EFFECTIVENESS OF SPECIFIC NURSING INTERVENTION PROGRAME ON MOTIVATION AND RELAPSE AMONG CLIENTS WITH ALCOHOL DEPENDENCE SYNDROME-A PILOT STUDY

Motivation plays an important role in alcoholism treatment by influencing patients to seek, complete, and comply with treatment as well as make successful long-term changes in their drinking in prevention of relapse. The present study was aimed at assessing the effectiveness of structured intervention programme on motivation and relapse of clients with alcohol dependence syndrome admitted in a selected hospital, Ernakulam, Kerala. True experimental- pretest post test control group was the study design.The sample consisted of 20 clients with alcohol dependence syndrome, who were admitted in the de-addiction ward, and the subjects were selected by systematic random sampling method. Tool used were demographic and clinical data sheet related to alcoholism, Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES 8A) and Advance WArning of RElapse -AWARE. Pretest was done on the first day. Second day onwards specific nursing intervention programe was scheduled with risk reward analysis, coping skill training programme, assertiveness training programme, family based intervention and psycho education for experimental group from 2nd to 12 th day on alternate days. First post test was conducted one week after the intervention on 19th day, second post test on 42nd day, one month after intervention and after 3 months of intervention, on 102nd day, third post test was conducted. Friedman repeated measures ANOVA revealed a significant difference in the motivation scores and relapse scores of experimental group between the pre-test and post-test I, II and III is (χ = 20.25, P<0.001) and (χ = 28.92, P<0.001) respectively. The intervention programme motivated the clients with alcohol dependence syndrome to face the existing problems and to prevent or reduce relapse, which is a pre-requisite for successful recovery.