Pub Date : 2021-07-08DOI: 10.36367/NTQR.8.2021.254-262
José Stéfano Faia Destro, Elza de Fátima Ribeiro Higa, Márcia Aparecida Padovan Otani, Maria Jóse Sanches Marin, R. O. Medeiros, Jaqueline Dias do Nascimento
Introduction: Brazil has experienced a rapid demographic transition process, bringing with it new challenges to public health, among them, alcohol dependence among the elderly. Objective: to analyze the literary evidence on prevention and intervention actions for the elderly dependent on alcohol in Primary Health Care (PHC). Method: Integrative Literature Review carried out in 2020 in the LILACS, BDEnf, CUMED, IBECS, MedLine, SciELO, SCOPUS and Web of Science databases, based on the following descriptors: “Elderly”, “Alcohol”, “Alcoholism”, “Disorders Related to Alcohol Use” and “Primary Health Care”. Inclusion criteria were: original articles available online in full, in English, Portuguese and Spanish, and exclusion articles for bibliographic review, theses, dissertations and expert opinion. A total of 1159 articles were identified, after exclusion due to duplication, application of exclusion criteria and qualitative analysis, six articles remained. Results: From the analysis of the data obtained, three categories were structured: Need for screening for alcohol consumption in elderly patients in PHC, Efficiency of Brief Intervention for in elderly patients in PHC and Barriers for implementing screening for alcohol consumption. alcohol and Brief Intervention. Conclusions: the application of strategies to cope with alcohol consumption to elderly patients in Primary Health Care has proven cost benefit, but they are not widely implemented, with more barriers than facilitators for their implementation. In this context, it is necessary to carry out studies aimed at evaluating the effectiveness of screening for alcohol consumption and Brief Intervention in the elderly due to the scarcity of studies nationwide.
导言:巴西经历了一个快速的人口转型过程，给公共卫生带来了新的挑战，其中包括老年人的酒精依赖。目的:分析初级卫生保健(PHC)对老年人酒精依赖的预防和干预措施的文献证据。方法:在LILACS、BDEnf、CUMED、IBECS、MedLine、SciELO、SCOPUS和Web of Science数据库中，根据以下描述词:“老年人”、“酒精”、“酒精中毒”、“与酒精使用相关的障碍”和“初级卫生保健”，于2020年进行综合文献综述。纳入标准为:在线全文、英语、葡萄牙语和西班牙语的原创文章，以及文献综述、论文、学位论文和专家意见的排除文章。共鉴定出1159篇文章，经重复排除、应用排除标准和定性分析后，还剩下6篇文章。结果:通过对获得的数据进行分析，我们构建了三类:对老年PHC患者饮酒筛查的需求、老年PHC患者短暂干预的效率和实施酒精消费筛查的障碍。酒精和短暂干预结论:在初级卫生保健中对老年患者应用应对酒精消费的策略已被证明具有成本效益，但这些策略并未得到广泛实施，其实施的障碍多于促进因素。在此背景下，由于全国范围内的研究较少，有必要开展旨在评估老年人饮酒筛查和短暂干预的有效性的研究。
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