scholarly journals Transtorno Afetivo Bipolar: avaliação da satisfação dos pacientes, familiares e profissionais com o tratamento

2020 ◽  
Vol 11 (3) ◽  
Author(s):  
Aline Esteves Pacheco ◽  
Clarice De Lourdes Enes ◽  
Marco Túlio Resende Clementino ◽  
Vinícius Silva Belo ◽  
Sebastião Júnior Henrique Duarte ◽  
...  

Objetivo: Avaliar as perspectivas da satisfação dos pacientes acometidos por transtorno afetivo bipolar, seus familiares e profissionais da saúde. Metodologia: Estudo transversal com 80 indivíduos de um Centro de Atenção Psicossocial III da região Centro Oeste de Minas Gerais. Foram realizadas entrevistas, usando as Escalas de Avaliação da Satisfação com os Serviços de Saúde Mental. Resultados: Os índices de satisfação apresentaram-se maiores entre pacientes, especialmente no domínio Acolhida e ajuda recebida no serviço [escore 4,66; n = 30 (83,3%)]. Entre os familiares, o maior índice de satisfação foi no domínio Resultados do tratamento [escore 4,66; n = 27 (79,4%)]. O destaque dos profissionais foi na insatisfação, referente ao domínio Condições de trabalho [escore 2,85; n = 7 (70%)]. Conclusão: Constatou-se que os pacientes estão satisfeitos com o serviço e suas perspectivas de satisfação são as maiores, seguidos dos familiares e profissionais.Descritores: Transtorno Afetivo Bipolar; Satisfação do Paciente; Cuidadores Familiares; Satisfação Profissional; Qualidade da Assistência à Saúde. BIPOLAR AFFECTIVE DISORDER: ASSESSMENT OF PATIENT, FAMILY AND PROFESSIONAL SATISFACTION WITH TREATMENTObjective: To evaluate the perspectives of satisfaction of patients affected by bipolar affective disorder, their families and health professionals. Methodology: Cross-sectional study with 80 individuals from a Psychosocial Care Center III in the Midwest region of Minas Gerais. Interviews were conducted using the Satisfaction Rating Scales with Mental Health Services. Results: Satisfaction rates were higher among patients, especially in the domain Welcoming and help received at the service [score 4.66; n = 30 (83.3%)]. Among family members, the highest satisfaction rate was in the treatment results domain [score 4.66; n = 27 (79.4%)]. The highlight of the professionals was dissatisfaction, referring to the domain Working conditions [score 2.85; n = 7 (70%)]. Conclusion: It was found that patients are satisfied with the service and their satisfaction prospects are the highest, followed by family members and professionals.Descriptors: Bipolar Affective Disorder; Patient Satisfaction; Family Caregivers; Professional Satisfaction; Quality of Health Care. TRASTORNO AFECTIVO BIPOLAR: EVALUACIÓN DE LA SATISFACCIÓN DEL PACIENTE, LA FAMILIA Y EL PROFESIONAL CON EL TRATAMIENTOObjetivo: evaluar las perspectivas de satisfacción de los pacientes afectados por el trastorno afectivo bipolar, sus familias y profesionales de la salud. Metodología: Estudio transversal con 80 personas de un Centro de Atención Psicosocial III en la región del Medio Oeste de Minas Gerais. Las entrevistas se realizaron utilizando las escalas de calificación de satisfacción con los servicios de salud mental. Resultados: las tasas de satisfacción fueron más altas entre los pacientes, especialmente en el dominio de bienvenida y la ayuda recibida en el servicio [puntuación 4.66; n = 30 (83,3%)]. Entre los miembros de la familia, la tasa de satisfacción más alta se encontraba en el dominio de resultados del tratamiento [puntuación 4.66; n = 27 (79,4%)]. Lo más destacado de los profesionales fue la insatisfacción, refiriéndose al dominio Condiciones de trabajo [puntaje 2.85; n = 7 (70%)]. Conclusion: Se encontró que los pacientes están satisfechos con el servicio y sus perspectivas de satisfacción son las más altas, seguidas por los familiares y profesionales.Descriptores: Trastorno Afectivo Bipolar; Satisfacción del paciente; Cuidadores familiares; Satisfacción professional; Calidad de la atención médica.

