[Substance related disorder in emergency services: Which attitudes?]
Identifieur interne : 000A63 ( Main/Exploration ); précédent : 000A62; suivant : 000A64[Substance related disorder in emergency services: Which attitudes?]
Auteurs : M. Rica [France] ; A. Principe [France] ; J-Y Le Reste [France] ; M. Guillou Landreat [France]Source :
- L'Encephale [ 0013-7006 ] ; 2017.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Alcoolisme (épidémiologie), Attitude du personnel soignant (MeSH), Concept du soi (MeSH), Enquêtes et questionnaires (MeSH), Femelle (MeSH), France (épidémiologie), Humains (MeSH), Jeune adulte (MeSH), Mâle (MeSH), Perception (MeSH), Prévalence (MeSH), Service hospitalier d'urgences (statistiques et données numériques), Services des urgences médicales (statistiques et données numériques), Troubles liés à une substance (psychologie), Troubles liés à une substance (thérapie), Troubles liés à une substance (épidémiologie).
- MESH :
- psychologie : Troubles liés à une substance.
- statistiques et données numériques : Service hospitalier d'urgences, Services des urgences médicales.
- thérapie : Troubles liés à une substance.
- épidémiologie : Alcoolisme, France, Troubles liés à une substance.
- Adulte, Adulte d'âge moyen, Attitude du personnel soignant, Concept du soi, Enquêtes et questionnaires, Femelle, Humains, Jeune adulte, Mâle, Perception, Prévalence.
English descriptors
- KwdEn :
- Adult (MeSH), Alcoholism (epidemiology), Attitude of Health Personnel (MeSH), Emergency Medical Services (statistics & numerical data), Emergency Service, Hospital (statistics & numerical data), Female (MeSH), France (epidemiology), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Perception (MeSH), Prevalence (MeSH), Self Concept (MeSH), Substance-Related Disorders (epidemiology), Substance-Related Disorders (psychology), Substance-Related Disorders (therapy), Surveys and Questionnaires (MeSH), Young Adult (MeSH).
- MESH :
- epidemiology : Alcoholism, France, Substance-Related Disorders.
- psychology : Substance-Related Disorders.
- statistics & numerical data : Emergency Medical Services, Emergency Service, Hospital.
- therapy : Substance-Related Disorders.
- Adult, Attitude of Health Personnel, Female, Humans, Male, Middle Aged, Perception, Prevalence, Self Concept, Surveys and Questionnaires, Young Adult.
Abstract
INTRODUCTION
Substance related disorders are more prevalent in emergency services than in the general population, about 20% of individuals in emergency care test positive for alcohol. Emergency services are strategic places to identify alcohol misuse. Attitudes to individuals presenting substance related disorders are important in developing therapeutic relationships and applying interventions.
OBJECTIVE
This study explores the attitudes of an emergency staff to these individuals across a range of roles, and evolution in face of an addictology care improvement.
METHOD
Data were gathered from an emergency service sample from the emergency department of a general hospital in Morlaix (France). We used a short questionnaire, adapted from previous similar French studies.
RESULTS
Twenty-five persons answered the first questionnaire and 18 the second. A self-administrated attitudes questionnaire showed its interest in our study and helped us to identify attitudes and to initiate a reflection on behaviours in emergency care. Moreover, it helped to change attitudes towards individuals presenting substance related disorders. The daily setting of an addictive disorders specialized unit in emergency changed the point of view on addictive disorders of both physicians and nurses. We showed differences in addictive related disorders prevalence perception among patients attending emergency care between the two evaluations. But we also showed that physicians and nurses stressed that it was more difficult to ask patients in emergency care on the second evaluation, after and despite a daily addictive disorders specialized setting. We showed several limits in emergency staff care relationship with patients with substance related disorders. They identified difficulties to talk about addictive disorders, especially in younger and older patients. Regarding literature, we discuss our study limits and different ways of improving addictology care in emergency services.
DOI: 10.1016/j.encep.2015.12.003
PubMed: 26796557
Affiliations:
Links toward previous steps (curation, corpus...)
