LAS NECESIDADES DEL ADOLESCENTE EN MATERIA DE SALUD MENTAL Y LOS CUIDADOS DE ENFERMERÍA: REVISIÓN INTEGRADORA

Teixeira, Liane Araújo; Freitas, Rodrigo Jácob Moreira de; Moura, Natana Abreu de; Monteiro, Ana Ruth Macêdo

Acessibilidade / Reportar erro

Brasil

Texto & Contexto - Enfermagem

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

LITERATURE REVIEW • Texto contexto - enferm. 29 • 2020 • https://doi.org/10.1590/1980-265X-TCE-2018-0424 copiar

LAS NECESIDADES DEL ADOLESCENTE EN MATERIA DE SALUD MENTAL Y LOS CUIDADOS DE ENFERMERÍA: REVISIÓN INTEGRADORA

Autoría SCIMAGO INSTITUTIONS RANKINGS

RESUMEN

Objetivo:

sistematizar el conocimiento sobre la acción de la enfermería ante las necesidades de salud mental de los adolescentes.

Método:

revisión integradora de la literatura y presentación de la problemática: ¿Cuáles son las necesidades de salud mental de los adolescentes y qué cuidados de enfermería se practican? La recolección de datos se realizó en las bases de datos electrónicos: PubMed; CINAHL; SciELO; ScienceDirect; LILACS, durante el mes de abril de 2018. Se incluyeron 30 artículos disponibles en portugués, inglés o español de acceso libre y gratuito. Fueron excluidos los artículos cuyo estudio no tenía un público destinatario y los trabajos de investigación que no eran originales y se procedió a la selección de 30 artículos. Los resultados se agruparon en categorías temáticas con revisión/síntesis del conocimiento.

Resultados:

la muestra consta de artículos con preponderancia del idioma inglés, publicados entre el período de 1999 y 2018. Las principales necesidades de salud mental de los adolescentes se relacionan con la depresión, la ansiedad, el estrés el uso y la adicción a las drogas, los disturbios alimenticios entre otros factores. Los cuidados de enfermería constatados fueron: acciones de educación en materia de salud, terapia cognitiva conductual, fomento de grupos, relaciones interpersonales y de actividades que impliquen al adolescente con su familia, sus pares y su entorno escolar. Se evidenció que el enfermero actúa mediante diversos abordajes e interviene a través del proceso de enfermería y de práctica de actividades físicas, entre otras herramientas que le son accesibles.

Conclusión:

esta revisión permite que el profesional se plantee nuevas acciones basadas en las efectivas necesidades de salud mental del adolescente, quién, al no concurrir con asiduidad a los servicios de salud, termina ignorado por los mismos. Se advierte la necesidad de realizar estudios de mayor rigor científico.