2016 ◽  
Vol Ano 6 ◽  
pp. 14-26
Author(s):  
Fabiano Araújo Cunha ◽  
Fernando de Oliveira Costa ◽  
Luís Otávio de Miranda Cota ◽  
José Roberto Cortelli ◽  
Fernando Silva Neves

Embora pouco investigado e com dados conflitantes, o transtorno afetivo bipolar (TABP) é um fator comportamental que pode apresentar influência sobre a periodontite. Os objetivos deste estudo foram: 1) determinar a prevalência de periodontite em uma população com diagnóstico de TABP; 2) verificar a influência de variáveis de risco na associação entre o TABP e a periodontite. O estudo foi composto por uma amostra de conveniência de 156 indivíduos com TABP, selecionados no Hospital de Saúde Mental anexo ao Hospital das Clínicas da Universidade Federal de Minas Gerais. Os pacientes foram avaliados através de parâmetros clínicos periodontais e variáveis de risco sociodemográficas. Os resultados demostraram uma prevalência de 59% de periodontite entre os indivíduos com TABP. Destes, 90,2% apresentavam periodontite crônica moderada e 9,8% a forma avançada. Quanto à extensão da periodontite, em 81,5% a doença apresentouse de forma localizada e em 18,5% de forma generalizada. Concluiu-se que os pacientes com TABP apresentaram uma alta prevalência de doença periodontal (56,8%), confirmando a importância da prevenção, diagnóstico e tratamento desta patologia, a qual possa, no futuro, ser considerada como mais uma comorbidade associada a essa doença psiquiátrica. Salienta-se a necessidade de estudos futuros que comprovem a associação entre o TABP e a periodontite, particularmente os de delineamento longitudinal e ensaios clínicos randomizados.


2020 ◽  
Vol 14 ◽  
Author(s):  
Vanessa Ferreira de Almeida Piuchi ◽  
Claudia Barleta ◽  
Juliana Monte Real

Objetivo: analisar a violência de gênero sofrida pelas mulheres usuárias do Centro de Atenção Psicossocial Álcool e Drogas. Método: trata-se de um estudo quantitativo, descritivo, de corte transversal, com 30 mulheres atendidas pelo CAPS AD, que estavam ativas no sistema Registro das Ações Ambulatoriais de Saúde e responderam a um questionário estruturado. Analisaram-se os dados empregando a estatística não paramétrica. Resultados: apresenta-se, pelas mulheres pesquisadas, índice de violência elevada em relação à média nacional. Detalha-se que os fatores que apareceram como agravantes foram raça/cor, escolaridade e moradia, as maiores vítimas: mulheres negras e de escolaridade baixa. Conclusão: agrava-se, pelos fatores sociais, a violência praticada contra as mulheres pesquisadas. Mostra-se, para os agravantes, a necessidade de se incluir discussões nas políticas de combate à violência. Revela-se que o número de denúncia é baixo, assim como a procura por serviços de saúde. Descritores: Violência de Gênero; Saúde mental; Uso de Drogas; CAPS AD; Saúde Pública; Violência contra Mulheres.AbstractObjective: to analyze the gender violence suffered by women, users of the Psychosocial Care Center for Alcohol and Drugs. Method: this is a quantitative, descriptive, cross-sectional study of 30 women treated at CAPS AD, who were active in the Outpatient Health Actions Registry system and answered a structured questionnaire. Data was analyzed using nonparametric statistics. Results: the surveyed women presented a high level of violence in relation to the national average. It is noted that the factors that appeared as aggravating factors were race / color, education and housing, the biggest victims: black women and low education. Conclusion: the violence against women surveyed is aggravated by social factors. For the aggravating factors, the need to include discussions in the policies to combat violence is shown. The number of complaints is low, as is the demand for health services. Descriptors: Gender Violence; Mental Health; Drug Use; CAPS AD; Public Health; Violence Against Women.ResumenObjetivo: analizar la violencia de género que sufren las mujeres usuarias del Centro de Atención Psicosocial de Alcohol y Drogas. Método: este es un estudio cuantitativo, descriptivo, transversal con 30 mujeres atendidas por CAPS AD, que estaban activas en el sistema de Registro de Acciones de Salud Ambulatoria y respondieron un cuestionario estructurado. Los datos se analizaron mediante la estadística no paramétrica. Resultados: las mujeres encuestadas presentaron un alto nivel de violencia en relación con el promedio nacional. Cabe señalar que los factores que aparecieron como factores agravantes fueron la raza / color, la educación y la vivienda, las principales víctimas: las mujeres negras y de baja educación. Conclusión: la violencia contra las mujeres encuestadas se ve agravada por factores sociales. Para los factores agravantes, se muestra la necesidad de incluir discusiones en las políticas para combatir la violencia. El número de quejas es bajo, al igual que la demanda de servicios de salud. Descriptores: Violencia de Género; Salud Mental; Uso de Drogas; CAPS AD; Salud Pública; Violencia Contra la Mujer.


Author(s):  
Dandara Almeida Reis da Almeida Reis da Silva ◽  
Ludmila Santana de Almeida ◽  
Livia Lugarinho Correa ◽  
Rodrigo Fernandes Weyll Pimentel ◽  
Antonio Marcos Tosoli Gomes ◽  
...  

