Objective: To verify if nurses from the emergency hospital services had depressive symptoms, identifying intervening factors and analyzing perception about the psychic suffering and its influence on care provided. Methods: Cross-sectional study, conducted with nurses of emergency hospital services. The research instrument was a semi-structured questionnaire with sociodemographic variables and psychometric scales for the assessment of depression. For statistics, the Fisher exact test was used. Results: A total of 23 nurses participated, of which 91.3% showed symptoms of depression. Factors for illness were related to work conditions such as overload, devaluation, lack of human and material resources. The nurses neither acknowledged themselves as sick, nor being influenced on care provided. The results were converging for the scales of observation. All nurses were advised and sent to specialized care. Conclusion: The majority of nurses working in emergency services reported depression linked to working conditions. Most of them did not realize their own psychic suffering. ResumoObjetivo: Verificar se enfermeiros do serviço hospitalar de emergência apresentavam sintomas depressivos, identificar fatores intervenientes e analisar percepção sobre o sofrimento psíquico e influência na assistência prestada. Métodos: Estudo transversal, realizado com enfermeiros de serviços hospitalares de emergência. O instrumento de pesquisa foi um questionário semiestruturado, com variáveis sociodemográficas e escalas psicométricas para avaliação de depressão. Para estatística foi utilizado o teste exato de Fisher. Resultados: Participaram 23 enfermeiros dois quais 91,3% apresentaram sintomas de depressão. Fatores para adoecimento estavam relacionados às condições do trabalho como sobrecarga, desvalorização, falta de recursos humanos e materiais. Os enfermeiros não se percebiam adoecidos, nem influência na assistência. Os resultados foram convergentes para as escalas de observação. Todos foram orientados e encaminhados para atendimento especializado. Conclusão: A maioria dos enfermeiros atuantes nos serviços de emergência apresentou quadro depressivo ligado a condições de trabalho A maioria não percebia o próprio sofrimento psíquico.
Objective: To know the experience of nurses of the Psychosocial Care Networks on the development of Nursing Appointment in Mental Health. Method: Qualitative study, with interview of 20 nurses, through the analysis of the statements in the search of the meaning core. Results: was unveiled as meaning core: lack of preparation for Mental Health Care, Non-identification of the work of the nurse in Mental Health; and Performance of Nursing Appointment as bureaucratic fulfillment. Final considerations: Nurses understand Nursing Appointment as an individualized and bureaucratic activity, to consider professional regulations, and not as a work process in the multiprofessional work, thus, the Projeto Terapêutico Singular (freely translated as Unique Therapeutic Project) is not cited as a possibility of work process. It was identified necessary space for discussion of actuation and updates of the nurse in Mental Health Care in the health services studied, with emphasis on their performance in a multiprofessional team in consonance with the Mental Health Policy.
RESUMO CONTEXTO:A adesão a tratamentos é fundamental para que ações de reabilitação psicossocial sejam implementadas para reduzir a cronicidade. O transtorno afetivo bipolar caracteriza-se como uma patologia onde os portadores, muitas vezes, não se percebem adoecidos e portanto, não aderem a tratamentos com facilidade. A organização da atenção através do gerenciamento de caso pode contribuir para a adesão a tratamentos. OBJETIVOS: Investigar a adesão a tratamentos para Transtorno Afetivo Bipolar e as in uencias do gerenciamento de caso para esta adesão. MÉTODOS: Pesquisa qualitativa e descritiva em serviço ambulatorial de saúde mental, realizada através da técnica de análise de conteúdo temática das falas de usuários e pro ssionais que dissertaram sobre adesão a tratamentos e fatores in uentes. RESULTADOS: Os efeitos colaterais, a disponibilidade dos serviços e os compromissos dos usuários foram citados como fatores que di cultam a adesão aos tratamentos, sendo o último também compreendido como fator de motivação na análise de conteúdo realizada. A con ança nos pro ssionais, o relacionamento estabelecido com estes, a presença e ajuda de familiares, foram citados como fatores facilitadores para a adesão a tratamentos. A estratégia de atendimento através do gerenciamento de caso não foi citada, pela amostra, como in uente para o processo de adesão aos tratamentos. CONCLUSÕES: Evidencia-se atenção do Enfermeiro e equipe de saúde em relação à necessidade de exibilidade para planejamento das ações de tratamentos, principalmente a respeitar atividades laborais, o que se fundamenta na relação de con ança estabelecida e escuta, a privilegiar a individualização da assistência. BACKGROUND: Adherence to treatment is essential for implementing psychosocial rehabilitation actions to reduce chronicity. Bipolar disorder is characterized as a disorder where patients in o en do not realize sickened and therefore do not adhere to treatments easily. e organization of care through case management can contribute to adherence to treatment. AIM: To investigate the adherence to treatments for bipolar a ective disorder and in uence case management for this adherence. METHODS: Qualitative and descriptive research in outpatient mental health conducted through thematic content analysis technique of the speeches of users and professionals who spoke about adherence to treatment and in uential factors. RESULTS: Side e ects, the availability of services and commitments of users were cited as factors that hinder adherence to treatment, the latter being also understood as a motivating factor in the content analysis. Trust in professionals, the relationship established with these, the presence and help of family, were cited as factors that facilitate adherence to treatment. PALAVRAS-CHAVE:e service strategy through case management was not cited by the sample as in uential to the process of adherence to treatment. CONCLUSIONS: is study highlights the attention of the nurse and the health team regarding the need for exibility in planning treatment ...
