João Fernando Marcolan

Sintomas de depressão e fatores intervenientes entre enfermeiros de serviço hospitalar de emergência

Objective: To verify if nurses from the emergency hospital services had depressive symptoms, identifying intervening factors and analyzing perception about the psychic suffering and its influence on care provided. Methods: Cross-sectional study, conducted with nurses of emergency hospital services. The research instrument was a semi-structured questionnaire with sociodemographic variables and psychometric scales for the assessment of depression. For statistics, the Fisher exact test was used. Results: A total of 23 nurses participated, of which 91.3% showed symptoms of depression. Factors for illness were related to work conditions such as overload, devaluation, lack of human and material resources. The nurses neither acknowledged themselves as sick, nor being influenced on care provided. The results were converging for the scales of observation. All nurses were advised and sent to specialized care. Conclusion: The majority of nurses working in emergency services reported depression linked to working conditions. Most of them did not realize their own psychic suffering.

Orientações básicas para os enfermeiros na ministração de psicofármacos

Com este trabalho os autores querem contribuir para que o enfermeiro tenha mais uma referencia norteadora de sua acao ao assistir o paciente que faz uso de psicofarmacos. Sao descritos os grupos farmacologicos e destacadas as consideracoes sobre o emprego dos mesmos.With this study the authors want to furnish the nurses with one more reference source to guide their actions in caring for the patient that use psychopharmaco. It is described the pharmacological groups and considerations are made about the care with patients that are using them.

Quem mandou ficar velho e morar na rua

Esta pesquisa e um estudo de caso qualitativo, e integra o estudo Envelhecimento, saude e trabalho. Esse recorte teve por objetivo conhecer o significado do envelhecimento na rua para um idoso em situacao de rua. A narrativa foi trabalhada a luz dos eixos tematicos: historia do envelhecimento e historia de vida na rua. Depreendemos que a rua quase sempre e um ambiente hostil para o idoso. Nao garante condicoes basicas de vida, interferindo na saude mental das pessoas que nela sao obrigadas a viver, particularmente o idoso. A rua, por nao mostrar possibilidades de saida, aliada as condicoes de vida do idoso em situacao de rua leva a um processo gradual da perda da autoestima, interferindo sobremaneira no autocuidado. Acrescido a essas questoes, constatamos que o comprometimento da capacidade funcional coloca em risco a sobre/vida do idoso em situacao de rua.

Representações sociais da enfermagem: a sexualidade de portadores de transtornos mentais

Objective: to understand how nursing workers perceive the sexuality of patients with mental disorders. Methodology: this was a qualitative, descriptive, and exploratory research with a methodological approach to social representations. Results: a total of 18 nursing workers from a Center for Integral Mental Health Care in Sao Paulo participated in the study. The data was collected through interviews using a semi-structured questionnaire between March and June of 2009. Most participants perceived sexuality as a form of disease, which was the target of surveillance, control, and punishment. The lack of preparedness in nursing professionals to deal with the sexuality of patients with mental disorders was noticed. Conclusion: myths, taboos, prejudices, and lack of knowledge was observed in nursing workers facing the sexuality of patients with mental disorders. The need to address sexuality as a natural phenomenon, inherent to human beings is reaffirmed.

Percepção de trabalhadores de enfermagem sobre sexualidade de portadores de transtornos mentais

OBJETIVO: Conhecer como trabalhadores de enfermagem percebem a sexualidade do portador de transtorno mental. METODOS: Pesquisa qualitativa, fundamentada na teoria das Representacoes Sociais, realizada por meio de entrevistas com sete enfermeiras e 11 auxiliares de enfermagem, utilizando questionario semiestruturado e duas analises de situacoes diarias. RESULTADOS: Os depoimentos obtidos revelaram que trabalhadores de enfermagem percebiam a sexualidade enquanto orientacao sexual, papel sexual ou manifestacao do transtorno. Notamos a disciplina e vigilância como formas de controle de sexualidade manifestada em ambiente hospitalar. CONCLUSAO: Verificou-se que trabalhadores de enfermagem perceberam a sexualidade do portador de transtorno mental de acordo com seus valores, tabus e preconceitos, configurando despreparo dos profissionais frente a sexualidade do sujeito a ser cuidado.

Repercussões na auto-estima provocadas pela tricotomia em craniotomia

This quantitative-based, prospective-oriented study aims to evaluate the repercussion of hair removal in post-craniotomys patient self-esteem. Data show that the majority of patients mentioned not having an altered self-esteem due to hair removal; self-esteem was kept the same among patients that were instructed about the hair removal process. The major part of patients made use of accessories as a strategy to hide shaved areas and believed that hair removal damaged neither their quality of life nor their social relationships. We conclude that the feelings directly related to the decrease of self-esteem are loss of physical attraction, insecurity and shame. The employment of accessories is made necessary towards improving self-esteem, and healthcare professionals must work with the psychosocial aspects of pre and post-surgery patients.El objetivo del estudio fue evaluar la repercusion de la tricotomia en la auto estima del paciente en el posoperatorio de craneotomia. Estudio cuantitativo del tipo prospectivo. Los datos muestran que la mayoria de los pacientes refirio no tener su auto estima alterada en funcion de la tricotomia; predomina el mantenimiento de la auto estima entre los pacientes que recibieron orientacion sobre la tricotomia; la mayoria hizo uso de accesorios como estrategia para ocultar el area raspada y piensa que la tricotomia no perjudica la calidad de vida y no interfiere en las relaciones sociales. Se concluye que los sentimientos relacionados a la disminucion de la auto estima son la perdida de la atraccion, la inseguridad y la verguenza; hay necesidad de usar de accesorios para mejorar la auto imagen y los profesionales de la salud deben trabajar con los aspectos psicosociales de los pacientes en el pre y pos operatorio.

