scholarly journals O SIGNIFICADO DA INTERNAÇÃO PSIQUIÁTRICA PARA PACIENTES COM ESQUIZOFRENIA

2019 ◽  
Vol 10 (2) ◽  
Author(s):  
Jaqueline Ramires Ipuchima ◽  
Ezequiel Teixeira Andreotti ◽  
Jacó Fernando Schneider

Objetivo: compreender o significado da internação psiquiátrica para os pacientes com esquizofrenia. Metodologia: pesquisa qualitativa de natureza fenomenológica pautada no referencial teórico de Maurice Merleau-Ponty, realizada com 10 pacientes com diagnóstico de esquizofrenia, na Unidade de Internação psiquiátrica do Hospital de Clínicas de Porto Alegre (HCPA), no período de junho a agosto de 2016, na cidade de Porto Alegre/RS. Foram realizadas entrevistas semiestruturadas cujas informações foram submetidas à análise fenomenológica. Resultados: emergiram seis unidades temáticas. Conclusão: a partir das colocações de Merleau-Ponty, foi possível compreender de que forma o paciente com esquizofrenia observa seus avanços ou retrocessos durante o tratamento. O presente estudo torna-se uma ferramenta que possibilita o aprimoramento do processo de atenção ao paciente com esquizofrenia, fazendo com que os cuidados destinados a ele se tornem diferenciados e focados em suas necessidades.Descritores: Saúde Mental; Esquizofrenia; Enfermagem.THE MEANING OF PSYCHIATRIC HOSPITALIZATION FOR PATIENTS WITH SCHIZOPHRENIAObjective: This paper aims to understand the meaning of psychiatric hospitalization for patients with schizophrenia. Methodology: It is a qualitative research with a phenomenological approach based on the theoretical reference of Maurice Merleau-Ponty, and carried out at the Psychiatric Hospitalization Unit of the Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre/RS. Results: Ten patients with the diagnosis of schizophrenia were interviewed, and the data submitted to phenomenological analysis from which six thematic units emerged. Conclusion: Based on Merleau-Ponty's findings, it was possible to understand how patients with the diagnose of schizophrenia see their improvements or deterioration during treatment. This study should be used as a tool to allow improvement of the care delivered to patients with schizophrenia, making it more patient-focused and unique.Descriptors: Mental health; Schizophrenia; Nursing.EL SIGNIFICADO DE LA INTERNA PSIQUIÁTRICA PARA LOS PACIENTES CON ESQUIZOFRENIAObjetivo: comprender el significado de la internación psiquiátrica para los pacientes con esquizofrenia. Metodología: investigación cualitativa de naturaleza fenomenológica pautada en el referencial teórico de Maurice Merleau-Ponty. Realizado en la Unidad de Internación psiquiátrica del Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre / RS. Resultados: fueron entrevistados 10 pacientes con diagnóstico de esquizofrenia, cuya información fue sometida al análisis fenomenológico y emergieron seis unidades temáticas. Conclusión: a partir de las colocaciones de Merleau-Ponty, fue posible comprender de qué forma el paciente con esquizofrenia observa sus avances o retrocesos durante el tratamiento. El presente estudio se convierte en una herramienta que posibilita el perfeccionamiento del proceso de atención al paciente con esquizofrenia, haciendo que los cuidados destinados a él se vuelvan diferenciados y enfocados en sus necesidades.Descriptores: Salud mental; Esquizofrenia; Enfermería.

2011 ◽  
Vol 2 (1) ◽  
pp. 38-43 ◽  
Author(s):  
Daiane Dal Pai ◽  
Liana Lautert ◽  
Jefferson Silva Krug

