Marina Nolli Bittencourt

Representação social de enfermeiros de centros de atenção psicossocial em álcool e drogas (CAPS AD) sobre o dependente químico

Resumen Qualitative exploratory study aimed to identify the social representations of nurses from specialist services in alcohol and other drugs compared to the addicts. The subjects were 16 nurses from 13 offices located in the city of Sao Paulo-SP. Data were collected through interviews which were recorded and analyzed according to the referential theory of social representations. The results showed that, in the nurses’ representation, addicts are individuals suffering from a disease that has difficulty limits, and handlers are responsible for the development of dependence. We conclude that the representations of these professionals are sidewalks on common sense and point to strategies to face this problem and change these representations.

Padrões de consumo de álcool de usuários de serviços de atenção primária à saúde de um município brasileiro

ABSTRACT The scope of this paper was to identify alcohol consumption patterns among users of primary health care services in the city of Bebedouro in the state of Sao Paulo, verifying the association between usage patterns and demographic and behavioral variables of the sample. It is a cross-sectional study involving 755 subjects over 18 years of age who sought primary health care services in the city of Bebedouro. To investigate patterns of alcohol use, the Alcohol Use Disorders Identification Test (AUDIT) was used. For statistical analysis the chi-square and binary logistic regression tests were used. The results showed that 78% of users were abstainers or low risk users, 22% had problems with alcohol, 10% were risk cases, 2% were high-risk users and 10% probable addicts. The greatest predictors of usage risk were males, income > than 6 minimum wages and smokers; for addicts the most important predictors were: males, working in commerce and smokers. A significant proportion of users showed patterns of problematic use of alcohol, which reinforces the need for preventive actions, since the primary health care services are an excellent opportunity to combine opportunities for screening and usage strategies for reducing harmful effects related to the problematic use of alcohol.The scope of this paper was to identify alcohol consumption patterns among users of primary health care services in the city of Bebedouro in the state of São Paulo, verifying the association between usage patterns and demographic and behavioral variables of the sample. It is a cross-sectional study involving 755 subjects over 18 years of age who sought primary health care services in the city of Bebedouro. To investigate patterns of alcohol use, the Alcohol Use Disorders Identification Test (AUDIT) was used. For statistical analysis the chi-square and binary logistic regression tests were used. The results showed that 78% of users were abstainers or low risk users, 22% had problems with alcohol, 10% were risk cases, 2% were high-risk users and 10% probable addicts. The greatest predictors of usage risk were males, income > than 6 minimum wages and smokers; for addicts the most important predictors were: males, working in commerce and smokers. A significant proportion of users showed patterns of problematic use of alcohol, which reinforces the need for preventive actions, since the primary health care services are an excellent opportunity to combine opportunities for screening and usage strategies for reducing harmful effects related to the problematic use of alcohol.

Cuidar de dependentes de substancias psicoativas: percepcoes dos estudantes de enfermagem

Estudo exploratorio de abordagem qualitativa cujo objetivo foi conhecer as percepcoes de estudantes de enfermagem frente ao cuidado do dependente quimico. Foram realizadas entrevistas semiestruturadas com 17 estudantes de enfermagem de uma universidade publica da cidade de Sao Paulo, que desenvolveram estagio em servicos especializados no uso de alcool e drogas, no periodo de 2007 e 2009.Utilizou-se a tecnica de analise de conteudo e a avaliacao das falas permitiu evidenciar que o cuidar do dependente quimico foi considerado interessante, porem dificil e desgastante. Como pontos positivos, os estudantes apontaram a discussao sobre a teoria e a vivencia, o que possibilitou a transformacao das concepcoes vinculadas a um modelo moral para outras, pautadas em modelos tecnicos, cientificos e eticos. Concluiu-se que essa estrategia de ensino pode contribuir para a mudanca das percepcoes dos enfermeiros frente a esses pacientes.This was a qualitative exploratory study aiming to better understand the perceptions of student nurses regarding care of the chemically dependent. Semistructured interviews were conducted between 2007 and 2009 with 17 nursing students from a public university in the city of São Paulo who were training in specialized services for abusers of alcohol and drugs. The content analysis technique was used, and the discourse evaluation revealed that care for the chemically dependent was considered interesting but difficult and exhausting. A positive outcome noted by the students was that the discussion of theory and experience enabled them to change their perceptions of the issue from a moral model base to a more technical, scientific and ethical one. It was concluded that this teaching strategy can contribute to changing the perceptions of nurses toward these patients.

Caring for people with psychoactive substance dependence: nursing student perceptions