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Rica</name><affiliation wicri:level="3"><nlm:affiliation>Faculté de médecine, 22, avenue Camille-Desmoulins, 29238 Brest, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Faculté de médecine, 22, avenue Camille-Desmoulins, 29238 Brest</wicri:regionArea><placeName><region type="region" nuts="2">Région Bretagne</region><settlement type="city">Brest</settlement></placeName></affiliation></author><author><name sortKey="Principe, A" sort="Principe, A" uniqKey="Principe A" first="A" last="Principe">A. Principe</name><affiliation wicri:level="3"><nlm:affiliation>Service des urgences, centre hospitalier de Morlaix, 15, rue Alexandre-Gilly, 29600 Morlaix, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service des urgences, centre hospitalier de Morlaix, 15, rue Alexandre-Gilly, 29600 Morlaix</wicri:regionArea><placeName><region type="region" nuts="2">Région Bretagne</region><settlement type="city">Morlaix</settlement></placeName></affiliation></author><author><name sortKey="Le Reste, J Y" sort="Le Reste, J Y" uniqKey="Le Reste J" first="J-Y" last="Le Reste">J-Y Le Reste</name><affiliation wicri:level="3"><nlm:affiliation>ERCR SPURBO, département de médecine générale, faculté de médecine, 22, avenue Camille-Desmoulins, 29238 Brest, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>ERCR SPURBO, département de médecine générale, faculté de médecine, 22, avenue Camille-Desmoulins, 29238 Brest</wicri:regionArea><placeName><region type="region" nuts="2">Région Bretagne</region><settlement type="city">Brest</settlement></placeName></affiliation></author><author><name sortKey="Guillou Landreat, M" sort="Guillou Landreat, M" uniqKey="Guillou Landreat M" first="M" last="Guillou Landreat">M. Guillou Landreat</name><affiliation wicri:level="3"><nlm:affiliation>ERCR SPURBO, département d'addictologie, faculté de médecine de Brest, CHRU de Brest, 22, avenue Camille-Desmoulins, 29238 Brest, France. Electronic address: morgane.guillou@chu-brest.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>ERCR SPURBO, département d'addictologie, faculté de médecine de Brest, CHRU de Brest, 22, avenue Camille-Desmoulins, 29238 Brest</wicri:regionArea><placeName><region type="region" nuts="2">Région Bretagne</region><settlement type="city">Brest</settlement></placeName></affiliation></author></analytic><series><title level="j">L'Encephale</title><idno type="ISSN">0013-7006</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Alcoholism (epidemiology)</term><term>Attitude of Health Personnel (MeSH)</term><term>Emergency Medical Services (statistics & numerical data)</term><term>Emergency Service, Hospital (statistics & numerical data)</term><term>Female (MeSH)</term><term>France (epidemiology)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Perception (MeSH)</term><term>Prevalence (MeSH)</term><term>Self Concept (MeSH)</term><term>Substance-Related Disorders (epidemiology)</term><term>Substance-Related Disorders (psychology)</term><term>Substance-Related Disorders (therapy)</term><term>Surveys and Questionnaires (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Alcoolisme (épidémiologie)</term><term>Attitude du personnel soignant (MeSH)</term><term>Concept du soi (MeSH)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Femelle (MeSH)</term><term>France (épidémiologie)</term><term>Humains (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Mâle (MeSH)</term><term>Perception (MeSH)</term><term>Prévalence (MeSH)</term><term>Service hospitalier d'urgences (statistiques et données numériques)</term><term>Services des urgences médicales (statistiques et données numériques)</term><term>Troubles liés à une substance (psychologie)</term><term>Troubles liés à une substance (thérapie)</term><term>Troubles liés à une substance (épidémiologie)</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Alcoholism</term><term>France</term><term>Substance-Related Disorders</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Troubles liés à une substance</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Substance-Related Disorders</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Emergency Medical Services</term><term>Emergency Service, Hospital</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Service hospitalier d'urgences</term><term>Services des urgences médicales</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Substance-Related Disorders</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Troubles liés à une substance</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Alcoolisme</term><term>France</term><term>Troubles liés à une substance</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Attitude of Health Personnel</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Perception</term><term>Prevalence</term><term>Self Concept</term><term>Surveys and Questionnaires</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Attitude du personnel soignant</term><term>Concept du soi</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Perception</term><term>Prévalence</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b></p><p>Substance related disorders are more prevalent in emergency services than in the general population, about 20% of individuals in emergency care test positive for alcohol. Emergency services are strategic places to identify alcohol misuse. Attitudes to individuals presenting substance related disorders are important in developing therapeutic relationships and applying interventions.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>This study explores the attitudes of an emergency staff to these individuals across a range of roles, and evolution in face of an addictology care improvement.</p></div><div type="abstract" xml:lang="en"><p><b>METHOD</b></p><p>Data were gathered from an emergency service sample from the emergency department of a general hospital in Morlaix (France). We used a short questionnaire, adapted from previous similar French studies.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Twenty-five persons answered the first questionnaire and 18 the second. A self-administrated attitudes questionnaire showed its interest in our study and helped us to identify attitudes and to initiate a reflection on behaviours in emergency care. Moreover, it helped to change attitudes towards individuals presenting substance related disorders. The daily setting of an addictive disorders specialized unit in emergency changed the point of view on addictive disorders of both physicians and nurses. We showed differences in addictive related disorders prevalence perception among patients attending emergency care between the two evaluations. But we also showed that physicians and nurses stressed that it was more difficult to ask patients in emergency care on the second evaluation, after and despite a daily addictive disorders specialized setting. We showed several limits in emergency staff care relationship with patients with substance related disorders. They identified difficulties to talk about addictive disorders, especially in younger and older patients. Regarding literature, we discuss our study limits and different ways of improving addictology care in emergency services.