DESCRIPTORES:
Adolescente; Enfermería; Cuidados de enfermería; Salud mental

Category	Author and year	Adolescent’s mental health needs
Nursing diagnosis in mental health	Bertram JE, et al. 2013.55. Bertram JE, Narendorf SC, McMillen JC. Pioneering the psychiatric nurse role in foster care. Arch Psychiatr Nurs[Internet]. 2013 [cited 2018 May 25];27(6):285-92. Available from: https://dx.doi.org/10.1016/j.apnu.2013.09.003 https://dx.doi.org/10.1016/j.apnu.2013.0... Monteiro ARM, et al. 2015.1212. Monteiro ARM, Martins MGQ, Lobô AS, Freitas PCA, Barros KM, Tavares SFVF. Systematization of nursing care to children and adolescents in psychological distress. J Res Fundam Care Online[Internet]. 2015 [cited 2018 June 08];7(4):3185-96. Available from: https://dx.doi.org/10.9789/2175-5361.2015.v7i4 https://dx.doi.org/10.9789/2175-5361.201...	Main diagnoses: self-neglecting; impaired verbal communication; fear; unbalanced nutrition; more than the real needs; sedentary lifestyle; and anxiety.55. Bertram JE, Narendorf SC, McMillen JC. Pioneering the psychiatric nurse role in foster care. Arch Psychiatr Nurs[Internet]. 2013 [cited 2018 May 25];27(6):285-92. Available from: https://dx.doi.org/10.1016/j.apnu.2013.09.003 https://dx.doi.org/10.1016/j.apnu.2013.0... ^,1212. Monteiro ARM, Martins MGQ, Lobô AS, Freitas PCA, Barros KM, Tavares SFVF. Systematization of nursing care to children and adolescents in psychological distress. J Res Fundam Care Online[Internet]. 2015 [cited 2018 June 08];7(4):3185-96. Available from: https://dx.doi.org/10.9789/2175-5361.2015.v7i4 https://dx.doi.org/10.9789/2175-5361.201...
Adolescent skills and competences	Garmy P, et al. 2014.1313. Garmy P, Berg A, Clausson EK. Supporting positive mental health development in adolescents with a group cognitive intervention: experience of school health professionals. Br J Sch Nurs [Internet]. 2014 [cited 2018 May 08];9(1):24-9. Available from: https://dx.doi.org/10.12968/bjsn.2014.9.1.24 https://dx.doi.org/10.12968/bjsn.2014.9.... Gampetro P, et al. 2012.1414. Gampetro P, Wojciechowski EA, Amer KS. Life concerns and perceptions of care in adolescents with mental health care needs: a qualitative study in a school-based health clinic. Pediatr Nurs[Internet]. 2012 [cited 2018 May 08];38(1):23-30. Available from: https://www.ncbi.nlm.nih.gov/pubmed/22474855 https://www.ncbi.nlm.nih.gov/pubmed/2247... Grealish A, et al. 2017.1515. Grealish A, Tai S, Hunter A, Emsley R, Murrells T, Morrison AP. Does empowerment mediate the effects of psychological factors on mental health, well-being, and recovery in young people?Psychol Psychother [Internet]. 2017 [cited 2018 May 08];90(3):314-35. Available from: https://dx.doi.org/10.1111/papt.12111 https://dx.doi.org/10.1111/papt.12111...	Realizing that some types of interventions may be beneficial to youth health, practitioners need to recognize adolescents' skills and competencies to add and improve their health prospects. Among the articles, it was described that a balance must be found between following the rules of health systems manuals and meeting the real needs of these young people. The school environment is recognized as valuable, but administrative support from the school is needed to effect and replicate actions. The education, vocational goals, health maintenance, financial independence, and personal and family relationships of adolescents are concerns that must be addressed. Resources should also be directed to health-sustaining capacity and coping skills, as well as techniques for adapting to the complex life challenges they face.1313. Garmy P, Berg A, Clausson EK. Supporting positive mental health development in adolescents with a group cognitive intervention: experience of school health professionals. Br J Sch Nurs [Internet]. 2014 [cited 2018 May 08];9(1):24-9. Available from: https://dx.doi.org/10.12968/bjsn.2014.9.1.24 https://dx.doi.org/10.12968/bjsn.2014.9.... ^-1515. Grealish A, Tai S, Hunter A, Emsley R, Murrells T, Morrison AP. Does empowerment mediate the effects of psychological factors on mental health, well-being, and recovery in young people?Psychol Psychother [Internet]. 2017 [cited 2018 May 08];90(3):314-35. Available from: https://dx.doi.org/10.1111/papt.12111 https://dx.doi.org/10.1111/papt.12111...