O presente estudo discute a psicodinâmica do trabalho da enfermagem em urgência e emergência e sua repercussão na saúde mental do trabalhador, a partir de pesquisa qualitativa que focou o labor da equipe de enfermagem de um serviço público de pronto-socorro. Foram realizadas análises de documentos, observações não participantes e entrevistas semiestruturadas com os trabalhadores. Todos os preceitos éticos foram atendidos e as informações coletadas, submetidas à análise de conteúdo. Os resultados apontam a presença de um ritmo de trabalho intensificado e caracterizado pela imprevisibilidade, gerando consequências no cotidiano e na saúde mental do trabalhador.Descritores: Saúde do Trabalhador, Saúde Mental, Condições de Trabalho, Enfermagem em Emergência.Psychodynamics and mental health of nursing workers: pace and intensification of doingThis study discusses the psychodynamics of work of nursing in emergency care and its impact on the mental health worker, from qualitative research that focused on the work of the nursing team of a public emergency room. It was carried out analysis of documents, non participating observations and semi structured interviews with workers. All ethical guidelines were met and the informations were collected were subjected to content analysis. The results indicate the presence of an intensified work pace and characterized by unpredictability, creating consequences in everyday life and the mental health worker.Descriptors: Occupational Health, Mental Health, Working Conditions, Emergency Nursing.La psicoterapia y la salud mental de los trabajadores de enfermería: incrementar el ritmo e intensificación del hacerEste trabajo discute la psicodinámica del trabajo de enfermería en la atención de emergencia y su impacto en la salud mental del trabajador, a partir de la investigación cualitativa que se centró en el trabajo del equipo de enfermería de un servicio público de atención de emergencia. Fueron realizadas análisis de los documentos, observaciones no participantes y entrevistas semiestructuradas con los trabajadores. Todas las recomendaciones éticas fueron recibidas y las informaciones recogidas se sometieron a análisis de contenido. Los resultados indican la presencia de un ritmo de trabajo intensificado y caracterizado por la imprevisibilidad, generando consecuencias en la vida cotidiana y en la salud mental del trabajador.Descriptores: Salud Ocupacional, Salud Mental, Las Condiciones de Trabajo, Emergencia de Enfermería.


Curationis ◽  
2000 ◽  
Vol 23 (3) ◽  
Author(s):  
N Modungwa ◽  
M Poggenpoel ◽  
A Gmeiner

The purpose of this study was firstly to explore and describe the experiences of mothers who are looking after their teenage daughters’ young children. Secondly, to formulate guidelines (based on the results obtained) for psychiatric nurses in assisting these mothers to mobilise resources in order to promote, maintain and restore their mental health as an integral part of health. An exploratory, descriptive, contextual and qualitative design was used and Guba’s model for ensuring trustworthiness in qualitative research was applied. The phenomenological approach was used to collect and analyse data from a sample of seven respondents who were purposively selected. Three independent themes emerged from the analysis of results: Meaning of the parenting role, life-style changes and support systems. The results further show that for these mothers the problem of teenage pregnancy and parenthood ends up being their problem. Their experiences in looking after these babies, although sometimes fulfilling and meaningful, are most of the time stressful. This has implications on their mental health. Guidelines are recommended in order to facilitate these mothers to mobilise their resources for mental health.


2019 ◽  
Vol 13 ◽  
Author(s):  
Carolina Amaral Oliveira Rodrigues ◽  
Natália Hiany Fonseca Santos ◽  
Samara Frantheisca Almeida Barbosa ◽  
Diego Dias de Araújo ◽  
Ricardo Otávio Maia Gusmão ◽  
...  

