Fernanda Jorge Guimarães

Depressive symptoms in postpartum women at Family Health Units

Objectives: to identify postpartum depression among women assisted by Family Health Units (FHU). Methods: this is a cross-sectional study with a quantitative approach carried out in FHUs at the city of Vitoria de Santo Antão PE. Fifty eight mothers constituted the sample. We used the Portuguese version of the Postpartum Depression Screening Scale – PDSS for screening. We collected data from February to April 2011. Results: we were able to demonstrate that 8.6% of participants had scores above the PDSS cut-off point. We also found an association between postpartum depression and incomplete primary education. Conclusions: although the percentage of women with postpartum depression scores is lower than values found in other national studies, the early identification of these mothers in FHU is imperative, given the harmful repercussions that depression can cause in women, as well as in physical and psychic development of the baby.Objetivos: identificar a depressão pós-parto (DPP) entre mulheres atendidas em Unidades de Saúde da Família (USF). Métodos: trata-se de um estudo transversal, com abordagem quantitativa realizado em USF do município da Vitória de Santo Antão PE. A amostra foi composta por 58 puérperas. O instrumento utilizado para rastreamento foi a versão em português da Postpartum Depression Screening Scale – PDSS. Os dados foram coletados no período de fevereiro a abril de 2011. Resultados: evidenciou-se que 8,6% das participantes apresentaram pontuação acima do ponto de corte da PDSS. Os quadros sugestivos de DPP apresentaram associação estatística com o ensino fundamental incompleto. Conclusões: embora o percentual de mulheres com escores sugestivos de DPP esteja abaixo do quantitativo encontrado em outros estudos nacionais, é premente que essas mães sejam identificadas precocemente nas USFs, tendo em vista as repercussões que a depressão pode acarretar para a mulher e para o desenvolvimento físico e psíquico do bebê. Palavras-chave Depressão pós-parto, Saúde mental, Período pós-parto

Validation of assistive technology on psychoactive substances for visually impaired people

Abstract Purpose: To validate the assistive technology “Drugs: reflection for prevention” to be used with visually impaired people. Method: Quantitative and quasi-experimental study, contrasting knowledge before and after the use of the assistive technology with 140 visually impaired people in institutes and associations for people with visual impairment. A questionnaire with identification data, a pre-test, a post-test and a questionnaire to assess the assistive technology were applied. Data were described through means and standard deviations, and analyses included the McNemar test, the exact binomial distribution test, and the intraclass correlation coefficient. Results: Participants were male (65.7%), 84.3% were blind, aged 37.1 years on average and with schooling of 10.1 years on average. There were more correct answers in the post-test (p <.001). The attributes of the assistive technology were considered adequate: objectives, access, clarity, structure and presentation, relevance and efficacy, and interactivity (p <.001). Conclusions: The assistive technology “Drugs: reflection for prevention” was considered valid and reliable to inform visually impaired people about psychoactive substance abuse. Implications for rehabilitation Created new tool for prevention substance abuse that can be accessed easily. Improved information about substance psychoactive for users of the assistive technology. Improved quality of life for its users.

CONTRIBUIÇÕES DO PET REDE DE ATENÇÃO PSICOSSOCIAL NA FORMAÇÃO ACADÊMICA NO CURSO DE CIÊNCIAS BIOLÓGICAS

The purpose of this study was to describe the contributions of the Pet HealthPsychosocial Care Networks in the academic training in the course of Biological Sciences Degree, evidencing the difficulties and potentialities encountered during the execution of the project. For this purpose, the descriptive approach was used as an experience report. The project was developed in two public schools, one from the municipal network and another from the state education network, in the city of Vitoria de Santo Antao-PE. The actions were developed with elementary school and Adults’ Education classes. Each meeting had duration of one hour and thirty minutes, using various themes, which topics related to the use and abuse of psychoactive substances were worked. The project provided significant learning that enabled the exchange of experiences among the participants, providing a multiprofessional and interdisciplinary work, in addition to a differentiated professional training.

Depressão: conhecimento de idosos atendidos em unidades de saúde da família no muncípio de Limoeiro PE