Interpersonal relations	van Harmelen A, et al. 2016.44. van Harmelen AL, Gibson JL, St Clair MC, Owens M, Brodbeck J, Dunn V, et al. Friendships and family support reduce subsequent depressive symptoms in at-risk adolescents. PLoS ONE[Internet]. 2016[cited 2018 May 10];11(5):e0153715. Available from: https://dx.doi.org/10.1371/journal.pone.0153715 https://dx.doi.org/10.1371/journal.pone.... Johansson A, et al. 1616. Johansson A, Ehnfors M. Mental health-promoting dialogue of school nurses from the perspective of adolescent pupils. Nord J Nurs Res[Internet]. 2006 [cited 2018 May 09]; 26(4):10-9. Available from: https://dx.doi.org/10.1177/010740830602600403 https://dx.doi.org/10.1177/0107408306026... Valença CN, et al. 2013.1717. Valença CN, Brandão ICA, Germano RM, Vilar RLA, Monteiro AI. Approach to adolescents’ addiction to psychoactive substances: ethical reflection for professional nursing practice. Esc Anna Nery[Internet]. 2013 [cited 2018 May 25];17(3):562-7. Available from: https://dx.doi.org/10.1590/s1414-81452013000300022 https://dx.doi.org/10.1590/s1414-8145201... Garmy P, et al. 2015.1818. Garmy P, Berg A, Clausson EK. A qualitative study exploring adolescents’ experiences with a school-based mental health program. BMC Public Health[Internet]. 2015 [cited 2018 May 09];15:1074. Available from: https://dx.doi.org/10.1186/s12889-015-2368-z https://dx.doi.org/10.1186/s12889-015-23... Beukers L, et al. 2015.1919. Beukers L, Berends T, Ginkel JMM, van Elburg AA, van Meijel B. Restoring normal eating behaviour in adolescentes with anorexia nervosa: a video analysis of nursing interventions. Int J Ment Health Nurs[Internet]. 2015 [cited 2018 May 24];24(6):519-26. Available from: https://dx.doi.org/10.1111/inm.12150 https://dx.doi.org/10.1111/inm.12150... Kendal S, et al. 2017.2020. Kendal S, Kirk S, Elvey R, Catchpole R, Pryjmachuk S. How a moderated online discussion forum facilitates support for young people with eating disorders. Health Expect[Internet]. 2017 [cited 2018 May 08];20(1):98-111. Available from: https://doi.org/10.1111/hex.12439 https://doi.org/10.1111/hex.12439... Hooven C, et al. 2011.2121. Hooven C, Walsh E, Willgerodt M, Salazar A. Increasing participation in prevention research: strategies for youth, parents and schools. J Child Adolesc Psychiatr Nurs[Internet]. 2011 [cited 2018 May 24];24(3):137-49. Available from: https://dx.doi.org/10.1111/j.1744-6171.2011.00288.x https://dx.doi.org/10.1111/j.1744-6171.2... Oruche UM, et al. 2017.2222. Oruche UM, Robb SL, Aalsma M, Pescosolido B, Brown-Podgorski B, Draucker CB. Developing a multiple caregiver group for caregivers of adolescents with disruptive behaviors. Arch Psychiatr Nurs[Internet]. 2017 [cited 2018 May 25];31(6):596-601. Available from: https://dx.doi.org/10.1016/j.apnu.2017.08.006 https://dx.doi.org/10.1016/j.apnu.2017.0... Zugai JS, et al. 2018.2323. Zugai JS, Stein-Parbury J, Roche M. The nature of the therapeutic alliance between nurses and consumers with anorexia nervosa in the inpatient setting: a mixed-methods study. J Clin Nurs[Internet]. 2018 [cited 2018 May 23];27(1-2):416-26. Available from: https://dx.doi.org/10.1111/jocn.13944 https://dx.doi.org/10.1111/jocn.13944...	The dialogue appears recurrently among the studies as effective intervention, and it is essential to include prerequisites such as which issues should be discussed and where these dialogues should occur. Within these discussions adolescents believe that it is important to include dimensions such as: trust, attention, respect, authenticity, accessibility and continuity of the process. Thus, it is essential that nurses propose strategies for the development of interpersonal relationships as a means to create a therapeutic alliance.44. van Harmelen AL, Gibson JL, St Clair MC, Owens M, Brodbeck J, Dunn V, et al. Friendships and family support reduce subsequent depressive symptoms in at-risk adolescents. PLoS ONE[Internet]. 2016[cited 2018 May 10];11(5):e0153715. Available from: https://dx.doi.org/10.1371/journal.pone.0153715 https://dx.doi.org/10.1371/journal.pone.... ^,1616. Johansson A, Ehnfors M. Mental health-promoting dialogue of school nurses from the perspective of adolescent pupils. Nord J Nurs Res[Internet]. 2006 [cited 2018 May 09]; 26(4):10-9. Available from: https://dx.doi.org/10.1177/010740830602600403 https://dx.doi.org/10.1177/0107408306026... ^-2323. Zugai JS, Stein-Parbury J, Roche M. The nature of the therapeutic alliance between nurses and consumers with anorexia nervosa in the inpatient setting: a mixed-methods study. J Clin Nurs[Internet]. 2018 [cited 2018 May 23];27(1-2):416-26. Available from: https://dx.doi.org/10.1111/jocn.13944 https://dx.doi.org/10.1111/jocn.13944...

