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PROMOÇÃO DA AUTOESTIMA EM UTENTES COM PERTURBAÇÃO DO USO DE ÁLCOOL
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This report, produced as part of the Master’s and Specialisation programme in Mental Health and Psychiatric
Nursing at the School of Health of the Polytechnic Institute of Leiria, aims to outline the competencies
developed in order to obtain a Master’s degree in Nursing and the title of Specialist Nurse in Mental Health
and Psychiatric Nursing (EEESMP). It is divided into three parts: a description of the learning contexts in
Clinical Teaching; a critical-reflective analysis of the activities undertaken to acquire common competencies
(Regulation No. 140/2019) and those specific to the EEESMP (Regulation No. 515/2018); and a description
of the stages and results achieved in the development of the Continuous Quality Improvement Project in
Nursing Care (PMCQCE): Promotion of Self-Esteem in patients with Alcohol Use Disorder (AUD).
Self-esteem is linked to addictive behaviours and can act as either a protective or a risk factor (Van den Berg
et al., 2026; Khazaee-Pool et al., 2025 & Mann et al., 2004). Low self-esteem increases the likelihood of
mental health disorders, social problems and substance abuse. In Portugal, hospital admissions for alcoholrelated
problems rose by 20% compared to 2021 (SICAD, 2023).
The PMCQCE presented here stems from a problem encountered in clinical practice: low self-esteem among
clients with alcohol use disorder (AUD) and the lack of a specialised intervention in Mental Health and
Psychiatric Nursing (MHPN) in this area. Thus, this project aims to improve the quality of care provided to
this population through the design and implementation of a specialised intervention, and to improve the
self-esteem of clients with PUA.
Within the framework of this PMCQCE, a quantitative exploratory action research study was developed,
conducted with a purposive sample of patients with low self-esteem and a clinical diagnosis of PUA, admitted
to the psychiatric ward. The specialised intervention was structured into four individual sessions using a
psychotherapeutic approach, based on the helping relationship and utilising artistic-expressive mediation
techniques. The sessions focused on the dimensions of self-image, self-confidence and self-acceptance.
The results showed that, in the pre-intervention phase, participants exhibited high levels of alcohol
consumption and low self-esteem. Following the intervention, improvements in self-esteem were observed
in all participants, along with high levels of satisfaction with the intervention.
It is suggested that the project be continued in an inpatient setting and during the post-discharge (followup)
period, and that it be replicated in other inpatient settings with the same substance use issues.
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Adultos Autoestima Alcoolismo Saúde Mental Enfermagem
Contexto Educativo
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