This study focused on the analyses of the comprehension of elderly patients about depression in units of family health. It is a descriptive and qualitative study, whereby interviews were realized with the elderly registered in the units of family health, using the technique of discourse analysis. It was verified that these elderly patients are, most of the time, women, between 65 and 86 years old, married and widowed, retired and housewives. The analysis of the empirical material revealed a comprehension about depression linked to sadness and discouragement, this perception was obtained by familiar and personal experiences, highlighting that the staff of the unit of family health do not approach this theme in their actions. In the context of a multidisciplinary health staff, nurses must be able to develop effective actions related to the health of the elderly in order to solve, attenuate and slow some problems such as depression, which is very present at this age. In this context, it is evident that it is necessary to implant or effectively implement good practices in mental care of the elderly in primary healthcare centers, such as an integral nursing assistance on the health of elderlyThis study focused on the analyses of the comprehension of elderly patients about depression in units of family health. It is a descriptive and qualitative study, whereby interviews were realized with the elderly registered in the units of family health, using the technique of discourse analysis. It was verified that these elderly patients are, most of the time, women, between 65 and 86 years old, married and widowed, retired and housewives. The analysis of the empirical material revealed a comprehension about depression linked to sadness and discouragement, this perception was obtained by familiar and personal experiences, highlighting that the staff of the unit of family health do not approach this theme in their actions. In the context of a multidisciplinary health staff, nurses must be able to develop effective actions related to the health of the elderly in order to solve, attenuate and slow some problems such as depression, which is very present at this age. In this context, it is evident that it is necessary to implant or effectively implement good practices in mental care of the elderly in primary healthcare centers, such as an integral nursing assistance on the health of elderly.

Social reinsertion: comparative study between the hospital assistance and in the caps under the point of view of the user

ABSTRACT Objective : analyze the opinion of users assisted in the CAPS in the city of Camaragibe/Pernambuco, about the way the social reinsertion is approached in the psychiatrics hospitals and substitutive services. Method : it is a research with quantitative approach, done with 33 users in treatment in the regimen non intensive in CAPS, having among other criteria of inclusion, users, with historic of internship in psychiatric hospitals. Data were collected through questionnaire, which were tabulated in Excel and analyzed with the aid of SPSS 15.0 program. This study was approved by the Ethics Committee of the University Hospital Oswaldo Cruz (protocol number 005/08). Results : the users interviewed perceived the CAPS as a service that contributes for the reinsertion in the family and in the community. In this therapeutic set, they receive qualifications to develop financial autonomy, while in the closed hospitals does not seem to exist such worry. Conclusion : it can be perceived that the users interviewee have clarity about the role of the CAPS, that is revealed as an efficient strategy in the treatment of people with mental disease, because besides doing the clinical attendance, it facilitates the social insertion of their users. Descriptors : mental health; mental health services; rehabilitation; deinstitutionalization; mental health assistance. RESUMO Objetivo : analisar a opiniao dos usuarios assistidos no CAPS do municipio de Camaragibe/Pernambuco, sobre a forma como a reinsercao social e abordada nos hospitais psiquiatricos e servicos substitutivos. Metodo : pesquisa de abordagem quantitativa, realizada com 33 usuarios em tratamento no regime nao intensivo no CAPS, tendo como outros criterios de inclusao, usuarios com historico de internamento em hospital psiquiatrico. Os dados foram coletados por meio de questionario, os quais foram tabulados no Excel e analisados com o auxilio do programa SPSS 15.0. Estudo aprovado pelo Comite de Etica em Pesquisa do Hospital Universitario Oswaldo Cruz (numero de protocolo 005/08). Resultados : os usuarios entrevistados perceberam o CAPS como um servico que contribui para a reinsercao na familia e na comunidade. Nesse set terapeutico, eles recebem capacitacoes para desenvolverem autonomia financeira, enquanto que nos hospitais fechados nao lhes parece existir tal preocupacao. Conclusoes : percebe-se que os usuarios entrevistados tem clareza sobre o papel do CAPS, que se revela como uma estrategia eficaz no tratamento de pessoas com transtorno mental, pois alem de realizar o acompanhamento clinico, favorece a reinsercao social dos seus usuarios. Descritores : saude mental; servicos de saude mental; reabilitacao; desinstitucionalizacao; assistencia em saude mental. RESUMEN Objetivo : analizar la opinion de los usuarios asistidos en el CAPS del municipio de Camaragibe/Pernambuco, acerca de la forma como la reinsercion social es abordada en los hospitales psiquiatricos y en los servicios substitutivos. Metodo : se trata de una investigacion con abordaje cuantitativo, realizada con 33 usuarios en tratamiento en regimen no intensivo, teniendo entre otros criterios de inclusion, usuarios con historico de internacion en hospital psiquiatrico. Los datos fueron recolectados a traves de cuestionario, que fueron tabulados en Excel y analizados con la ayuda del programa SPSS 15.0. Este estudio fue aprobado por el Comite de Etica de la Hospital Universitario Oswaldo Cruz (numero de protocolo 005/08). Resultados : los usuarios entrevistados percibieron el CAPS como un servicio que contribuye para la reinsercion en la familia y en la comunidad. En ese espacio terapeutico, ellos se capacitan para desarrollar autonomia, mientras que en los hospitales cerrados no les parece existir tal preocupacion. Conclusiones : los usuarios tienen claridad acerca del papel del CAPS, que es visto como una estrategia eficaz en el tratamiento de personas con transtornos mentales, ya que ademas de realizar el acompanamiento clinico, favorece la reinsercion social de sus usuarios. Descriptores : salud mental; servicios de salud mental; rehabilitacion; desinstitucionalizacion; asistencia en salud mental.