Category	Author and year	Nursing cares in mental health for adolescents
Referrals to other services, professionals and the provision of physical health care.	Kennedy CW, et al. 1999.2424. Kennedy CW, Polivka BJ, Chaudry RV. The role of public health nurses in service delivery to youth with mental disabilities. J Am Psychiatr Nurses Assoc[Internet]. 1999[cited 2018 May 23];5(6):177-84. Available from: https://dx.doi.org/10.1016/S1078-3903(99)90069-1 https://dx.doi.org/10.1016/S1078-3903(99... Ho FKW, et al. 2017.2525. Ho FKW, Louie LHT, Wong WH, Chan KL, Tiwari A, Chow CB, et al. A sports-based youth development program, teen mental health, and physical fitness: an RCT. Pediatr[Internet]. 2017 [cited 2018 May 25];140(4):e20171543. Available from: https://dx.doi.org/10.1542/peds.2017-1543 https://dx.doi.org/10.1542/peds.2017-154... Melnyk BM, et al. 2013.2626. Melnyk BM, Jacobson D, Kelly S, Belyea M, Shaibi G, Small L, et al. Promoting healthy lifestyles in high school adolescents: a randomized controlled trial. Am J Prev Med[Internet]. 2013 [cited 2018 May 23];45(4):407-15. Available from: https://dx.doi.org/10.1016/j.amepre.2013.05.013 https://dx.doi.org/10.1016/j.amepre.2013...	The barriers found in the health system, such as management and financing, often prevent improvements in the training of nurses to deal with the mental health of adolescents, which generates care focused primarily on the physical and, when there is an identification of the need for attention to health mental health, referral to other professionals and/or services. Even with the difficulties and criticisms regarding the performance of nurses focusing on physical health, it is known the importance of realizing improvements in the health of young people as a whole when actions that address physical health are implemented. Physical interventions improve young people's mental well-being, self-efficacy, resilience, physical fitness, lower limb muscle strength, dynamic balance, physical activity levels, and a lower Body Mass Index (BMI).2424. Kennedy CW, Polivka BJ, Chaudry RV. The role of public health nurses in service delivery to youth with mental disabilities. J Am Psychiatr Nurses Assoc[Internet]. 1999[cited 2018 May 23];5(6):177-84. Available from: https://dx.doi.org/10.1016/S1078-3903(99)90069-1 https://dx.doi.org/10.1016/S1078-3903(99... ^-2626. Melnyk BM, Jacobson D, Kelly S, Belyea M, Shaibi G, Small L, et al. Promoting healthy lifestyles in high school adolescents: a randomized controlled trial. Am J Prev Med[Internet]. 2013 [cited 2018 May 23];45(4):407-15. Available from: https://dx.doi.org/10.1016/j.amepre.2013.05.013 https://dx.doi.org/10.1016/j.amepre.2013...
Motivational interview	Hamrin V, et al. 2017.2727. Hamrin V, Iennaco JD. Evaluation of motivational interviewing to improve psychotropic medication adherence in adolescents. J Child Adolesc Psychopharmacol[Internet]. 2017 [cited 2018 May 9];27(2):148-59. Available from: https://dx.doi.org/10.1089/cap.2015.0187 https://dx.doi.org/10.1089/cap.2015.0187...	It can be applied in different contexts and brings benefits to adherence to psychotropic medication by using motivational interviewing as a brief intervention in the nurse's performance. A high degree of satisfaction has been reported among participants with the intervention, finding it to be a promising method of care.2727. Hamrin V, Iennaco JD. Evaluation of motivational interviewing to improve psychotropic medication adherence in adolescents. J Child Adolesc Psychopharmacol[Internet]. 2017 [cited 2018 May 9];27(2):148-59. Available from: https://dx.doi.org/10.1089/cap.2015.0187 https://dx.doi.org/10.1089/cap.2015.0187...
