Khivia Kiss da Silva Barbosa

Sintomas depressivos e ideação suicida em enfermeiros e médicos da assistência hospitalar

Objective: To investigate the presence of depressive symptoms and suicidal ideation among nurses and doctors in hospital care. Methods: This is a descriptive research with quantitative approach, which included 100 subjects - 50 nurses and 50 physicians working in hospitals in the city of Joao Pessoa, Brazil. We used the Beck Depression Inventory, Scale for Suicide Ideation, Beck and a sociodemographic questionnaire with quantitative analysis. Results: Based on the analysis of data showed that 30% of the sample had depressive symptoms - 20% and 10% nursing care. The presence of suicidal ideation was found in 4% sample. It was found also that all of them also had depression, which shows a strong relationship between the two phenomena. Conclusion: The prevalence of depressive symptoms and suicidal ideation among health professionals were elevated. They act contrary to what is expected of this population in view of their professional activities

Between policies and practices: therapeutic activities based on harm reduction

ABSTRACT Objective: to investigate the therapeutic practices carried out in Psychosocial Care Centers for Alcohol and Drugs (CAPS ad) based on the policy of harm reduction. Method: qualitative study of applied nature based on exploratory and descriptive field research in a CAPS ad service with 10 professionals who were interviewed with aid of a semi-structured script. Data were analyzed through the Content Analysis Technique in the thematic modality. Results: the conceptual bases of harm reduction are restricted to drug reduction, not immediate advocacy of abstinence and prevention of comorbidities. Valuation of self-esteem, self-care, exchange of experiences and patient management in the medical office were the strategies cited. The family, the user, and the professional team proved to be facilitating aspects of harm reduction. Conclusion: there are gaps for the operationalization of the Policy. Managerial, dialogical and educational actions including the mental health network are necessary to fill these gaps. Descriptors : Public Policies; Professional Practice; Knowledge; Harm Reduction; Risk Reduction Behavior; Mental Health Services. RESUMO Objetivo: investigar as praticas terapeuticas realizadas em Centros de Atencao Psicossocial de Alcool e Drogas (CAPSad) pautadas na politica de reducao de danos. Metodo : estudo qualitativo com natureza aplicada, a partir de pesquisa de campo, exploratoria e descritiva, em um dos servicos de CAPSad, com 10 profissionais, entrevistados por meio de um roteiro semiestruturado. A producao de dados foi analisada pela Tecnica de Analise de Conteudo na modalidade Analise de conteudo tematica. Resultados : as bases conceituais da reducao de danos estao restritas a reducao da droga, nao preconizacao imediata da abstinencia e prevencao de comorbidades. A valorizacao da autoestima, autocuidado, troca de experiencias e o manejo do paciente no consultorio foram as estrategias citadas. A familia, o usuario e a equipe profissional foram revelados como aspectos facilitadores da reducao de danos. Conclusao : existem lacunas para a operacionalizacao da Politica. Para o preenchimento, sao necessarias acoes gestoras, dialogicas e educativas englobando a rede de saude mental. Descritores : Politicas Publicas; Pratica Profissional; Conhecimento; Reducao do Dano; Comportamento de Reducao do Risco; Servicos de Saude Mental. RESUMEN Objetivo: investigar las practicas terapeuticas realizadas en Centros de Atencion Psicosocial de Alcohol y Drogas (CAPSad) pautadas en la politica de reduccion de danos. Metodo : estudio cualitativo con naturaleza aplicada, a partir de investigacion de campo, exploratoria y descriptiva, en uno de los servicios de CAPSad, con 10 profesionales, entrevistados por medio de una guia semi-estruturada. La produccion de datos fue analizada por la Tecnica de Analisis de Contenido en la modalidad Analisis de contenido tematico. Resultados : las bases conceptuales de la reduccion de danos estan restrictas a la reduccion de la droga, no preconizacion inmediata de la abstinencia y prevencion de comorbilidades. La valoracion de la autoestima, autocuidado, compartir experiencias y el manejo del paciente en el consultorio fueron las estrategias citadas. La familia, el usuario y el equipo profesional fueron revelados como aspectos facilitadores de la reduccion de danos. Conclusion : existen lagunas para la operacion de la Politica. Para completarla, son necesarias acciones gestoras, dialogicas y educativas englobando la red de salud mental. Descritores : Politicas Publicas; Practica Profesional; Conocimiento; Reduccion Del Dano, Conducta de Reduccion Del Riesgo; Servicios de Salud Mental.

Crack users perceptions of factors that influence use and addiction

The aim of this study was to identify factors that influence and facilitate crack use and factors that make it difficult to give up. This was a piece of qualitative research involving 20 crack users in Joao Pessoa, PB, in 2012. The data were collected using a semi-structured questionnaire and analyzed using the Discourse of the Collective Subject technique. Easy access, curiosity, peer pressure and alcohol/marihuana use were all shown to be factors that influenced crack use and made it difficult to give up. It is suggested that the views and actions taken of the phenomenon of drug addiction be broadened and more comprehensive nursing care provided based on the factors uncovered in this study.

Concepciones de los usuários de crack sobre los factores que influencian su uso y su dependencia

The aim of this study was to identify factors that influence and facilitate crack use and factors that make it difficult to give up. This was a piece of qualitative research involving 20 crack users in Joao Pessoa, PB, in 2012. The data were collected using a semi-structured questionnaire and analyzed using the Discourse of the Collective Subject technique. Easy access, curiosity, peer pressure and alcohol/marihuana use were all shown to be factors that influenced crack use and made it difficult to give up. It is suggested that the views and actions taken of the phenomenon of drug addiction be broadened and more comprehensive nursing care provided based on the factors uncovered in this study.

Concepções dos usuários de crack sobre os fatores que influenciam o uso e a dependência

The aim of this study was to identify factors that influence and facilitate crack use and factors that make it difficult to give up. This was a piece of qualitative research involving 20 crack users in Joao Pessoa, PB, in 2012. The data were collected using a semi-structured questionnaire and analyzed using the Discourse of the Collective Subject technique. Easy access, curiosity, peer pressure and alcohol/marihuana use were all shown to be factors that influenced crack use and made it difficult to give up. It is suggested that the views and actions taken of the phenomenon of drug addiction be broadened and more comprehensive nursing care provided based on the factors uncovered in this study.