Com início do processo de reforma psiquiátrica no Brasil através da desinstitucionalização, foi adotado a preferência pelo tratamento psiquiátrico comunitário, inserindo o familiar no tratamento desses pacientes, gerando sobrecarga e preocupação em relação à qualidade de vida, bem-estar e esperança desses cuidadores familiares. OBJETIVOS: Avaliar o bem-estar, qualidade de vida e esperança dos cuidadores familiares de pessoas com esquizofrenia. MÉTODOS: Estudo descritivo transversal, realizado com 117 familiares de pessoas esquizofrênicas atendidas no Centro de Atenção Psicossocial em uma cidade do Paraná no Brasil. Foram aplicados os instrumentos World Health Organization 5-Item Well-Being (WHO-5), World Health Organization Quality of Life Abreviado (WHOQOL-Bref) e Escala de Esperança Disposicional. RESULTADOS: Os pais foram identificados como os principais cuidadores (53,8%), 74,4% representados pelo sexo feminino; 35% apresentavam entre quatro e sete anos de estudo; 97,4% dos cuidadores mantinham contato diário com o familiar esquizofrênico, com média de tempo atuando como cuidador de 13,4 anos. Em relação à pontuação obtida no WHO-5, 94,9% apresentaram abaixo de 20 pontos. Na escala WHOQOL-Bref, observou-se que o domínio de relações sociais e o domínio psicológico foram os que obtiveram menor escore, m=2,8 e m=3,2, respectivamente. No instrumento Escala de Esperança Disposicional, 77,8% da amostra apresentou pontuação abaixo de 32 pontos. CONCLUSÃO: O estudo trouxe avanços significativos para o conhecimento em torno do cuidador familiar de pessoas com esquizofrenia e suas principais apreensões em relação a qualidade de vida, bem-estar e esperança, bem como o subsídio para a reformulação dos serviços e políticas de saúde mental.

Objective: To measure and correlate the degree of psychological well-being, quality of life, and dispositional hope in family caregivers of schizophrenic people. Methods: Descriptive cross-sectional study conducted with 117 relatives of schizophrenic people. We applied a questionnaire of sociodemographic variables was applied, and the instruments World Health Organization 5-Item Well-Being (WHO-5), World Health Organization Quality of Life Abbreviated (WHOQOL-Bref), and Dispositional Hope Scale. We used The Kruskal Wallis, Jonckheere-Terpstra, and Spearman correlation tests at the level α <0.05. Results: It was possible to observe statistical significance when comparing schooling and age with Disposal Hope; and when comparing the scales used. Conclusion: The study considered that well-being, quality of life, and hope are variables that negatively influence caregiver burden, suggesting schooling as an inverse correlation variable with Dispositional Hope.

Objetivo: avaliar a atenção psicossocial pela ótica do familiar do paciente esquizofrênico.Metódo: estudo correlacional com 40 familiares no Centro de Atenção Psicossocial III de Londrina-PR, entre 2015 e 2016. Foram obtidas variáveis relacionadas à caracterização sociodemográfica e das escalas de avaliação da sobrecarga e de satisfação de familiares. Os dados foram analisados com medidas de tendência central e de correlação.Resultados: 24 cuidadores eram mulheres, 23 eram casados e a idade média foi 46 anos. A média de satisfação foi 4,37, a média global para a sobrecarga objetiva foi 2,26 e a sobrecarga subjetiva foi de 2,09.Conclusão: Embora muito satisfeitos, diferenças nos escores de sobrecarga revelaram que os familiares recebem bom suporte psicoeducativo, mas a sobrecarga gerada pela preocupação com o ente familiar é o aspecto que mais gera sorimento. Tais resultados podem nortear o enfermeiro no direcionamento das ações de suporte aos familiares, reduzindo a sobrecarga familiar.