Objetivo: caracterizar o perfil sociodemográfico e clínico dos pacientes atendidos em um Centro de Atenção Psicossocial. Método: trata-se de estudo quantitativo, transversal, descritivo e documental, com prontuários de usuários em um Centro de Atenção Psicossocial. Coletaram-se os dados em dezembro de 2017 e janeiro de 2018, organizando-os em um banco de dados do Programa SPSS, versão 20.0. Resultados: verificou-se, quanto ao perfil sociodemográfico, que a maioria dos usuários era do sexo feminino; solteira; com idade média de 36 anos; com Ensino Fundamental incompleto; não trabalhava; não tinha filhos; possuía cuidador/acompanhante. Observou-se, em relação ao perfil clínico, que a maioria esteve em tratamento semi-intensivo; teve alguma internação psiquiátrica; apresentou diagnóstico de esquizofrenia e depressão. Conclusão: considerou-se que conhecer o perfil desses usuários poderá auxiliar gestores e equipes de Saúde Mental no planejamento de políticas locais e de ações de saúde nos diversos níveis de atenção por possibilitar o fortalecimento das relações intersetoriais, visto que o cuidado em Saúde Mental deve ser de corresponsabilidade dos setores de Saúde, Assistência Social, Justiça e Educação. Descritores: Saúde Mental; Epidemiologia; Transtornos Mentais; Humanização da Assistência; Serviços de Saúde Mental; Psicanálise.AbstractObjective: to characterize the sociodemographic and clinical profile of patients treated at a Psychosocial Care Center. Method: this is a quantitative, cross-sectional, descriptive and documentary study, with medical records of users in a Psychosocial Care Center. Data was collected in December 2017 and January 2018 and organized into a database of the SPSS Program, version 20.0. Results: it was found, regarding the sociodemographic profile, that the majority of users were female; single; with average age of 36 years; with incomplete elementary school; didn't work; I had no children; had caregiver / companion. Regarding the clinical profile, most of them were in semi-intensive treatment; had any psychiatric hospitalization; presented diagnosis of schizophrenia and depression. Conclusion: it was considered that knowing the profile of these users can help managers and teams of Mental Health in the planning of local policies and health actions at various levels of care by enabling the strengthening of intersectoral relationships, since Mental Health care should be co-responsible for the Health, Social Welfare, Justice and Education sectors. Descriptors: Mental Health; Epidemiology; Mental Disorders; Humanization of Assistance; Mental Health Services; Psychoanalysis.ResumenObjetivo: caracterizar el perfil sociodemográfico y clínico de los pacientes tratados en un Centro de Atención Psicosocial. Método: este es un estudio cuantitativo, transversal, descriptivo y documental, con registros médicos de usuarios en un Centro de Atención Psicosocial. Los datos se recopilaron en diciembre de 2017 y enero de 2018, y se organizaron en una base de datos del Programa SPSS, versión 20.0. Resultados: se encontró en cuanto al perfil sociodemográfico, que la mayoría de los usuarios eran mujeres; solteros; con edad promedio de 36 años; con escuela primaria incompleta; no funcionó; no tenía hijos; tenía cuidador / acompañante. En cuanto al perfil clínico, la mayoría estuvo bajo tratamiento semi-intensivo; tuvo alguna hospitalización psiquiátrica; presentó diagnóstico de esquizofrenia y depresión. Conclusión: se consideró que conocer el perfil de estos usuarios puede ayudar a los gerentes y equipos de Salud Mental en la planificación de políticas locales y acciones de salud en los diversos niveles de atención al permitir el fortalecimiento de las relaciones intersectoriales, ya que la atención de Salud Mental debería ser corresponsable de los sectores de salud; asistencia social; justicia y educación. Descriptores: Salud Mental; Epidemiología Trastornos Mentales; Humanización de la Atención; Servicios de Salud Mental; Psicoanálisis.


2020 ◽  
Vol 8 (T2) ◽  
pp. 136-140
Author(s):  
Rosalina Sandi ◽  
Sudirman Nasir ◽  
Apik Indarty Moedjiono ◽  
Erniwati Ibrahim

BACKGROUND: Utilization barriers of mental health services are the lack of knowledge about mental health. AIM: This study aimed to identify the knowledge and understanding of the families of people with mental disorders about mental disorders. METHODS: This study is a qualitative research with phenomenological approach. Data were obtained by interview, unstructured observation, and documentation on seven informants in Puskesmas Larompong Luwu, South Sulawesi. Content analysis was used to identify topics or categories in the data. RESULTS: The family of people with mental disorders still has negative views about people with mental disorders. People with mental disorders are often called the term “lunatic,” insane, scary, and dangerous. In addition, people with mental disorders regarded as a person who has a disease that makes people uncomfortable because of behavior that is unnatural. Families have an understanding that the causes of mental disorders associated with the occult and mystical or supernatural events. The factors that cause families have minimal understanding of the appropriate handling for people with mental disorders. CONCLUSION: It was concluded that the knowledge and understanding of mental disorder which is owned by the family of people with mental disorders as the holder of a healing role in supporting people with mental disorders are lacking.