Harm reduction	Jenkins EK, et al. 2017.2828. Jenkins EK, Slemon A, Haines-Saah RJ. Developing harm reduction in the context of youth substance use: insights from a multi-site qualitative analysis of young people’s harm minimization strategies. Harm Reduct J[Internet]. 2017 [cited 2018 May 24]; 14:53. Available from: https://dx.doi.org/10.1186/s12954-017-0180-z https://dx.doi.org/10.1186/s12954-017-01...	The strategy was approached as a positive method of care by allowing adolescents to manage their own substance use, shaping care in relation to their socio-cultural and political contexts, employing a variety of harm minimization strategies that are reflected in their contexts.2828. Jenkins EK, Slemon A, Haines-Saah RJ. Developing harm reduction in the context of youth substance use: insights from a multi-site qualitative analysis of young people’s harm minimization strategies. Harm Reduct J[Internet]. 2017 [cited 2018 May 24]; 14:53. Available from: https://dx.doi.org/10.1186/s12954-017-0180-z https://dx.doi.org/10.1186/s12954-017-01...
Cognitive behavioral therapy	Garmy P, et al. 2015.2929. Garmy P, Jakobsson U, Carlsson KS, Berg A, Clausson EK. Evaluation of a school-based program aimed at preventing depressive symptoms in adolescents. J Sch Nurs[Internet]. 2015 [cited 2018 May 24];31(2):117-25. Available from: https://journals.sagepub.com/doi/pdf/10.1177/1059840514523296 https://journals.sagepub.com/doi/pdf/10....	The effect of a school-based universal intervention and prevention of depressive symptoms in adolescents, with an emphasis on females, has been reported, and a positive result has been found to apply such an intervention.2929. Garmy P, Jakobsson U, Carlsson KS, Berg A, Clausson EK. Evaluation of a school-based program aimed at preventing depressive symptoms in adolescents. J Sch Nurs[Internet]. 2015 [cited 2018 May 24];31(2):117-25. Available from: https://journals.sagepub.com/doi/pdf/10.1177/1059840514523296 https://journals.sagepub.com/doi/pdf/10....
Group as intervention strategy	Brandão Neto W, et al. 2014.3030. BrandãoNetoW, Silva ARS, AlmeidaFilhoAJ, Lima LS, Aquino JM, Monteiro EMLM. Educational intervention on violence with adolescents: possibility for nursing in school context. Esc Anna Nery[Internet]. 2014 [cited 2018 May 23];18(2):195-201. Available from: https://dx.doi.org/10.5935/1414-8145.20140028 https://dx.doi.org/10.5935/1414-8145.201... Albuquerque MCS, et al. 2014.3131. Albuquerque MCS, Nascimento YCML, Brêda MZ, Luca LCG. Changes perceived by family members of children/adolescents experiencing psychic suffering who participated in an operational group. Rev Eletr Enferm[Internet]. 2014 [cited 2018 May 10];16(3):652-61. Available from: https://dx.doi.org/10.5216/ree.v16i3.21777 https://dx.doi.org/10.5216/ree.v16i3.217... Oruche UM, et al. 2013.3232. Oruche UM, Gerkensmeyer JE, Carpenter JS, Austin JK, Perkins SM, Rawl SM, et al. Predicting outcomes among adolescents with disruptive disorders being treated in a system of care program. J Am Psychiatr Nurses Assoc[Internet]. 2013 [cited 2018 May 10];19(6):335-44. Available from: https://dx.doi.org/10.1177/1078390313498509 https://dx.doi.org/10.1177/1078390313498... Kendal SE, et al. 2017.3333. Kendal SE, Milnes L, Welsby H, Pryjmachuk S. Prioritizing young people’s emotional health support needs via participatory research. J Psychiatr Ment Health Nurs[Internet]. 2017 [cited 2018 May 23];24:263-71. Available from: https://dx.doi.org/10.1111/jpm.12373 https://dx.doi.org/10.1111/jpm.12373... Garcia C, et al. 2010.3434. Garcia C, Pintor JK, Lindgren S. Feasibility and acceptability of a school-based coping intervention for Latina adolescents. J Sch Nurs[Internet]. 2010 [cited 2018 May 10];26(1):42-52. Available from: https://dx.doi.org/10.1177/1059840509351021 https://dx.doi.org/10.1177/1059840509351... Pinto-Foltz MD, et al. 2011.3535. Pinto-Foltz MD, Logsdon MC, Myers JA. Feasibility, acceptability, and initial efficacy of a knowledge-contact program to reduce mental illness stigma and improve mental health literacy in adolescents. Soc Sci Med[Internet]. 2011 [cited 2018 May 24];72(12):2011-9. Available from: https://dx.doi.org/10.1016/j.socscimed.2011.04.006 https://dx.doi.org/10.1016/j.socscimed.2...	It works as a space for clarification and listening, it provides relief from tensions, helping to share concerns, improving family life, stimulating self-care, and the use of coexistence management techniques. Understanding, apprehending and managing the use of this technology depends on qualified nursing education, which can facilitate operative groups that bring benefits perceived by all, especially when using a participatory approach that generates trust and credible results, reflecting on the perspectives of young people.3030. BrandãoNetoW, Silva ARS, AlmeidaFilhoAJ, Lima LS, Aquino JM, Monteiro EMLM. Educational intervention on violence with adolescents: possibility for nursing in school context. Esc Anna Nery[Internet]. 