Estudo exploratorio de abordagem qualitativa cujo objetivo foi conhecer as percepcoes de estudantes de enfermagem frente ao cuidado do dependente quimico. Foram realizadas entrevistas semiestruturadas com 17 estudantes de enfermagem de uma universidade publica da cidade de Sao Paulo, que desenvolveram estagio em servicos especializados no uso de alcool e drogas, no periodo de 2007 e 2009.Utilizou-se a tecnica de analise de conteudo e a avaliacao das falas permitiu evidenciar que o cuidar do dependente quimico foi considerado interessante, porem dificil e desgastante. Como pontos positivos, os estudantes apontaram a discussao sobre a teoria e a vivencia, o que possibilitou a transformacao das concepcoes vinculadas a um modelo moral para outras, pautadas em modelos tecnicos, cientificos e eticos. Concluiu-se que essa estrategia de ensino pode contribuir para a mudanca das percepcoes dos enfermeiros frente a esses pacientes.This was a qualitative exploratory study aiming to better understand the perceptions of student nurses regarding care of the chemically dependent. Semistructured interviews were conducted between 2007 and 2009 with 17 nursing students from a public university in the city of São Paulo who were training in specialized services for abusers of alcohol and drugs. The content analysis technique was used, and the discourse evaluation revealed that care for the chemically dependent was considered interesting but difficult and exhausting. A positive outcome noted by the students was that the discussion of theory and experience enabled them to change their perceptions of the issue from a moral model base to a more technical, scientific and ethical one. It was concluded that this teaching strategy can contribute to changing the perceptions of nurses toward these patients.

Álcool e alcoolismo: atitudes de estudantes de enfermagem

Estudio exploratorio descriptivo, que tuvo como objetivo conocer las actitudes de los estudiantes de enfermeria frente a la bebida alcoholica, el alcoholismo, y al alcoholicos, de acuerdo a su posicion ante los items de una escala de actitudes. Para la recoleccion de datos, se utilizo la Escala de Actitudes frente al alcohol, al alcoholismo y al alcoholico, aplicada a 144 estudiantes de enfermeria. Los resultados muestran una tendencia a actitudes negativas de estos estudiantes frente al alcoholismo, las bebidas alcoholicas y a los alcoholicos, desde que la mayoria de los participantes fueron clasificados en la categoria indiferentes o no de acuerdo con los elementos positivos, y de acuerdo con los elementos negativos de la escala. Llega-se a la conclusion de que esta tendencia de actitudes negativas es debida a la insuficiente atencion al tema durante la formacion de los enfermeros, observando-se la necesidad de que sea dada mayor importancia a este problema.

Social representation from nurses from psychosocial care centers for alcohol and drugs (CAPS AD), about the chemical dependent

Resumen Qualitative exploratory study aimed to identify the social representations of nurses from specialist services in alcohol and other drugs compared to the addicts. The subjects were 16 nurses from 13 offices located in the city of Sao Paulo-SP. Data were collected through interviews which were recorded and analyzed according to the referential theory of social representations. The results showed that, in the nurses’ representation, addicts are individuals suffering from a disease that has difficulty limits, and handlers are responsible for the development of dependence. We conclude that the representations of these professionals are sidewalks on common sense and point to strategies to face this problem and change these representations.

O ENSINO DE ENFERMAGEM PISIQUIÁTRICA E SAÚDE MENTAL NO BRASIL: ANÁLISE CURRICULAR DA GRADUAÇÃO

Objective: to analyze the Psychiatric and Mental Health Nursing discipline in the curricular structure of Brazilian undergraduate nursing

Concepciones de técnicos y auxiliares de Enfermería frente al dependiente químico

OBJECTIVE to describe and understand the conceptions of nursing assistants working in Psychosocial Care Centers for alcohol and drugs (CAPS ad), about the patient with addictions. METHOD sixteen nursing assistants and technicians from nine of the CAPS ad in São Paulo were interviewed, and data were analyzed using the constant comparative method. RESULTS performing the functions in the CAPS ad enabled the change in staffs conception from a stigmatizing and prejudiced view, to the concept of chemical dependence as a disease and those who are chemically dependent as patients with comorbidities and family problems, in need of help and treatment. CONCLUSION professional practice in specialized services for alcohol and other drugs enables changes in the staffs conceptions about chemically dependent individuals, highlighting the need to include the subject of alcohol and drugs in the school curriculum.

Concepções de profissionais de enfermagem de nível médio perante o dependente químico

OBJECTIVE to describe and understand the conceptions of nursing assistants working in Psychosocial Care Centers for alcohol and drugs (CAPS ad), about the patient with addictions. METHOD sixteen nursing assistants and technicians from nine of the CAPS ad in São Paulo were interviewed, and data were analyzed using the constant comparative method. RESULTS performing the functions in the CAPS ad enabled the change in staffs conception from a stigmatizing and prejudiced view, to the concept of chemical dependence as a disease and those who are chemically dependent as patients with comorbidities and family problems, in need of help and treatment. CONCLUSION professional practice in specialized services for alcohol and other drugs enables changes in the staffs conceptions about chemically dependent individuals, highlighting the need to include the subject of alcohol and drugs in the school curriculum.

Conceptions of mid-level nursing professionals facing those with a chemical dependency.

OBJECTIVE to describe and understand the conceptions of nursing assistants working in Psychosocial Care Centers for alcohol and drugs (CAPS ad), about the patient with addictions. METHOD sixteen nursing assistants and technicians from nine of the CAPS ad in São Paulo were interviewed, and data were analyzed using the constant comparative method. RESULTS performing the functions in the CAPS ad enabled the change in staffs conception from a stigmatizing and prejudiced view, to the concept of chemical dependence as a disease and those who are chemically dependent as patients with comorbidities and family problems, in need of help and treatment. CONCLUSION professional practice in specialized services for alcohol and other drugs enables changes in the staffs conceptions about chemically dependent individuals, highlighting the need to include the subject of alcohol and drugs in the school curriculum.