2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Nining Wuri Lestari ◽  
Setyawati Soeharto ◽  
Dwi Windarwati

Background: Caring for people with post-pasung (post seclusion and restraint of patient) mental disorders can provide special experience for families who act as caregivers. Objective: To explore family experiences in rehabilitating people with post-pasung mental disorders in Trenggalek Regency. Methods: This research is a qualitative research with an interpretive phenomenological approach. Data were obtained through in-depth interviews using semi-structured interview guidelines. Participants in this study were twelve in number who treated people with post-pasung mental disorders in Trenggalek Regency. Results: Analysis of data using IPA (Interpretative Phenomenological Analysis), found eight themes, namely having compassion for patients, having the responsibility of caring for patients, repaying the kindness of patients and others who have helped, having the hope that patients can recover, feel the need to supervise the independence of patients, realize the condition of mental patients, resigned to accept, thankful that the patient can improve and upset. Conclusion: Family is a determinant of the success of rehabilitation in people with post-pasung mental disorders. Family compassion and attention support the patient's recovery. The family hopes that the patient can recover and be independent in self-care, take medicine and work so that it does not depend on the family. This study produced eight themes and answered the research objectives.


2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Sindhy Mariam Magdalena Pello ◽  
Christiana Hari Soetjiningsih

Happiness is a concept that relate to the emotion and positive activities felt by each individual except for the single people. The purpose of this research is to know the illustration of happiness to the adult females who decided to remain single and the influenced factors of happiness. Qualitative research method is used with phenomenological approach. The participants of this research are two adults’ females 40-65 years old who decided to remain single. Interpretative phenomenological analysis (IPA) is used for the data analysis technique. The results of this research showed that adults females who decided to remain single still felt happiness through the positive relationship with others by doing things or activities that they liked, finding the meaning of their days, and having optimism and resilience attitude. The most influenced factor of happiness is religiosity. Keywords: Happiness; Adult Female; Single; Religiousity; Success.   


2021 ◽  
Vol 11 (4) ◽  
Author(s):  
Débora Gomes Da Rocha ◽  
Émilly Giacomelli Bragé ◽  
Lahanna Da Silva Ribeiro ◽  
Domênica Bossardi Ramos ◽  
Lauren Ruas Vrech ◽  
...  

