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FrancoAngeli Journals

Saggi, Studi e Ricerche

No. 72 (2025)

Diagnosi infermieristiche nei giovani con disturbo da uso di sostanze: evidenze per la personalizzazione delle cure. Studio osservazionale trasversale presso un servizio per giovani con disturbo da uso di sostanze; identificazione di 19 diagnosi infermieristiche prevalenti; evidenza del bisogno di interventi personalizzati che integrino aspetti clinici, psicosociali e di supporto familiare

DOI
https://doi.org/10.3280/mis72-2025oa21724
Submitted
dicembre 17, 2025
Published
2026-01-30

Abstract

This study provides the fi rst mapping of nursing diagnoses among young people with substance use disorders accessing the Androna Giovani service in Trieste.
Using a cross-sectional design, 90 participants aged 15-25 were assessed through standardized nursing interviews based on NANDA-I criteria.
Nineteen diagnoses showed a prevalence ≥ 30%, with Risk for suicidal behavior emerging as the most frequent.
Signifi cant associations were observed between psychosocial vulnerabilities – such as unemployment, low educational attainment, lack of family support, involvement with social services, and previous stays in therapeutic communities – and multiple nursing diagnoses reflecting both clinical and psychosocial fragilities.
These findings align with existing evidence highlighting the impact of social determinants of health on substance use trajectories and treatment engagement.
The use of nursing diagnoses allowed for a detailed characterization of care complexity, underscoring the need for integrated, individualized, and psychosocially informed nursing interventions.
Despite limitations, including the absence of benchmarks and missing data, this study supports the essential role of nursing in recognizing early vulnerabilities and promoting comprehensive, person-centered care in youth addiction settings.

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