Objective: Understand the meanings of breastfeeding inhibition to prevent vertical transmission among women living with HTLV-1 (WLHTLV). Methods: A qualitative research with participant observation and in-depth interviews was undertaken, using a pretested thematic script, analyzed by means of Bardin's thematic content analysis. The participants were 13 people -11 women and two men -over 18 years of age, diagnosed with HTLV-1 and without co-infections. The study was undertaken at a private room in a specialized center in São Paulo between June/2006 and April/2008, where the researcher worked, so that she was familiar with and had access to the users. The subjects were selected by convenience, during the participant observation. The subjects' reports were recorded, transcribed and analyzed in search of senses and meanings to elaborate the categories. Excerpts were presented, identified by fictitious names. Results: Breastfeeding inhibition is a complex decision that is even more difficult in a context in which the health team does not know this infection. Conclusion: The lack of knowledge on HTLV-1 in the hospital context is a risk for the vertical transmission of this virus and entails significant emotional consequences. The health team needs information and education for comprehensive care and welcoming of WLHTLV's specific needs. ResumoObjetivo: Compreender os sentidos da inibição da amamentação como prevenção da transmissão vertical entre mulheres vivendo com HTLV-1 (MVHTLV). Métodos: Trata-se de pesquisa qualitativa com observação participante e entrevistas em profundidade, por meio de roteiro temático, pela análise de conteúdo temática de Bardin, pré-testado e realizados com 13 pessoas -11 mulheres e dois homens -maiores de 18 anos, diagnosticados com HTLV-1 e sem coinfecções, entre Junho/2006 a Abril/2008, em sala reservada de centro especializado em São Paulo, onde atuava a pesquisadora, psicóloga, com familiaridade e acesso aos usuários. A seleção dos sujeitos ocorreu por conveniência durante a observação participante. Os relatos dos sujeitos foram gravados, transcritos e analisados na busca dos sentidos e significados para elaboração das categorias e, foram apresentados trechos destes, identificados por nomes fictícios. Resultados: A inibição da amamentação é uma decisão complexa dificultada em um contexto de desconhecimento dessa infecção pela equipe de saúde. Conclusão: O desconhecimento do HTLV-1 no contexto hospitalar se torna um risco para a transmissão vertical desse vírus, além de consequências emocionais significativas. Indica-se a necessidade de informação e formação da equipe de saúde para um cuidado integral e o acolhimento das necessidades específicas de MVHTLV.
Objective: to investigate occurrence and risk factors for common mental disorders and perinatal depressive symptoms. Methods: an integrative literature review using CINAHL, Embase, PubMed, PsycINFO, and LILACS, looking for studies conducted between 2014 and 2019. Data collection took place between June and July 2019. Health Sciences Descriptors (DeCS) and Medical Subject Heading (MeSH) were used in the search strategies employed in each database. Results: thirteen articles were included. Most studies were conducted in Brazil and with a cross-sectional design. The highest prevalence of common mental disorders (63%) and depressive symptoms (30%) were found in Brazilian studies. Conclusion: high frequencies were found for perinatal mental disorder, with emphasis on studies carried out in Brazil. Low socioeconomic status, being a single mother, history of mental disorder, unplanned pregnancy and multiparity were risk factors for the investigated disorders.
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