Enfermería en Salud Mental: intervención en sala de espera en la asistencia integral a la salud

Andrade, Juliana Macedo Melo; Farinha, Marciana Gonçalves; Esperidião, Elizabeth

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Revista Brasileira de Enfermagem

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ORIGINAL ARTICLE • Rev. Bras. Enferm. 73 (Suppl 1) • 2020 • https://doi.org/10.1590/0034-7167-2018-0886 copiar

Enfermería en Salud Mental: intervención en sala de espera en la asistencia integral a la salud

Autoría SCIMAGO INSTITUTIONS RANKINGS

RESUMEN

Objetivo:

Describir y analizar la propuesta de intervención en sala de espera como una posibilidad para la Enfermería en salud mental en contextos grupales.

Método:

Estudio descriptivo, con abordaje cualitativo, del tipo convergente asistencial, desarrollado en un Centro de Atención Psicosocial Alcohol y Drogas del interior del estado de Goiás.

Resultados:

La atención en sala de espera proporcionó momentos de reflexión, conocimiento, aprendizaje, escucha y intercambios de experiencias.

Consideraciones finales:

Los encuentros en sala de espera favorecieron la articulación entre el saber teórico y la práctica del cuidar en enfermería en grupos, constituyéndose en un espacio con valioso locus para el desarrollo de acciones educativas y de suporte en los servicios de salud, a ser emprendido por el enfermero y, también, por otros profesionales de la equipe de salud.

Descriptores:
Enfermería Psiquiátrica; Salud Mental; Servicios de Salud Mental; Asistencia Integral a la Salud; Enfermería