Background: Metabolic syndrome (MS) is associated with a greater risk of morbimortality. Ob-jective: To estimate the prevalence of Metabolic Syndrome (MS) and associated factors in patients of a Psychosocial Care Center (CAPS) in the city of Salvador, state of Bahia, Brazil. Method: Cross-sectional study set at CAPS in the city of Salvador-Bahia, between August 2019 and February 2020. MS was evaluated according to the National Cholesterol Education Program's Adult Treatment Panel III. In addition to descriptive statistics, gross and adjusted prevalence ratios were described. Results: MS was found in 100 (35.2%) individuals, 116 (40.9%) were obese and 165 (58.1%) had increased waist circumference. Polypharmacy was identified in 63 (22.3%) patients and 243 (85.9%) used antipsychotics. In the gross evaluation, the female (PR = 1.88; 95% CI: 1.35-2.63) and the use of antidepressants (PR = 1.41; 95%CI: 1.05-1.88) were associated with MS. After logistic re-gression, depression (PR = 1.86; 95%CI: 1.38-2.51), acanthosis (PR = 1.50; 95%CI: 1.18 - 1.90), use of antipsychotics (PR = 1.88; 95%CI: 1.13 - 2.75) and the hypertriglyceremic waist (PR = 3.33; 95%CI: 2.48- 4.46) were associated with MS. Conclusion: The prevalence of MS alerts to multimorbidity among individuals with mental disorders and the need for clinical screening.


2021 ◽  
pp. 18-22
Author(s):  
Nimitha K J ◽  
Rajmohan V ◽  
T M Raghuram

BACKGROUND-Bipolar affective disorder (BPAD) is characterized by abnormalities in social cognition and emotional regulation are detrimental to psychosocial functioning and quality of life. OBJECTIVES- To understand the sociodemographic background, clinical characteristics in BPAD in remission and its relation with social emotional cognition and its impact on quality of life and functioning of the patient. METHODS-A cross sectional study with a sample size of 100 consenting patients based on convenience sampling who are diagnosed to have BPAD in remission. Sociodemographic questionnaire and clinical details of the patient were noted. SECT (cog state battery) was applied to all patients under calm and similar environment. RESULTS-Results showed there is a signicant difference in SECTspeed, response and stimuli based on the nature of rst and last episode, SECT score based on severity of episodes, SECT speed and stimuli based on education, SECT responses based on occupation. Middle socio-economic group had the best psychological QoL followed by high socio-economic group and it was worst in low socio-economic group. Physical and psychological domain has signicant difference based on residence. WHO QoL social quality of life had signicant difference between ECT treatments in the past, with people receiving ECT having a higher score on the social QoLscore. There was no signicant correlation seen between SEC sub scores and QoLdomain scores. CONCLUSION-The study concluded the QoLwas signicantly associated with socio-economic status, semi urban residence and ECT. There was no correlation between SEC and QoLscore in remitted bipolar.


2019 ◽  
Vol 13 ◽  
Author(s):  
Hérica Dayanne De Sousa Moura ◽  
Jefferson Abraão Caetano Lira ◽  
Mônica Madeira Martins Ferraz ◽  
Camylla Layanny Soares Lima ◽  
Ângela Raquel Cruz Rocha