Objective: To identify the impact of brief intervention paired with art therapy in patients who use alcohol. Method: This study presents intra-group design, with 11 alcoholics in the city of Tamarana-PR, Brazil, between 2015 and 2016. A test to identify the alcohol consumption level was used at the beginning/end of the actions. Cohen’s effect size and paired t-test were used to identify the impact of the actions on the reduction of alcohol intake. Results: Six participants ceased alcohol consumption, four showed high level of consumption and one presented average consumption. The paired t-test result suggested statistically significant difference between the initial and final scores, as well as 0.76 effect size. Conclusion: The brief intervention associated with the art therapy resulted in significant impact in reducing alcohol consumption. Investing in the continuous training of primary health care professionals is crucial to consolidate the improvements achieved.

Background and objective: The need to measure treatment outcomes in mental health services from the perspective of users and family members has been highlighted in the literature as a fundamental aspect to improve the care provided. The objective of this study was to measure the treatment outcome provided by a Brazilian Psychosocial Care Center from the perspective of outpatients and their family members.Methods: A correlational study was performed with 84 outpatients and 40 family members, between 2015 and 2016, interviewing them using the Satisfaction (SATIS-BR), Perception of Change (PCS), Independent Living Skills (ILSS) and Family Burden (FBIS-BR) scales.Results: There was a high index of satisfaction with the mental health service, with a mean of 4.23 for the users interviewed and 4.36 for the family members. The perception of change presented a mean of 2.58 for the patients and 2.19 for the family members. The independent living ability presented a mean of 2.52.Conclusions: The high indices of satisfaction suggest successes, as well as points to be improved in the mental health policy implemented in the municipality. However, reintegration into the labor market was presented as an aspect with a need for investments through health and labor policies, since it was related to the subjective burden.

Objective: to describe the factors related to psychological impairment and quality of life (QoL) of patients with schizophrenia. Method: a cross-sectional, descriptive and correlational study, carried out with 119 schizophrenics. A questionnaire of sociodemographic and clinical variables was applied, plus BPRS-A and QLS-BR scales. Chi-square test and Spearman’s correlation were used, Results: seventy-seven were male and 44 were using typical medications. The “Number of times they were hospitalized” related to “Time of illness” that patients live with schizophrenia showed significance (p=0.266); 91.7% had a severe occupational level (n=109); 34.5% (n=41) had moderate impairment. Conclusion: the greater the degree of psychological impairment, the worse the QoL, this worsening may be related to several factors, as well as disease symptoms.

Objective: To characterize the profile of patients suspected of attempting suicide, based on cases reported by the Toxicological Information Center of the University hospital of Southern Brazil.Methods: This is a retrospective aggregate study, based on the analysis of medical records and files between January 2009 and December 2012, aiming to collect information that would create the profile of patients suspected of attempting suicide, from the cases notified by the Toxicological Information Center.Results: Regarding the physical consequences and the danger of the suicide attempt, 97% of the suicide attempts did not present life threatening (n = 1,605); 85.4% were not referred to any professional service (n = 1,412). The year 2012 was the year with the highest number of suicide attempts that the other years.Conclusions: It is considered important to improve the notification form for poisoning injuries, to better detect information about suicide attempts.

O objetivo foi caracterizar, por meio do ecomapa, a rede de apoio social de pessoas que tentaram suicídio. Realizou-se uma pesquisa qualitativa, do tipo observação participante entre 2011 e 2012, em Londrina, Paraná, Brasil, com pacientes que tentaram suicídio por produtos químicos. Nesse período, foram entrevistados 6 sujeitos que tentaram suicídio. Para apresentar os dados, criaram-se dois quadros e um ecomapa para cada sujeito. A partir dos dados, criaram-se duas categorias: história de vida e apoio social no cotidiano dos sujeitos. Observou-se que os pacientes tentaram suicídio para solucionar seus problemas e o ecomapa apresentou-se como recurso útil para caracterizar sua rede de apoio social, a qual se apresentou fragilizada, possibilitando estratégias de prevenção de novas tentativas.