Objetivo: Relatar as ações de educação permanente realizadas pelo Projeto de Extensão “Educação Permanente de Enfermagem em Saúde Mental” da Universidade Federal de Ciências da Saúde de Porto Alegre. Método: Relato de experiência sobre as atividades desenvolvidas pelo Projeto de Extensão na Internação Psiquiátrica do Hospital Materno-Infantil Presidente Vargas. As ações de educação permanente foram ofertadas para os profissionais de enfermagem em encontros mensais de maio a dezembro de 2019. As atividades foram ministradas e planejadas pelas acadêmicas de enfermagem, sob supervisão da professora coordenadora. Resultados: Obteve-se a participação em média de 5 profissionais de enfermagem por encontro. A média geral de acertos no pré-teste foi de 53,38% enquanto no pós-teste 81,27%, representando um aumento de 27,89% nos acertos. Os participantes engajaram-se nas atividades e fortaleceram um espaço fértil para trocas de saberes. Conclusões: Os encontros possibilitaram a busca pelo embasamento científico para a prática, viabilizando uma assistência sob a perspectiva psicossocial. A educação permanente engloba as vivências profissionais e as especificidades do ambiente de trabalho, estimulando o raciocínio crítico do profissional.Descritores: Educação Continuada; Enfermagem; Saúde Mental. Objective: To report the permanent education actions carried out by the Extension Project “Permanent Nursing Education in Mental Health” at the Federal University of Health Sciences of Porto Alegre. Method: Experience report on the activities developed by the Extension Project on Psychiatric Internment at Hospital Materno-Infantil Presidente Vargas. Permanent education actions were offered to nursing professionals in monthly meetings from May to December 2019. The activities were taught and planned by nursing students, under the supervision of the coordinating professor. Results: An average participation of 5 nursing professionals per meeting was obtained. The general average of correct answers in the pre-test was 53.38% while in the post-test 81.27%, representing an increase of 27.89% in the correct answers. Participants engaged in activities and strengthened a fertile space for exchanging knowledge. Conclusions: The meetings enabled the search for a scientific basis for the practice, enabling assistance from a psychosocial perspective. Permanent education encompasses professional experiences and the specifics of the work environment, stimulating the professional's critical thinking.Keywords: Education, Continuing; Nursing; Mental Health. Objetivo: Informar sobre las acciones de educación continua realizadas por el Proyecto de Extensión “Educación Permanente en Enfermería en Salud Mental” en la Universidad Federal de Ciencias de la Salud de Porto Alegre. Método: Informe de experiencia sobre las actividades desarrolladas por el Proyecto de Extensión sobre Internación Psiquiátrica en el Hospital Materno-Infantil Presidente Vargas. Se ofrecieron acciones de educación permanente a profesionales de enfermería en reuniones mensuales de mayo a diciembre de 2019. Las actividades fueron impartidas y planificadas por estudiantes de enfermería, bajo la supervisión del profesor coordinador. Resultados: se obtuvo una participación promedio de 5 profesionales de enfermería por reunión. El promedio general de respuestas correctas en la prueba previa fue del 53.38% mientras que en la prueba posterior el 81.27%, lo que representa un aumento del 27.89% en las respuestas correctas. Los participantes participaron en actividades y fortalecieron un espacio fértil para el intercambio de conocimientos. Conclusiones: Las reuniones permitieron la búsqueda de una base científica para la práctica, lo que permitió la asistencia desde una perspectiva psicosocial. La educación permanente abarca las experiencias profesionales y las características específicas del entorno laboral, estimulando el pensamiento crítico del profesional.Palabras clave: Educación Continua; Enfermería; Salud Mental. 


2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Narendra nath Samantaray ◽  
Preeti Singh ◽  
Dr Jashobanta Mohapatra ◽  
Dr (Prof) Amool Ranjan Singh

This qualitative research is intended to bring a observational and phenomenological analysis of the applicability of psychodrama in the management of conflict, manifestation of assertive behaviour in alcohol dependent patients, also to observe and elucidate the process of a certain skill that is being learned or a certain conflict being managed and to see what other therapeutic progress psychodrama can bring in participants. This study was conducted in RINPAS, Ranchi and consisted of 5 samples; each went through 16-17 sessions of treatment of various psychodramatic techniques. Data analysis in the current study involves integration of Narrative participant observer report and Phenomenological approach. Post therapy and follow up report indicated improvement.


