Saúde mental na estratégia saúde da família: revisão da literatura brasileira

Souza, Luiz Gustavo Silva; Menandro, Maria Cristina Smith; Couto, Leandra Lúcia Moraes; Schimith, Polyana Barbosa; Lima, Rebeca Panceri de

doi:10.1590/s0104-12902012000400019

Cited by 21 publications

(25 citation statements)

References 34 publications

(7 reference statements)

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“…However, despite the high prevalence of mental suffering in the patients attended in the primary health care network, there is still no adequate detection. This is because professionals have a hard time in correctly diagnosing and, consequently, providing the proper care 10 .…”

Section: Discussionmentioning

confidence: 99%

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Transtornos mentais na gravidez e condições do recém-nascido: estudo longitudinal com gestantes assistidas na atenção básica

Costa

Souza

Pedroso

et al. 2018

Ciênc. saúde coletiva

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Section: Discussionmentioning

confidence: 99%

“…Research on MD in basic care is still a challenge for health professionals, with difficulties even in the elaboration of the diagnosis 10 . Among the studies performed with pregnant women during prenatal care, most used tools that only detect depression and anxiety 7,8 symptoms, since diagnoses depend on clinical evaluation.…”

Section: Introductionmentioning

confidence: 99%

Transtornos mentais na gravidez e condições do recém-nascido: estudo longitudinal com gestantes assistidas na atenção básica

Costa

Souza

Pedroso

et al. 2018

Ciênc. saúde coletiva

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“…24 Mental health conditions constitute 30% of the country's morbidity and generate a significant burden on primary care professionals. 25 This situation indicates the need for better care for mental health, evaluating its relation with palliative care directly when it is a main diagnoses and indirectly, when is part of major context of multimorbidity. Methods of providing palliative care for people with psychiatric illness still need to be developed globally.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Identifying patients for palliative care in primary care in Brazil: Project Estar ao Seu Lado’s experience

Corrêa¹,

Mazuko²,

Mitchell³

et al. 2017

Rev Bras Med Fam Comunidade

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Identificando pacientes para cuidados paliativos na atenção primária no Brasil: experiência do Projeto Estar ao Seu Lado Objetivo: Apresentar o processo de identificação de pacientes de cuidados paliativos em uma equipe de Estratégia de Saúde da Família no Brasil. Métodos: O processo de identificação ocorreu 1) utilizando o sistema de trabalho de uma Equipe de Estratégia de Saúde da Família e os princípios da atenção primária e 2) aplicando o SPICT, uma ferramenta para ajudar a identificar pacientes que poderiam se beneficiar com cuidados paliativos. Resultados: Vinte e três pacientes foram inscritos no programa de cuidados paliativos no início do projeto. Ao final do período de 12 meses, identificamos 38 pacientes. Seis pacientes morreram durante o período. Assim, durante 2015, 38 pessoas foram identificadas com necessidades paliativas de uma população total de 3.000 (1,2% da população de prática). Destes, 58% (n=22) foram mulheres, 63% (n=24) com mais de 65 anos, 74,7% (n=28) relataram etnia branca. Os diagnósticos principais mais frequentes foram câncer (39,5%), doença psiquiátrica (18,4%), doença cardiovascular (15,8%), fraqueza (10,5%), demência (10,5%) e doença respiratória (7,9%). A multimorbidade foi maior em pacientes com mais de 65 anos (t-test, p=0,009) com uma mediana de quatro doenças. As patologias mais prevalentes entre os que sofrem de multimorbilidade foram doença cardiovascular (73,7%), doença psiquiátrica (65,8%), câncer (50%), fragilidade (39,5%), diabetes mellitus (31,6%) e doenças respiratórias (23,7%). Conclusão: Aplicamos uma ferramenta para identificar e gerenciar pacientes que se beneficiariam dos cuidados paliativos na atenção primária em Rio Grande. Sua aplicação é prática e viável. Seu aperfeiçoamento, implementação e avaliação no Brasil é indicado nos centros comunitários de Estratégia de Saúde da Família, levando em conta especificamente fatores sociais e econômicos desse país. Identificando pacientes para cuidados paliativos en atención primaria en Brasil: la experiencia del Proyecto Estar ao Seu LadoObjective: To present the process of identification of palliative care patients in a Family Health Strategy´s team in Brazil. Methods: The identification process ocurred 1) using the system of work of a Family Health Strategy Team and the principles of primary care and 2) by applying the SPICT, a tool to help identify patients who might benefit with palliative care. Results: Twenty-three patients were enrolled in the palliative care program at the beginning of the project. By the end of the 12 month period, we had identified 38 patients. Six patients died during the time period. Thus during 2015, 38 people were identified with palliative needs from a total population of 3,000 (1.2% of the practice population). Of these 58% (n=22) were women, 63% (n=24) over 65 years, 74.7% (n=28) reported white ethnicity. The most frequent major diagnoses were cancer (39.5%), psychiatric disease (18.4%), cardiovascular disease (15.8%), frailty (10.5%), dementia (10.5%), and respiratory disease (7.9%)...

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“…1 Thus, the FHS is considered to be one of the fundamental devices for mental health care and mental health measures in the territory and hence it can be seen as the most promising way to mobilize community resources and implement psychiatric reform. 3,6 Considering the importance of primary care to implement the transformations required to ensure the effectiveness of psychiatric reform, and considering that work processes are guided by knowledge, one of the instruments of this work, we asked:…”

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confidence: 99%

Mental health care in the territory: conceptions of primary health care professionals

et al. 2017

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This study aimed to analyze the conceptions that guide the practices of professionals in relation to care provided in mental health. This qualitative study enrolled professionals from a government health clinic in João Pessoa, Paraíba, Brazil. Data collection was conducted through a semi-structured interview during which the testimonies were recorded and subsequently transcribed in full. Analysis of the speech used Fiorin's Critical Theory, which allowed the elaboration of two subcategories: "Knowledge that guides practices in mental health" and "The invisibility of the integrating character of the Family Health Strategy from the Network of Psychosocial Care perspective". The focus of nursing care and health must not be bound only to the sickness, but caring practices should be transformed to promote comprehensive care and the resocialization of the person with psychic suffering.

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Saúde mental na estratégia saúde da família: revisão da literatura brasileira

Cited by 21 publications

References 34 publications

Transtornos mentais na gravidez e condições do recém-nascido: estudo longitudinal com gestantes assistidas na atenção básica

Transtornos mentais na gravidez e condições do recém-nascido: estudo longitudinal com gestantes assistidas na atenção básica

Identifying patients for palliative care in primary care in Brazil: Project Estar ao Seu Lado’s experience

Mental health care in the territory: conceptions of primary health care professionals

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