Início Morte e luto no hospital durante a COVID-19: Implicações na saúde mental...
saúde mental
Morte e luto no hospital durante a COVID-19: Implicações na saúde mental dos profissionais da linha de frente
Resumo:
BACKGROUND: The purpose of this work emerged during the pandemic context caused by COVID-19, as it influenced several events that affected the world's population, whether economically, socially or psychologically. Thus, there was a look at health professionals who were in the hospital and on the front line of the fight against the Coronavirus. OBJECTIVE: The present study aimed to understand how the high rate of deaths in hospitals related to the Coronavirus affected the mental health of these health professionals, to analyze its implications and how the confrontation occurred. METHODS: The research method was qualitative with descriptive and explanatory purposes, through data collection by the ex-post-facto procedure, four health professionals were interviewed online through the Google Meet platform, among them, a Nurse, a Physiotherapist, a Nursing Technician and a Psychologist. RESULTS: As a data collection instrument, a semi-structured interview was used, containing a script with eleven questions, seeking to evoke data from the perspective of health professionals on the definition of death and mourning, the coping mechanisms and the implications for the physical and mental health of these subjects. For data analysis, Content Analysis was used. FINAL CONSIDERATIONS: According to the results achieved, the hypothesis was confirmed that the large number of deaths caused by COVID-19 had an impact on the lives of these individuals, in addition to having contributed to the psychological illness, as well as the coping mechanisms used in the face of death and the mourning in which they were exposed.
Keywords: Mental health, COVID-19, Health professionals, Death and Mourning.
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Escala de avaliação para adesão ao tratamento psiquiátrico: construção de instrumento e qualidades psicométricas iniciais
Resumo:
Introduction: Difficulties in psychiatric treatments have been shown to be a public health problem, generating high costs in treatments and exacerbation of severe mental symptoms. In view of the gap related to protocols or assessment instruments for this condition in the Brazilian scenario, the present study aimed to develop a self-report scale that assesses the process of adherence to psychiatric drug treatment, entitled "Scale for assessing adherence to medication in treatment psychiatric” and the investigation of its psychometric qualities. Material and methods: Two studies were carried out: pilot study and investigation of the evidence of content validity of the scale. The results of the pilot study, conducted with 15 patients undergoing psychiatric treatment, made it possible to adjust the wording of the items. Then, the 118 items were sent to five expert judges who rated the items in the five areas. For the pilot study, the preliminary version of the Assessment Scale of Adherence (self-report) to medication in psychiatric treatment was used, containing 114 items. Result and discussion: Thus, 105 items presented agreement considered adequate (equal to or above 80%), being selected to compose the current version of the instrument, in order to confirm their evidence of content validity. Final considerations: The results of the initial investigation studies of its psychometric qualities proved to be favorable and motivate the continuation of the studies with the instrument. It is worth noting that there are limitations to this study, given that the construction of a self-report instrument is subjective and requires a cognitive understanding of the subject, especially on issues related to their physical and mental well-being.
Keywords: instrument, health psychology, mental health, psychiatric treatment.
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A formação em psicologia e a atuação no campo das políticas públicas de saúde mental na região do ABCDMRR
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Introduction: Research has shown that the presence of critical debates on Public Mental Health Policies is scarce during the Psychology training process, as the trend is the establishment of a traditional approach that reduces the subject in the face of naturalized and individualizing practices. The aim of this article was to investigate the absence of critical debates on this topic, with regard to the training and performance of psychologists in this field. Material and methods: The research was exploratory in nature with qualitative analysis of the data. Two professionals with a background in Psychology participated in the research, who work or have worked in the CAPS (Psychosocial Care Centers) in the ABCDMRR region. Results and discussion: The participants pointed out weaknesses regarding the content and discussions about Public Mental Health Policies during their training in Psychology and reported difficulties regarding the performance models established in the substitute services (CAPS). Final considerations: It was found that much still needs to be advanced, both in research and in the knowledge produced and obtained in the training universities, as well as in the role models of psychologists who deal with the daily work in the CAPS.
Keywords: professional practice in psychology, psychosocial care center (CAPS), psychology training, public policy, mental health.
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Consumo de psicotrópicos em meio a pandemia do Sars-CoV-2
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Introduction: The respiratory syndrome caused by the new Coronavirus caused several changes in the life of the world population, there was a need to adapt and change what was until then understood as “normal”. The lack of mental well-being triggered several negative effects on the daily life of the population, such as disorders, sleep disorders and psychological distress. It is necessary to address the medicalization of the population, one of the main mechanisms used to overcome psychological repercussions in a pandemic scenario such as that of covid-19. Thus, the aim of this study is to identify whether the pandemic of the new Coronavirus enabled a greater use of psychotropic during the period of isolation. Review: A search was conducted in the databases of the Virtual Health Library (VHL), Medline, LILACS, Scientific Eletronic Library Online (Scielo) and the Library of the Albert Einstein Institute, using keywords according to the purpose of the article. Discussion: Authors point out a greater correlation between the pandemic and the development of disorders such as anxiety and depression among young people and young adults, in addition to this, the increase in the sale of drugs such as antidepressants, anxiolytics and substances such as alcohol and illicit drugs stood out. Final considerations: The present study points to an increase in the use of psychotropic drugs among young people and adults, defining a correlation between the increase in disorders such as depression and anxiety and the use of substances as a way to minimize impacts caused by the pandemic. However, the need for more studies like this is reinforced, being crucial for the identification and verification of the consumption of drugs and other substances in this period among young people, and becoming another management tool against the repercussions caused by the coronavirus.
Keywords: young adult, anxiety, COVID-19, depression, mental health.
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A psicanálise e a saúde mental
Resumo:
Este artigo busca marcar uma diferenciação entre a pesquisa em psicanálise e a pesquisa nas ciências naturais. Como se qualificam o objeto de estudo, a fundamentação teórica e a metodologia de pesquisa no campo da psicanálise em comparação com outros campos das ciências naturais. Observa-se que a diferença não se limita ao campo da pesquisa, mas também em concepções diversas sobre o conceito de saúde mental e suas respectivas medidas terapêuticas.
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