Promoção em saúde mental: a enfermagem criando e intervindo com histórias infantis

Abstract

This paper refers to the importance of the childish stories as an instrument for the nursing action and the mental health promotion in childhood. The objective was to veriyj the recognition of the children's emotions, through stories specific to health. This is a descriptive-exploratory study of a qualitative nature, conducted in seven groups meetings with six children aged seven to ten years in an outpatient childish mental health. In the data collection the following were used as instruments: six fairy tales, the play of emotions, emotional faces, drawings, paintings and clay sculptures. Thematic analysis was used in which the following emerged, the recognition of emotions. The children recognized four basics emotions: sadness, joy, fear and anger. It was found in the study that the creation of contextualized stories and the strategy of storytelling group may be useful as a tool for research and qualification of nursing actions, to promote children's mental health.

The use of children’s stories in nursing care for the child: an integrative review

“…Given the increased use of controlled medications in children, dedicating time and using stories associated with tasks that relate to each case were care that had positive repercussions on children's thoughts, feelings and behavior. It is a large field of nursing practice that ranges from small children to adolescents (7,22) . Nurses who work in the emotional setting of emotion regulation, develop interactions directed to the management of the emotions of the child and his family, which is extremely important in the positive transformation of the emotional experience of fear (28) .…”

“…Behavioral approaches in Centros de Apoio Psicossocial Infantil (Child Psychosocial Support Centers) are present in mental health articles found in this review, appearing in A5 (7) and A10 (19) . In A5 (7) , specific stories were used as triggers in the approach on the themes: anxiety/nervousness, happiness, annoyance, irritation/anger, tranquility, sadness and fear. The storytelling group was shown to be a space for mental health promotion, which made it possible to confront and elaborate the psychological processes of children.…”

“…The recognition of emotions by children through the stimulation of storytelling showed that they, when used with specific purpose, are configured as a strategy of care in Child Mental Health. Beware of accessing complex and difficultto-understand feelings for the child, helping them to elaborate on deep issues and verbalize their fears, anguish, and joys (7) . On the other hand, A10 (22) showed that self-recognition through the use of elaborate stories about the everyday experiences of children with mood and behavior disorders has assumed the role of educating in health and promoting mental health through The use of children's stories in nursing care for the child: an integrative review Brondani JP, Pedro ENR.…”

“…They have been extensively studied, both as free play and the relationship with health promotion and development, as well as interventions that have improved. Among them, the use of stories and therapeutic play (TP) stand out as strategies capable of interfering in a positive way in the child's perception about the health-disease process and about nursing care (2)(3)(4)(5)(6)(7) . TP is classified in instructional, physiological and dramatic functions (2) , and can be used in different care settings, allowing the child to better express their perceptions and needs (3) .…”

“…Stories as a mediating intervention in the care process may be only a recreational reading, boosts the imagination and helps the child to mitigate the treatment consequences, but can also be used as a therapeutic and structured reading, in order to intervene in part of the care. In this case, it can bring to nursing, child and family, the improvement in the acceptance of painful procedures, understanding of the health-disease process, trust in the professional, acceptance of treatments and serves as a tool for the health and research (4)(5)(6)(7) . The success of this intervention depends on adequate planning and the professional's ability to use the technique.…”