2019 ◽  
Vol 13 ◽  
Author(s):  
Margarida Rodrigues Tomás ◽  
Teresa Rebelo

Objetivo: analisar as políticas de Saúde Mental atuais, discriminando os cuidados de saúde definidos para o período pós-alta da hospitalização psiquiátrica, com um enfoque sobre os cuidados de Enfermagem. Método: trata-se de um estudo quantitativo, tipo reflexivo, a partir da pesquisa em 27 documentos de caráter institucional, legislativo ou oficialmente reconhecidos que regulam a área de Saúde Mental no que concerne ao regresso da pessoa à casa pós-alta hospitalar psiquiátrica. Resultados: identificaram-se 15 documentos que revelam cuidados de Saúde Mental centrados ainda na produtividade hospitalar, com dificuldade em estabelecer estruturas e intervenções comunitárias. Verificam-se uma insuficiência e a variabilidade na distribuição de recursos humanos e de intervenções, com falta de uniformidade entre os diversos prestadores de cuidados. Constitui-se, em uma lógica multidisciplinar, a intervenção de Enfermagem como essencial para assegurar a continuidade de cuidados. Verifica-se, porém, que a intervenção do enfermeiro especialista está insuficientemente integrada nas políticas de Saúde Mental. Conclusão: mantêm-se as políticas de Saúde Mental portuguesas aquém na definição e prestação de cuidados de saúde transicionais específicos ao pós-alta hospitalar psiquiátrico para a casa. Descritores: Alta do Paciente; Unidade Hospitalar de Psiquiatria; Política de Saúde; Enfermagem Psiquiátrica; Continuidade da Assistência ao Paciente, Enfermagem.AbstractObjective: to analyze current Mental Health policies, discriminating health care defined for the post-discharge period of psychiatric hospitalization, with a focus on Nursing care. Method: this is a quantitative, reflective study, based on research in 27 institutional, legislative or officially recognized documents that regulate the area of Mental Health regarding the return of the person to the home after psychiatric discharge. Results: 15 documents were identified that reveal Mental Health care focused on hospital productivity, with difficulty in establishing community structures and interventions. There is a insufficiency and variability in the distribution of human resources and interventions, with lack of uniformity among the various caregivers. In a multidisciplinary logic, nursing intervention is essential to ensure continuity of care. However, it is verified that the intervention of the specialist nurse is insufficiently integrated in the Mental Health policies. Conclusion: Portuguese Mental Health policies are still falling short in the definition and provision of transitional health care specific to the psychiatric post-discharge home. Descriptors: Patient Discharge; Psychiatric Department, Hospital; Health Policy; Psychiatric Nursing; Continuity of Patient Care; Nursing.ResumenObjetivo: analizar las políticas actuales de Salud Mental, discriminando la atención de salud definida para el período posterior al alta de hospitalización psiquiátrica, con un enfoque en la atención de Enfermería. Método: este es un estudio cuantitativo, reflexivo, basado en la investigación en 27 documentos institucionales, legislativos u oficialmente reconocidos que regulan el área de Salud Mental con respecto al regreso de la persona al hogar después del alta psiquiátrica. Resultados: se identificaron 15 documentos que revelan la atención de Salud Mental centrada en la productividad hospitalaria, con dificultad para establecer estructuras e intervenciones comunitarias. Existe una insuficiencia y variabilidad en la distribución de recursos humanos e intervenciones, con falta de uniformidad entre los distintos cuidadores. En una lógica multidisciplinaria, la intervención de Enfermería es esencial para garantizar la continuidad de la atención. Sin embargo, se verifica que la intervención del enfermero especializado está insuficientemente integrada en las políticas de Salud Mental. Conclusión: las políticas portuguesas de Salud Mental siguen sin cumplir con la definición y la provisión de atención de salud de transición específica para el hogar psiquiátrico posterior al alta. Descriptores: Alta del Paciente; Servicio de Psiquiatría en Hospital; Política de Salud; Enfermería Psiquiátrica; Continuidad de la Atención al Paciente; Enfermería.


2020 ◽  
Vol 2 (3) ◽  
pp. 165-176
Author(s):  
Abdul Patawari ◽  
Titin Andri Wihastuti ◽  
Nurul Muslihah

Mental health problems in Indonesia are still severe, WHO SEARO data for 2017 said that Indonesia is ranked second after India, which is 9. 162. Eight hundred eighty-six patients or around 3.7% of the population. Mismanagement of health where there are still many people with mental disorders who experience mounting actions that require attention and involvement of all parties, including community leaders. The purpose of writing this research is to explore the experience of community leaders in carrying out pasung (physical restraint) on people with mental disorders in Southeast Sulawesi. The method that researchers use is qualitative research with a phenomenological interpretative. Participants, as many as 7 (seven) people and selected with a purposive sampling approach, were then analyzed using Interpretative Phenomenological Analysis (IPA). The results of the study found three themes, namely community and family stigma against ODGJ (people with a mental disorder), reasons for retention actions and challenges of community leaders in the release of pasung. The conclusion is that the process of releasing pasung cannot be separated from the experience of a figure in the community so that by involving them is expected to eliminate the act of retention in the community.


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