2014 [cited 2018 May 23];18(2):195-201. Available from: https://dx.doi.org/10.5935/1414-8145.20140028 https://dx.doi.org/10.5935/1414-8145.201... ^-3535. Pinto-Foltz MD, Logsdon MC, Myers JA. Feasibility, acceptability, and initial efficacy of a knowledge-contact program to reduce mental illness stigma and improve mental health literacy in adolescents. Soc Sci Med[Internet]. 2011 [cited 2018 May 24];72(12):2011-9. Available from: https://dx.doi.org/10.1016/j.socscimed.2011.04.006 https://dx.doi.org/10.1016/j.socscimed.2...
Health education	Beukers L, et al. 2015.1919. Beukers L, Berends T, Ginkel JMM, van Elburg AA, van Meijel B. Restoring normal eating behaviour in adolescentes with anorexia nervosa: a video analysis of nursing interventions. Int J Ment Health Nurs[Internet]. 2015 [cited 2018 May 24];24(6):519-26. Available from: https://dx.doi.org/10.1111/inm.12150 https://dx.doi.org/10.1111/inm.12150... Lopes GT, et al. 2014.3636. Lopes GT, Bernardes MMR, Ribeiro APLP, Belchior PC, Delphim LM, Ferreira RS. Perceptions of adolescents regarding drug use/addiction: theater as the pedagogical strategy. Esc Anna Nery[Internet]. 2014 [cited 2018 May 9];18(2):202-8. Available from: https://dx.doi.org/10.5935/1414-8145.20140029 https://dx.doi.org/10.5935/1414-8145.201... Aguiar Jr VS, et al. 2015.3737. Aguiar JrVS, Oliveira AM, Araújo LCA. Hygiene and mental health: body care in the clinical intervention in a CAPSI. J Res Fundam Care Online[Internet]. 2015 [cited 2018 May 25];7(2):2582-90. Available from: https://dx.doi.org/10.9789/2175-5361.2015.v7i2.2582-2590 https://dx.doi.org/10.9789/2175-5361.201... Lopes GT, et al. 2012.3838. Lopes GT, Belchior PC, Felipe ICV, Bernardes MM, Casanova EG, Pinheiro APL. Dinâmicas de criatividade e sensibilidade na abordagem de álcool e fumo com adolescentes. Rev Enferm UERJ[Internet]. 2012 [cited 2018 May 25];20(1):33-8. Available from: https://www.e-publicacoes.uerj.br/index.php/enfermagemuerj/article/view/3972/2755 https://www.e-publicacoes.uerj.br/index.... Ayres CG, et al. 2010.3939. Ayres CG, Atkins R, Mahat G. Factors related to performance of health practices among Asian adolescents in the United States. Asian Nurs Res[Internet]. 2010 [cited 2018 May 09];4(2):64-74. Available from: https://dx.doi.org/10.1016/S1976-1317(10)60007-2 https://dx.doi.org/10.1016/S1976-1317(10...	Health interventions in young people should take into account their cultural particularities, as well as the specificities of the life cycle period, as understanding the factors related to health practices in adolescents and the possible interventions promoted cannot ignore the context for obtaining health positively meaningful relationships for positive health practices such as support, optimism, self-esteem, and acculturation.1919. Beukers L, Berends T, Ginkel JMM, van Elburg AA, van Meijel B. Restoring normal eating behaviour in adolescentes with anorexia nervosa: a video analysis of nursing interventions. Int J Ment Health Nurs[Internet]. 2015 [cited 2018 May 24];24(6):519-26. Available from: https://dx.doi.org/10.1111/inm.12150 https://dx.doi.org/10.1111/inm.12150... ^,3636. Lopes GT, Bernardes MMR, Ribeiro APLP, Belchior PC, Delphim LM, Ferreira RS. Perceptions of adolescents regarding drug use/addiction: theater as the pedagogical strategy. Esc Anna Nery[Internet]. 2014 [cited 2018 May 9];18(2):202-8. Available from: https://dx.doi.org/10.5935/1414-8145.20140029 https://dx.doi.org/10.5935/1414-8145.201... ^-3939. Ayres CG, Atkins R, Mahat G. Factors related to performance of health practices among Asian adolescents in the United States. Asian Nurs Res[Internet]. 2010 [cited 2018 May 09];4(2):64-74. Available from: https://dx.doi.org/10.1016/S1976-1317(10)60007-2 https://dx.doi.org/10.1016/S1976-1317(10...

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] CORRESPONDING AUTHOR: Liane Araújo Teixeira. lianeteixeiras@hotmail.com