Themes	Therapeutic approaches
1. Importance and expectations of treatment ... I only started to value life after I started doing the treatment at CAPS. (E4)	Reinforcement of the content expressed by the participants and guidance on the benefits of treatment to recover the biopsychosocial balance and the subjects' autonomy⁽⁸8 Dutra VFD, Oliveira RMF. Revisão integrativa: as práticas territoriais de cuidado em saúde mental. Aquichan. 2015;15(4):529-40. doi: 10.5294/aqui.2015.15.4.8 https://doi.org/10.5294/aqui.2015.15.4.8... ^,¹³13 Sato M, Ayres JRCM. Art and humanization of health practices in a primary care unit. Interface. 2015;19(55):1027-38. doi: 10.1590/1807-57622014.0408 https://doi.org/10.1590/1807-57622014.04... ⁾.
2. Proper use of medicines I wasn't taking the medication right and I had three seizures. (E14)	Clarification of doubts about indication, effects and contraindications of medications and regarding the importance of following the medical prescription⁽⁷7 Oliveira EM, Santana MMG, Eloia SC, Almeida PC, Felix TA, Ximenes Neto Francisco RG, et al. Therapeutic Project of crack and alcohol users attended in a psychosocial care center. Rev RENE. 2015;16(3):434-41. doi: 10.15253/2175-6783.2015000300017 https://doi.org/10.15253/2175-6783.20150... ^,²⁰20 Lüdke M, Andre MEDA. Pesquisa em educação: abordagens qualitativas. 2. ed. São Paulo: EPU; 2013.⁾.
3. Advantages and disadvantages of hospitalization My mother compulsorily admitted me to the sanatorium and today I thank her because, otherwise, I was already dead. (E1)	Guidance on forms of treatment, modalities and criteria for psychiatric hospitalization⁽⁷7 Oliveira EM, Santana MMG, Eloia SC, Almeida PC, Felix TA, Ximenes Neto Francisco RG, et al. Therapeutic Project of crack and alcohol users attended in a psychosocial care center. Rev RENE. 2015;16(3):434-41. doi: 10.15253/2175-6783.2015000300017 https://doi.org/10.15253/2175-6783.20150... ^,²⁰20 Lüdke M, Andre MEDA. Pesquisa em educação: abordagens qualitativas. 2. ed. São Paulo: EPU; 2013.⁾.
4. Feelings of fear and concern in the face of relapse ... I'm too scared to relapse and not be able to stop anymore, lose my job... (E18)	Elucidation about possible relapses as expected and part of the treatment process for chemical dependency. Reflection on aspects related to relapse, ways of preventing it and coping⁽⁷7 Oliveira EM, Santana MMG, Eloia SC, Almeida PC, Felix TA, Ximenes Neto Francisco RG, et al. Therapeutic Project of crack and alcohol users attended in a psychosocial care center. Rev RENE. 2015;16(3):434-41. doi: 10.15253/2175-6783.2015000300017 https://doi.org/10.15253/2175-6783.20150... ^,²⁰20 Lüdke M, Andre MEDA. Pesquisa em educação: abordagens qualitativas. 2. ed. São Paulo: EPU; 2013.⁾.
5. Anxiety as a hindering factor for abstinent living Sometimes that anxiety hits, and the desire is to call the dealer ... (E20)	Encouragement of the participants' manifestations regarding the feeling experienced. Demonstration of breathing and relaxation techniques to reduce anxiety⁽²⁰20 Lüdke M, Andre MEDA. Pesquisa em educação: abordagens qualitativas. 2. ed. São Paulo: EPU; 2013.^-²¹21 Munari DB, Furegato AR. Enfermagem e grupos. 2. ed. Goiânia: AB Editora; 2003.⁾.
6. The fear of not being successful in treatment and of not maintaining a stable bond with the spouse and family Oh! I fear when they have those bad thoughts in my head that I may not be able to cope and that I will lose their trust (family) again ... (E12)	Listening attentively to the reports and encouraging the expression of the feelings experienced. Reinforcement of the individual objective of each participant to deal with their expectations⁽²²22 Fernandes CNS, Munari DB, Soares SM, Medeiros M. Habilidades e atributos do enfermeiro como coordenador de grupos. Rev RENE [Internet]. 2008 [cited 2016 Mar 18];9(1):146-53. Available from: http://www.redalyc.org/pdf/3240/324027961018.pdf http://www.redalyc.org/pdf/3240/32402796... 23 Munari DB, Godoy MTH, Esperidião E. Ensino de enfermagem psiquiátrica/saúde mental na Faculdade de Enfermagem da Universidade Federal de Goiás. Esc Anna Nery. 2006;10(4):684-693. doi: 10.1590/S1414-81452006000400010 https://doi.org/10.1590/S1414-8145200600... ^-²⁴24 Silva NS, Esperidião E, Bezerra ALQ, Cavalcante ACG, Souza ACS, Silva KKC. Percepção de enfermeiros sobre aspectos facilitadores e dificultadores de sua prática nos serviços de saúde mental. Rev Bras Enferm. 2013;66(5):745-52. doi: 10.1590/S0034-71672013000500016 https://doi.org/10.1590/S0034-7167201300... ⁾.
7. Difficulties to face the problems resulting from chemical dependence When you get home drunk or wake up after a drunk and have to face the face of your son, your wife ... Wow! It's too bad... it's such a big fault ... (E9)	Clarification of the biopsychosocial consequences of drug abuse; Discussion of measures to face the problem; Development of skills and attitudes towards overcoming difficulties⁽⁷7 Oliveira EM, Santana MMG, Eloia SC, Almeida PC, Felix TA, Ximenes Neto Francisco RG, et al. Therapeutic Project of crack and alcohol users attended in a psychosocial care center. Rev RENE. 2015;16(3):434-41. doi: 10.15253/2175-6783.2015000300017 https://doi.org/10.15253/2175-6783.20150... ^-⁸8 Dutra VFD, Oliveira RMF. Revisão integrativa: as práticas territoriais de cuidado em saúde mental. Aquichan. 2015;15(4):529-40. doi: 10.5294/aqui.2015.15.4.8 https://doi.org/10.5294/aqui.2015.15.4.8... ^,²⁰20 Lüdke M, Andre MEDA. Pesquisa em educação: abordagens qualitativas. 2. ed. São Paulo: EPU; 2013.⁾.
8. Protective factors for drug misuse Today when I think about my daughters, I think twice before I think about using the drug, understand? My fight is for them. (E2)	Identification of protective and risk factors in drug abuse. Encouraging protective attitudes⁽⁷7 Oliveira EM, Santana MMG, Eloia SC, Almeida PC, Felix TA, Ximenes Neto Francisco RG, et al. Therapeutic Project of crack and alcohol users attended in a psychosocial care center. Rev RENE. 2015;16(3):434-41. doi: 10.15253/2175-6783.2015000300017 https://doi.org/10.15253/2175-6783.20150... ^-⁸8 Dutra VFD, Oliveira RMF. Revisão integrativa: as práticas territoriais de cuidado em saúde mental. Aquichan. 2015;15(4):529-40. doi: 10.5294/aqui.2015.15.4.8 https://doi.org/10.5294/aqui.2015.15.4.8... ^,²⁰20 Lüdke M, Andre MEDA. Pesquisa em educação: abordagens qualitativas. 2. ed. São Paulo: EPU; 2013.⁾.
9. Importance and the role of the family as a partner in the treatment for chemical dependence My wife and daughter don't miss an appointment here in the waiting room and in the family group, they come every week and it motivates me to come too ... (E13)	Strengthening the role and importance of the family in the treatment for chemical dependence⁽⁷7 Oliveira EM, Santana MMG, Eloia SC, Almeida PC, Felix TA, Ximenes Neto Francisco RG, et al. Therapeutic Project of crack and alcohol users attended in a psychosocial care center. Rev RENE. 2015;16(3):434-41. doi: 10.15253/2175-6783.2015000300017 https://doi.org/10.15253/2175-6783.20150... ^-⁸8 Dutra VFD, Oliveira RMF. Revisão integrativa: as práticas territoriais de cuidado em saúde mental. Aquichan. 2015;15(4):529-40. doi: 10.5294/aqui.2015.15.4.8 https://doi.org/10.5294/aqui.2015.15.4.8... ^,²⁰20 Lüdke M, Andre MEDA. Pesquisa em educação: abordagens qualitativas. 2. ed. São Paulo: EPU; 2013.⁾.
10. Faith as an important factor for motivation and coping ... I like to participate in the group because it increases my hope and my faith that things will be okay. (E11)	Strengthening of faith as a form of coping with treatment⁽⁷7 Oliveira EM, Santana MMG, Eloia SC, Almeida PC, Felix TA, Ximenes Neto Francisco RG, et al. Therapeutic Project of crack and alcohol users attended in a psychosocial care center. Rev RENE. 2015;16(3):434-41. doi: 10.15253/2175-6783.2015000300017 https://doi.org/10.15253/2175-6783.20150... ^-⁸8 Dutra VFD, Oliveira RMF. Revisão integrativa: as práticas territoriais de cuidado em saúde mental. Aquichan. 2015;15(4):529-40. doi: 10.5294/aqui.2015.15.4.8 https://doi.org/10.5294/aqui.2015.15.4.8... ^,²⁰20 Lüdke M, Andre MEDA. Pesquisa em educação: abordagens qualitativas. 2. ed. São Paulo: EPU; 2013.⁾.

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[1] Corresponding author: Marciana Gonçalves Farinha E-mail: marciana@ufu.br