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26796557</PMID><DateCompleted><Year>2017</Year><Month>09</Month><Day>26</Day></DateCompleted><DateRevised><Year>2017</Year><Month>09</Month><Day>26</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0013-7006</ISSN><JournalIssue CitedMedium="Internet"><Volume>43</Volume><Issue>1</Issue><PubDate><Year>2017</Year><Month>Feb</Month></PubDate></JournalIssue><Title>L'Encephale</Title><ISOAbbreviation>Encephale</ISOAbbreviation></Journal><ArticleTitle>[Substance related disorder in emergency services: Which attitudes?]</ArticleTitle><Pagination><MedlinePgn>10-14</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0013-7006(15)00218-3</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.encep.2015.12.003</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Substance related disorders are more prevalent in emergency services than in the general population, about 20% of individuals in emergency care test positive for alcohol. Emergency services are strategic places to identify alcohol misuse. Attitudes to individuals presenting substance related disorders are important in developing therapeutic relationships and applying interventions.</AbstractText><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">This study explores the attitudes of an emergency staff to these individuals across a range of roles, and evolution in face of an addictology care improvement.</AbstractText><AbstractText Label="METHOD" NlmCategory="METHODS">Data were gathered from an emergency service sample from the emergency department of a general hospital in Morlaix (France). We used a short questionnaire, adapted from previous similar French studies.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Twenty-five persons answered the first questionnaire and 18 the second. A self-administrated attitudes questionnaire showed its interest in our study and helped us to identify attitudes and to initiate a reflection on behaviours in emergency care. Moreover, it helped to change attitudes towards individuals presenting substance related disorders. The daily setting of an addictive disorders specialized unit in emergency changed the point of view on addictive disorders of both physicians and nurses. We showed differences in addictive related disorders prevalence perception among patients attending emergency care between the two evaluations. But we also showed that physicians and nurses stressed that it was more difficult to ask patients in emergency care on the second evaluation, after and despite a daily addictive disorders specialized setting. We showed several limits in emergency staff care relationship with patients with substance related disorders. They identified difficulties to talk about addictive disorders, especially in younger and older patients. Regarding literature, we discuss our study limits and different ways of improving addictology care in emergency services.</AbstractText><CopyrightInformation>Copyright © 2015 L'Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Rica</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Faculté de médecine, 22, avenue Camille-Desmoulins, 29238 Brest, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Principe</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Service des urgences, centre hospitalier de Morlaix, 15, rue Alexandre-Gilly, 29600 Morlaix, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Le Reste</LastName><ForeName>J-Y</ForeName><Initials>JY</Initials><AffiliationInfo><Affiliation>ERCR SPURBO, département de médecine générale, faculté de médecine, 22, avenue Camille-Desmoulins, 29238 Brest, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Guillou Landreat</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>ERCR SPURBO, département d'addictologie, faculté de médecine de Brest, CHRU de Brest, 22, avenue Camille-Desmoulins, 29238 Brest, France. Electronic address: morgane.guillou@chu-brest.fr.</Affiliation></AffiliationInfo></Author></AuthorList><Language>fre</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Autoévaluation des attitudes soignantes aux urgences face aux conduites addictives. Étude exploratoire.</VernacularTitle><ArticleDate DateType="Electronic"><Year>2016</Year><Month>01</Month><Day>12</Day></ArticleDate></Article><MedlineJournalInfo><Country>France</Country><MedlineTA>Encephale</MedlineTA><NlmUniqueID>7505643</NlmUniqueID><ISSNLinking>0013-7006</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000437" MajorTopicYN="N">Alcoholism</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001291" MajorTopicYN="Y">Attitude of Health Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004632" MajorTopicYN="Y">Emergency Medical Services</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004636" MajorTopicYN="N">Emergency Service, Hospital</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N">France</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010465" MajorTopicYN="N">Perception</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012649" MajorTopicYN="N">Self Concept</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019966" MajorTopicYN="N">Substance-Related Disorders</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Addictions</Keyword><Keyword MajorTopicYN="N">Alcohol</Keyword><Keyword MajorTopicYN="N">Alcool</Keyword><Keyword MajorTopicYN="N">Attitudes thérapeutiques</Keyword><Keyword MajorTopicYN="N">Emergency</Keyword><Keyword MajorTopicYN="N">Substance related disorders</Keyword><Keyword MajorTopicYN="N">Therapeutic attitude</Keyword><Keyword MajorTopicYN="N">Urgences</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>10</Month><Day>06</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2015</Year><Month>05</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>1</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>9</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>1</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26796557</ArticleId><ArticleId IdType="pii">S0013-7006(15)00218-3</ArticleId><ArticleId IdType="doi">10.1016/j.encep.2015.12.003</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Région Bretagne</li></region><settlement><li>Brest</li><li>Morlaix</li></settlement></list><tree><country name="France"><region name="Région Bretagne"><name sortKey="Rica, M" sort="Rica, M" uniqKey="Rica M" first="M" last="Rica">M. Rica</name></region><name sortKey="Guillou Landreat, M" sort="Guillou Landreat, M" uniqKey="Guillou Landreat M" first="M" last="Guillou Landreat">M. Guillou Landreat</name><name sortKey="Le Reste, J Y" sort="Le Reste, J Y" uniqKey="Le Reste J" first="J-Y" last="Le Reste">J-Y Le Reste</name><name sortKey="Principe, A" sort="Principe, A" uniqKey="Principe A" first="A" last="Principe">A. Principe</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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