Objetivo: analisar a busca de homens pelos serviços de Atenção Básica à Saúde e sua relação com a construção social das masculinidades. Método: estudo descritivo desenvolvido com dez homens usuários de uma Unidade de Saúde da Família de um município da Bahia, Brasil. Os dados foram obtidos em entrevista semiestruturada e os resultados submetidos à análise de conteúdo. Resultados: emergiram três categorias: A busca tardia pelos serviços de Atenção Básica à Saúde; O cuidado e o autocuidado como atributo feminino e; Virilidade, força e honraconstruindo as masculinidades nos discursos. Nos discursos, as construções sociais das masculinidades repercutem na busca dos homens pelos serviços de saúde. Conclusão: os homens buscam tardiamente os serviços da Atenção Básica à Saúde e consideram o cuidado como um atributo feminino, o que evidencia a repercussão das construções sociais das masculinidades nessa busca.
Objective: to understand how the COVID-19 pandemic mobilizes masculinities in relation to mental health. Methods: qualitative study conducted with 400 men, in a virtual environment, in all regions of Brazil. The data were analyzed by the Discourse of the Collective Subject and based on Symbolic Interactionism. Results: the mobilization of masculinities emerged from men towards the recognition of weaknesses and psycho-emotional vulnerabilities, with narratives that reveal the expression of feelings, pain, discomfort and psychological suffering, and showed themselves to be sensitive and engaged in performing practices, including autonomous ones, of health care mental. Final considerations: the pandemic mobilizes masculinities as men print meanings and senses, in their interaction and interpretation of mental health, and is a marker for the nursing clinic conduct.
Objective: to understand how the contradictions and tensions of neoliberal policy, materialized in precarious work, affect nursing workers’ mental health in the context of the COVID-19 pandemic. Method: this is a study with a qualitative and descriptive approach, analyzed in the light of neoliberal economic policy. Data were collected through virtual means, with the participation of 719 nursing workers, from April to June 2020. To organize the data, the IRaMuTeQ® software and thematic analysis were used. Results: the reports revealed the lack of value of workers and the loss of social labor rights; the progressive nature of the neoliberal policy, its threats and repercussions on workers’ mental health; and recognition by female workers that political and class participation does not occur in isolation, but collectively. Conclusion: under the aegis of neoliberal policy, the COVID-19 pandemic brought an upsurge precarious work, influencing nursing workers’ subjectivity and mental health.
Objective: To analyze, from the perspective of self-report of antecedents and consequences, how the COVID-19 pandemic decrease the health of men living in Brazil. Methods: Qualitative study, conducted with 200 men living in all regions of Brazil through the application of a semi-structured instrument, hosted on an online platform. The data were analyzed with the Collective Subject Discourse method and anchored in the theoretical framework of Dialectical Historical Materialism. Results: The COVID-19 pandemic decrease men’s mental health because it worsened the history of personal, affective, family, occupational, dysfunctional and/or morbid problems, causing consequences of psychic somatization, family dissolution, end of affective relationship, marital conflicts, social isolation, financial difficulty, vulnerability of the work situation and occupational exhaustion, sudden changes in behavior, barriers in access to health care and impaired experiences of death and grief. Conclusions: Social support networks need to be strengthened in order to minimize the direct and indirect impacts caused by the pandemic materiality for mental health and the various dimensions of life affected.
Objective: To analyze the relationships between sociodemographic variables, intolerance to uncertainty (INT), social support, and psychological distress (i.e., indicators of Common Mental Disorders (CMDs) and perceived stress (PS)) in Brazilian men during the COVID-19 pandemic. Methods: A cross-sectional study with national coverage, of the web survey type, and conducted with 1006 Brazilian men during the period of social circulation restriction imposed by the health authorities in Brazil for suppression of the coronavirus and control of the pandemic. Structural equation modeling analysis was performed. Results: Statistically significant direct effects of race/skin color (λ = 0.268; p-value < 0.001), socioeconomic status (SES) (λ = 0.306; p-value < 0.001), household composition (λ = 0.281; p-value < 0.001), PS (λ = 0.513; p-value < 0.001), and INT (λ = 0.421; p-value < 0.001) were evidenced in the occurrence of CMDs. Black-skinned men with higher SES, living alone, and with higher PS and INT levels presented higher prevalence values of CMDs. Conclusions: High levels of PS and INT were the factors that presented the strongest associations with the occurrence of CMDs among the men. It is necessary to implement actions to reduce the stress-generating sources as well as to promote an increase in resilience and the development of intrinsic reinforcements to deal with uncertain threats.
