Enfoque de curso de vida en el Cuidado de enfermería a sujetos con abuso de sustancias psicoactivas/ Life course approach in nursing care for subjects with psychoactive substance abuse

• Published in: Journal of concurrent disorders Vol. 5; no. 3; p. 35
• Main Authors: Cáliz, Nelly Esther, Ramírez, Juan Manuel, Dayan Lizeth Conde
• Format: Journal Article
• Language: English
• Published: Woodbridge Concurrent Disorders Society Inc 01.01.2024
• Subjects: Drug abuse; Nursing care; Psychotropic drugs
• ISSN: 2562-7546; 2562-7546

Background: In 2019, the lifetime prevalence of illicit substance use in Colombia for people aged 12 to 65 was 9.7%, with those between 18 and 24 years of age reporting the highest consumption. By the year 2030, there will be an estimated 11% increase in people who consume drugs based solely on demographic data. Goal: To examine the experience of Nursing practice in mental health and psychiatry from the life course approach with subjects undergoing rehabilitation for psychoactive substance abuse during the 2021 and 2022 academic years. Methods: Qualitative methodology was used with 33 men with an average age of 24 undergoing rehabilitation for psychoactive substance abuse. Data collection techniques included semi-structured interviews, non-participant observation, care plans, and psychoeducational workshops. Results: The early consumption trajectory was associated with psychosocial determinants, including insecure, ambivalent or disorganized attachment ties, dysfunctional parenting styles, family history of mental disorders, initiation of consumption at an early age, unresolved mourning, low self-esteem, inadequate management of emotions, poor social skills, conflicting school and family environments and consumption, micro-trafficking, lack of social opportunities, and violent neighborhood environments. In terms of nursing care, there were four central lines of work: establish a positive therapeutic educational relationship for the validation and containment of deregulated emotions, promote life skills, strengthen psychosocial resilience, and aid in the development of life skills to support their life plan. Conclusions: Educational and psychotherapeutic nursing care should focus on substance abuse as an externalizing behavior that is a consequence of social vulnerability and low psychological resilience, in addition to promoting personal, community and social resources focused on the person, not on the drugs.