For a public policy of surveillance of suicidal behavior

The object is to refl ect on the need for effective implementation of a surveillance program of suicidal behavior and of the causal and intervening factors of suicide, as well as to training and qualifi cation of health professionals about this topic, and the profi le of the individual with suicidal behavior. Suicidal behavior is public health serious, global problem and it should be faced in a consensual way by public administrators, professionals and population. Suicide is a real, current catastrophe and a kind of death that can be avoided. Descriptors: Suicide; Public Health Surveillance; Public Health Policy; Mental Health; Psychiatric Nursing. RESUMEN Refl ejar sobre la necesidad de implantación efectiva de un programa de vigilancia al comportamiento suicida y sobre los factores causales e intervinientes del suicidio, además de la formación y de la cualifi cación de los profesionales del área de la salud cuanto a este tema y el perfi l del individuo con el comportamiento suicida. El comportamiento suicida es un grave problema mundial de salud pública y debe ser enfrentado de modo consensual por los gestores, los profesionales y por la población. El suicidio es una verdadera catástrofe hodierna y un tipo de muerte que puede ser evitada. Descriptores: Suicidio; Vigilancia en Salud Pública; Políticas Públicas de Salud; Salud Mental; Enfermería Psiquiátrica. João Fernando Marcolan E-mail: jfmarcolan@unifesp.br AUTOR CORRESPONDENTEThe object is to reflect on the need for effective implementation of a surveillance program of suicidal behavior and of the causal and intervening factors of suicide, as well as to training and qualification of health professionals about this topic, and the profile of the individual with suicidal behavior. Suicidal behavior is public health serious, global problem and it should be faced in a consensual way by public administrators, professionals and population. Suicide is a real, current catastrophe and a kind of death that can be avoided.

The multiprofessional work in the Psychosocial Care Centers of São Paulo State

OBJECTIVE Analyze how professionals understood the multi, inter and transprofessionality and how these practices happened in the CAPS (Psychossocial Care Centers) of São Paulo/SP. METHOD Qualitative, exploratory, descriptive study, and use of Content Analysis. We interviewed 27 professionals from nine CAPS. RESULTS Organized in two categories: definition of multiprofessional, interprofessional and transprofessional work in Mental Health; and specific aspects of professions and Conceptions about multi, inter and transprofessional teamwork in daily life. There were difficulties in conceptualizing modalities of disciplinary integration, little problematization in the reality of workers, and questions of specific practices of each area. The devices have been problematized, in which the distancing of Public Policies happen. FINAL CONSIDERATIONS There is coexistence of the biomedical, of insane asylum and Psychosocial Care paradigms in the discourses and actions of the teams, to compromise the effectiveness of the Psychiatric Reform. The practice was close to the ideas of integration and of auxiliary interdisciplinarity and not of the effective construction of shared therapeutic knowledge and projects.

A história desvelada no Juquery: assistência psiquiátrica intramuros na ditadura cívico-militar

Objective To unveil the unofficial history of psychiatric care at the time of the civic-military dictatorship. Methods This is a descriptive, exploratory, investigative, qualitative study that uses content analysis. Interviews were conducted with former employees of the psychiatric hospital Hospicio do Juquery. Two interviews were registered, and the others recorded and transcribed. Results Processes involving care were accompanied by the use of violence, encouraged by the dynamics of the institution. Like the policy at the time, the unveiled psychiatric care points to rigid, authoritarian rules, and to the annihilation of forms of subjectivity, a true process of reification of individuals. A strong relationship between the violence practiced and the therapy involving knowledge/scientific power was noted. Conclusion The state should be responsible for having spread rampant repression through its ideological and repressive apparatus, such as the Hospicio. Analyzing the real facts that were concealed by the official history promotes understanding in an attempt to avoid the repetition of the violent practices and the dehumanization presented there.

Quien te dijo que envejecieras y te fueras a vivir a la calle

Esta pesquisa e um estudo de caso qualitativo, e integra o estudo Envelhecimento, saude e trabalho. Esse recorte teve por objetivo conhecer o significado do envelhecimento na rua para um idoso em situacao de rua. A narrativa foi trabalhada a luz dos eixos tematicos: historia do envelhecimento e historia de vida na rua. Depreendemos que a rua quase sempre e um ambiente hostil para o idoso. Nao garante condicoes basicas de vida, interferindo na saude mental das pessoas que nela sao obrigadas a viver, particularmente o idoso. A rua, por nao mostrar possibilidades de saida, aliada as condicoes de vida do idoso em situacao de rua leva a um processo gradual da perda da autoestima, interferindo sobremaneira no autocuidado. Acrescido a essas questoes, constatamos que o comprometimento da capacidade funcional coloca em risco a sobre/vida do idoso em situacao de rua.