Objetivo: identificar a produção científica sobre as ações/intervenções que podem ser desenvolvidas pelo enfermeiro na atenção e prevenção de danos da depressão puerperal. Método: trata-se de um estudo bibliográfico, descritivo, tipo revisão integrativa, entre 2009 a 2018, nas Bases de Dados MEDLINE, LILACS, BDENF e BVS. Adotou-se a estratégia PICO. Sistematizaram-se os dados pela técnica da Análise de Conteúdo na modalidade Análise Temática Categorial. Resultados: compôs-se a amostra por 11 artigos. Identificaram-se as seguintes ações/intervenções: identificar sinais e sintomas da depressão puerperal; realizar consulta de pré-natal; realizar educação em saúde; incentivar o parto normal; apoiar condições psicológicas; encaminhar para serviço especializado. Conclusão: conclui-se que há a necessidade de que o enfermeiro tenha conhecimento sobre a depressão puerperal para, assim, acompanhar a mulher de maneira integral, a partir do período gestacional até o puerpério, devendo ofertar uma assistência adequada. Descritores: Depressão Pós-Parto; Gestantes; Enfermagem; Prevenção & Controle; Atenção à Saúde; Assistência Integral à Saúde.AbstractObjective: to identify the scientific production on the actions/interventions that can be developed by nurses in the care and prevention of damage from puerperal depression. Method: this is a bibliographic, descriptive, integrative review type study, between 2009 and 2018, in the MEDLINE, LILACS, BDENF and BVS databases. The PICO strategy was adopted. The data were systematized using the Content Analysis technique in the category Thematic Analysis. Results: the sample was composed of 11 articles. The following actions/interventions were identified: identifying signs and symptoms of puerperal depression; perform prenatal consultation; carry out health education; encourage normal birth; support psychological conditions; refer to specialized service. Conclusion: it is concluded that there is a need for nurses to have knowledge about puerperal depression in order, thus, to accompany the woman in a comprehensive way, from the gestational period until the puerperium, and must offer adequate assistance. Descriptors: Depression; Postpartum; Pregnant Women; Nursing; Prevention & Control; Health Care (Public Health); Comprehensive Health Care.ResumenObjetivo: identificar la producción científica sobre las acciones / intervenciones que pueden desarrollar el enfermero en el cuidado y prevención del daño por depresión puerperal. Método: este es un estudio de tipo de revisión bibliográfica, descriptiva e integradora, entre 2009 y 2018, en las bases de datos MEDLINE, LILACS, BDENF y BVS. La estrategia PICO fue adoptada. Los datos se sistematizaron utilizando la técnica de Análisis de Contenido en la modalidad Análisis Temático Categorial. Resultados: la muestra estuvo compuesta por 11 artículos. Se identificaron las siguientes acciones / intervenciones: identificación de signos y síntomas de depresión puerperal; realizar consultas prenatales; llevar a cabo educación sanitaria; alentar el parto normal; apoyar condiciones psicológicas; remitir a servicio especializado. Conclusión: se concluye que es necesario que el enfermero tenga conocimiento sobre la depresión puerperal para poder acompañar a la mujer de manera integral, desde el período gestacional hasta el puerperio, y debe ofrecer asistencia adecuada. Descriptores: Depresión Posparto; Mujeres Embarazadas; Enfermeira; Prevención & Control; Atención a la Salud; Atención Integral de Salud.
O 'NOVO' da COVID-19: impactos na saúde mental de profi ssionais de enfermagem?The novel COVID-19: impacts on nursing professionals' mental health? Lo "NUEVO" de la COVID-19: impactos en la salud mental de profesionales de enfermería
Objective: to understand the meanings that nursing professionals attribute to their experiences in the context of the COVID-19 pandemic. Methods: Qualitative study with 719 professionals. Data were collected virtually and processed by Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires. The analysis was conducted in the light of the theoretical-philosophical referential of Phenomenological Sociology. Results: four categories emerged from the discourse analysis: meanings of the experiences related to oneself; meanings of the experiences related to others; meanings of the experiences related to working conditions; and meanings of the experiences faced with the uncertainties of the future. Conclusion: the experiences are marked by suffering in relation to personal aspects, to their social networks and to the world of work itself. Strategies that support these professionals currently and in continued care in the medium and long term need to be established in order to preserve their mental health.
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