systemic focus. The aim of this study was to analyze the concept dysfunctional family in the context of alcoholism. The study followed the Concept Analysis Model and steps of integrative literature review. It was identifi ed the antecedents of alcoholism, the attributes and the consequent dysfunctional family and it was reported a model case which illustrated the presence of these elements. It was observed that this is a broad concept, subjective and complex, with emphasis on studies on the consequents related to children of alcoholics.El alcoholismo es considerado uno de los factores asociados a la disfuncion en la familia, revelando la necesidad de profesionales de la salud para superar el punto de vista puramente individual para ofrecer un enfoque sistemico. El objetivo de este estudio fue analizar el concepto de familia disfuncional en el contexto de alcoholismo. El estudio siguio el modelo de analisis de concepto y los pasos de revision integradora de la literatura. Se identifi caron los antecedentes de alcoholismo, los atributos y consecuente de la familia disfuncional y se informo de un caso modelo que ilustra la presencia de estos elementos. Se observo que este es un concepto amplio, subjetivo y complejo, con enfasis en estudios sobre consecuentes relacionados a los ninos de los alcoholicos.

Clinical validation of the nursing diagnosis of dysfunctional family processes related to alcoholism.

AIMS To evaluate the clinical validity indicators for the nursing diagnosis of dysfunctional family processes related to alcohol abuse. BACKGROUND Alcoholism is a chronic disease that negatively affects family relationships. Studies on the nursing diagnosis of dysfunctional family processes are scarce in the literature. This diagnosis is currently composed of 115 defining characteristics, hindering their use in practice and highlighting the need for clinical validation. DESIGN This was a diagnostic accuracy study. METHODS A sample of 110 alcoholics admitted to a reference centre for alcohol treatment was assessed during the second half of 2013 for the presence or absence of the defining characteristics of the diagnosis. Operational definitions were created for each defining characteristic based on concept analysis and experts evaluated the content of these definitions. Diagnostic accuracy measures were calculated from latent class models with random effects. RESULTS/FINDINGS All 89 clinical indicators were found in the sample and a set of 24 clinical indicators was identified as clinically valid for a diagnostic screening for family dysfunction from the report of alcoholics. Main clinical indicators with high specificity included sexual abuse, disturbance in academic performance in children and manipulation. The main indicators that showed high sensitivity values were distress, loss, anxiety, low self-esteem, confusion, embarrassment, insecurity, anger, loneliness, deterioration in family relationships and disturbance in family dynamics. CONCLUSION Eighteen clinical indicators showed a high capacity for diagnostic screening for alcoholics (high sensitivity) and six indicators can be used for confirmatory diagnosis (high specificity).

Familia disfuncional en el contexto del alcoholismo: análisis del concepto

Alcoholism is considered an associated factor to the family dysfunction, revealing the need for health professionals to overcome the purely individual perspective to offer a systemic focus. The aim of this study was to analyze the concept dysfunctional family in the context of alcoholism. The study followed the Concept Analysis Model and steps of integrative literature review. It was identifi ed the antecedents of alcoholism, the attributes and the consequent dysfunctional family and it was reported a model case which illustrated the presence of these elements. It was observed that this is a broad concept, subjective and complex, with emphasis on studies on the consequents related to children of alcoholics.El alcoholismo es considerado uno de los factores asociados a la disfuncion en la familia, revelando la necesidad de profesionales de la salud para superar el punto de vista puramente individual para ofrecer un enfoque sistemico. El objetivo de este estudio fue analizar el concepto de familia disfuncional en el contexto de alcoholismo. El estudio siguio el modelo de analisis de concepto y los pasos de revision integradora de la literatura. Se identifi caron los antecedentes de alcoholismo, los atributos y consecuente de la familia disfuncional y se informo de un caso modelo que ilustra la presencia de estos elementos. Se observo que este es un concepto amplio, subjetivo y complejo, con enfasis en estudios sobre consecuentes relacionados a los ninos de los alcoholicos.

Dysfunctional family in the context of alcoholism: concept analysis

Alcoholism is considered an associated factor to the family dysfunction, revealing the need for health professionals to overcome the purely individual perspective to offer a systemic focus. The aim of this study was to analyze the concept dysfunctional family in the context of alcoholism. The study followed the Concept Analysis Model and steps of integrative literature review. It was identifi ed the antecedents of alcoholism, the attributes and the consequent dysfunctional family and it was reported a model case which illustrated the presence of these elements. It was observed that this is a broad concept, subjective and complex, with emphasis on studies on the consequents related to children of alcoholics.El alcoholismo es considerado uno de los factores asociados a la disfuncion en la familia, revelando la necesidad de profesionales de la salud para superar el punto de vista puramente individual para ofrecer un enfoque sistemico. El objetivo de este estudio fue analizar el concepto de familia disfuncional en el contexto de alcoholismo. El estudio siguio el modelo de analisis de concepto y los pasos de revision integradora de la literatura. Se identifi caron los antecedentes de alcoholismo, los atributos y consecuente de la familia disfuncional y se informo de un caso modelo que ilustra la presencia de estos elementos. Se observo que este es un concepto amplio, subjetivo y complejo, con enfasis en estudios sobre consecuentes relacionados a los ninos de los alcoholicos.