Sonia Regina Zerbetto

O atendimento por instituição pública de saúde: percepção de famílias de doentes com câncer

Este estudo objetivou analisar como as familias de pessoas com câncer perceberam o atendimento prestado pelos profissionais de um ambulatorio publico especializado, utilizando Analise Tematica de Bardin. Foram entrevistadas 7 familias, totalizando 14 membros familiares que, em seus discursos, enfatizaram a relacao medico-paciente, avaliando-a como impessoal e superficial, gerando inseguranca e descrenca. A familia procura participar, mas sente-se pouco valorada e excluida do cuidado. As informacoes necessarias e nao recebidas sao buscadas na midia, e o conforto e alcancado na espiritualidade. A formacao dos diversos profissionais da saude precisa estimular o olhar para a familia como unidade de cuidado, articulando formacao e modos de cuidar em saude.

Family resilience and chemical dependency: perception of mental health professionals

OBJECTIVE To learn the perception of health professionals from the Psychosocial Attention Center for Alcohol and Other Drugs regarding the resilience attributes that are critical to family members of psychoactive substance dependents. METHOD A qualitative descriptive study conducted from February to May 2016, using a focus group technique for data collection. In total, 15 professionals participated in the study: 13 health professionals and two administrative professionals. The statements were recorded and transcribed, and these data were analyzed using the technique of thematic content analysis. RESULTS Health professionals recognize the family resilience attributes needed for efficient and assertive communication, as well as organizational patterns and facilitating family strengths, factors that contribute to improved family relationship and family functionality. FINAL CONSIDERATIONS This study contributed to a perspective of clinical intervention with family members that is not limited to the negative aspects of family relationship and life, such as fragility and family dysfunction.

Religiosidade e espiritualidade: mecanismos de influência positiva sobre a vida e tratamento do alcoolista

Objective: Identify mechanisms of positive influence of religiosity and spirituality on the life and treatment of alcoholics, from their perspective. Methods: A qualitative exploratory study was conducted at a Psychosocial Care Center for Alcohol and Drugs, located in the interior of São Paulo. A semi-structured interview was conducted with eight alcoholics. Data were analyzed using the content analysis technique. Results: From the perception of the interviewees, religiosity and spirituality have a positive influence, bringing comfort to people in alcohol withdrawal, promoting inner power to take care of their health and change their habits, routine and behaviors, acting as complementary support to treatment and strengthening daily prayers. Conclusion: Alcoholics recognize the positive influence of religiosity and spirituality, helping them face daily life and treatment challenges. Health professionals have to be prepared to use such themes in the care routine as motivation resources.Objetivo: Identificar mecanismos de influencia positiva da religiosidade e espiritualidade na vida e tratamento, na perspectiva de alcoolistas. Metodos: Estudo qualitativo, exploratorio realizado no Centro de Atencao Psicossocial-Alcool e drogas do interior paulista. Realizada entrevista semiestruturada com oito dependentes de alcool. Os dados foram analisados por meio da tecnica de analise de conteudo. Resultados: Na percepcao dos entrevistados, a religiosidade e espiritualidade influenciam positivamente o conforto de pessoas em abstinencia; a ter forca interior para cuidar da saude; promove mudanca de habito, rotina e comportamento; serve como apoio complementar ao tratamento e fortalece exercicios diarios de oracao. Conclusao: Os alcoolistas reconhecem a influencia positiva da religiosidade e espiritualidade, ajudando-os no processo de enfrentamento dos desafios diarios da vida e do tratamento. Profissionais de saude precisam estar aptos a utilizar tais temas no cotidiano do cuidado como recursos motivacionais.

Implementation of brief intervention for alcohol by Brazilian health professionals: overcoming difficulties

Training programs and training on prevention of alcohol issues for health professionals in primary health care must be constant, enabling the review of concepts, techniques and attitudes. This study aimed to identify the difficulties of healthcare professionals to implement Alcohol Screening and Brief Intervention in their health services, following completion of the training. This qualitative study was conducted with health professionals of units of the network of primary health care in a city in Sao Paulo, Brazil, undergoing training on standard screening instruments for alcohol consumption and implementation of BI through scheduled visits to their respective health units, and the data collected during the months of August to October 2012, through semistructured interviews. The data were subjected to content analysis of Bardin, thematic category, respecting the ethical standards of Resolution 196/96, as approved by the Research Ethics Committee, Opinion no. 53 021. The results showed two major themes with their respective subcategories: (1) The difficulties and problems encountered in Units, involving (1.1) human resources and infrastructure unit; (1.2) implementation of the screening Instrument for alcohol and brief intervention and (2) overcoming the difficulties and problems, seeking (2.1) the ways of improving dissemination of knowledge; (2.2) insertion strategies of the instrument and Brief Intervention in the health service. It was concluded that there is need for greater investment in continuing education to all health staff and in supervision, evaluation and ongoing monitoring of the process of implementing such strategies.

Brief intervention for the problems related to the use of alcohol: utilization among nurses

A brief intervention is a simple and inexpensive resource that can be used by several professionals in different healthcare contexts. The present study aims to develop a reflection about the application of brief intervention and it utilization by nurses in a real-world work context. It recognized the importance of nurses’ performance on preventive actions, especially those acting under the auspices of primary care. The application of strategies for diagnosis and brief intervention is especially useful to reduce problems caused by alcohol use, because it can reach a large segment of the population before the individual has become alcohol dependent. Appropriate situations to consider the application of screening and brief intervention by nurses would be: during nursing consultation for adults users or the elderly, even if the consultation has been scheduled for another purpose; during activities aimed to draw peoples awareness of a health topic (e.g., campaigns held in public places); during home visits; during groups (e.g., those for pregnant women or people with hypertension or diabetes). In this context, nurses should be taught the specific technologies and approaches to screening and brief intervention, but in a straightforward manner that allows its use by professionals without specialized formation.

A experiência de incubar um empreendimento solidário formado por usuários de saúde mental

Introduction: From the articulation of mental health and social economy actors in a city of Sao Paulo, a solidarity group was created trough an incubation process using the partnership between the Center for Psychosocial Care and the Regional Incubator for Popular Cooperatives. The incubation is an advisory process for groups in the formation and consolidation of economic enterprises. The incubation method of this incubator comprises sixteen classes of behavior. Objective: To describe and reflect on the process of incubation performed by this group. Materials and Methods: In this qualitative research, we used multiple data sources, such as reports, projects, meeting minutes, among others. All ethical guidelines were followed. Results: From the analysis of the documents, it was found that is relevant the building of partnerships and the community involvement in the process of social inclusion by the work of mental health users. We emphasize the importance of the technicians’ presence in the group, understanding it as the right to health protection. It should be considered that there are still challenges to achieve self-management and operational users in the transformation of workers/members. Conclusions: It is expected that this research contribute to the reflection of other experiences and also to the knowledge on incubation methodology in mental health.