Objetivo: compreender os sentimentos, estigmas e limitações laborais, familiares e sociais do transtorno afetivo bipolar para a pessoa e o familiar cuidador. Método: trata-se de um estudo qualitativo, descritivo, em um Centro de Atenção Psicossocial, de porte II, com 12 pessoas diagnosticadas com transtorno afetivo bipolar e quatro familiares cuidadores. Obtiveram-se os dados mediante entrevista com roteiro semiestruturado, analisando-os mediante a técnica de Análise de Conteúdo na modalidade Análise de Conteúdo Temática. Resultados: identificou-se que o transtorno afetivo bipolar é visto com preconceito e carrega vários estigmas sociais, como vergonha, medo, raiva e tristeza. Expressou-se, por alguns participantes, a dificuldade em manter vínculo empregatício ou ingressar no mercado de trabalho após a manifestação do transtorno. Conclusão: compreendeu-se que o transtorno afetivo bipolar carrega a marca da cronificação e do preconceito. Descritores: Transtorno Bipolar; Saúde Mental; Enfermagem Psiquiátrica; Transtornos Mentais; Estigmas Sociais; Cuidadores. ABSTRACTObjective: to understand the feelings, stigmas and work, family and social limitations of bipolar affective disorder for the person and family caregiver. Method: this is a qualitative and descriptive study in a Psychosocial Care Center, size II, with 12 people diagnosed with bipolar affective disorder and four family caregivers. Data was obtained through interviews with semi-structured script, analyzing them using the technique of Content Analysis in the Thematic Content Analysis modality. Results: it was identified that bipolar affective disorder is viewed with prejudice and carries various social stigmas, such as shame, fear, anger and sadness. Some participants expressed the difficulty in maintaining employment or entering the labor market after the onset of the disorder. Conclusion: it was understood that bipolar affective disorder bears the mark of chronicity and prejudice. Descriptors: Bipolar Disorder; Mental Health; Psychiatric Nursing; Mental Disorders; Social Stigma; Caregivers.RESUMENObjetivo: comprender los sentimientos, estigmas y las limitaciones laborales, familiares y sociales del trastorno afectivo bipolar para la persona y el cuidador familiar. Método: se trata de un estudio cualitativo y descriptivo en un Centro de Atención Psicosocial, tamaño II, con 12 personas diagnosticadas con trastorno afectivo bipolar y cuatro cuidadores familiares. Los datos se obtuvieron mediante entrevistas con guiones semiestructurados, analizándolos en la técnica de Análisis de Contenido en la modalidad de Análisis de Contenido Temático. Resultados: se identificó que el trastorno afectivo bipolar es visto con prejuicio y conlleva varios estigmas sociales, como la vergüenza, el miedo, la ira y la tristeza. Algunos participantes expresaron la dificultad de mantener el empleo o ingresar al mercado laboral después de la manifestación del trastorno. Conclusión: se entendió que el trastorno afectivo bipolar lleva la marca de cronicidad y prejuicio. Descriptores: Trastorno Bipolar; Salud Mental; Enfermería Psiquiátrica; Trastornos Mentales; Estigma Social; Cuidadores. 


Author(s):  
Rajendra Kumar Acharya ◽  
Rahul Gupta ◽  
Sanjay Gehlot

Background: Nervous tissue is extremely sensitive to oxidative damage Recent studies show an elevated level of oxidative stress indicators in Schizophrenia. Current studies on oxidative stress in Schizophrenia mainly focus on enzymatic antioxidants, while limited studies have been carried out on non-enzymatic antioxidants Some studies discovered that plasma non-enzymatic antioxidants (uric acid, bilirubin, and albumin) in Schizophrenia are lower than those of healthy controls. Aim: To compare levels of nonenzymatic antioxidants in Schizophrenia and bipolar illness. Material and Methods: The present study is a hospital_ based cross-sectional study conducted among 100 patients with Schizophrenia and Bipolar Affective disorder included as per inclusion and exclusion criteria and undergone psychiatric assessment as per diagnostic criteria. Results: S. albumin, S.bilirubin, S.uric acid were found to be low in Schizophrenia but statistically, the significant difference was evaluated for S.uric acid. Conclusion: S. uric acid lower significant levels in Schizophrenia as compared to bipolar affective disorder shows the more impaired peripheral antioxidant scavenging system in Schizophrenia. However, pure peripheral antioxidant system dysfunction could not be ascertained in Schizophrenia through this study. Keywords: nonenzymatic antioxidants, Schizophrenia, bipolar illness.


2019 ◽  
Vol 8 (2) ◽  
pp. 20-25
Author(s):  
K. Paudel ◽  
S. Subedi

 Introduction: Non-adherence to appropriately prescribed medication for psychiatric disorders prevents patients from realizing the full benefits of their treatment and negatively impacts on individuals, their families and the healthcare system. Understanding and reducing non-adherence is therefore a key challenge to quality care for patients with psychiatric disorders. This finding highlights the prevalence, consequence of non-adherence and barriers to adherence. Therefore, the main objective of this study was to determine the incidence and factors associated with medication non-compliance among patients suffering from schizophrenia and bipolar affective disorders. Material and Method: This cross-sectional study included 94 schizophrenia and 76 bipolar affective disorder subjects who were visited psychiatric OPD of tertiary level hospital and disproportionate stratified random sampling method. An anonymous socio-demographic as well contributing factor questionnaire pre tested, semi structured pro forma by interview method and a clinical proforma designed by Morisky, the 8-item Morisky Medication Adherence Scale (MMAS-8) were used for data collection. Results: The prevalence of non-compliance was 88%, the independent predictors of non-compliance were; seeking for traditional/spiritual treatment, weight gain as side effects of drugs , increased number of medication (p=0.038), beginning of medication start (p=0.057), unemployment (p=0.059), low level of insight/education (p=0.044), male as gender (p=0.016). Conclusion: Based on the outcome of the study, we recommend the development of psycho-educational programmes on compliance and the active involvement of the relatives and significant others in the management of patients of mentally ill patients.


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