FATORES SOCIODEMOGRÁFICOS E CLÍNICOS DE INTERNAÇÕES PSIQUIÁTRICAS VOLUNTÁRIAS E INVOLUNTÁRIAS EM FORTALEZA CEARÁ FORTALEZA - CEARÁ 2009

AUTOR(ES)
DATA DE PUBLICAÇÃO

2009

RESUMO

The objective of this research is to evaluate social-demographic and clinical factors of involuntary psychiatric internments (IPI s) and voluntary (VPI s), in psychiatric hospitals, arrangements with the Unified Health System (SUS), Fortaleza, Ceará, in 2007. This is a case study, of transversal nature, with use of documents, which studied the descriptive and analytical aspects of the quantitative type. There has been used the following variables: social-demographic, psychiatric manifestations, the IPI s general characteristics and clinical cases. The data were processed and analyzed using the statistical program Statistical Package for the Social Sciences - SPSS for Windows, version 16.0, in addition to the Excel spreadsheet, for the construction of graphics. There was a de scriptive analysis of the prevalence of major psychopathologies evidenced in research, in general, and stratification by sex, age, origin and marital status followed by the parametric study on the estimated point of the patients age. In inferential analysis assessed the existence of association between the qualitative variables of IPI s and IPV s, using the chi-square test and the quantitative variable for the age of patients, using the Shapiro-Wilk tests, and the T Student, with matching by sex and type of hospital. The study of clinical cases based on the documental notes of the records of VPH s at the hospital and IPH s, when they were revised by the CRIPI. The semi-structured form had been used to interview the patients, families and / or guardians. Qualitative data were analyzed descriptively and presented in tabular, topics and categories standard. Data collection was approved by the Ethics Committee of the State University of Ceará (UECE) under the Case N 0507806 8-9FR-85756, and started the search with the term of free and informed consent signed. The universe of the survey was distributed among 2822 patients: VPH s (253) from the desk research and IPH s (2569), through communications to the CRIPI. Of these, it was found that the majority come from the Capital was 1,934 (75.3%), males 1,602 (62.4%), single 1,852 (72.1%), mean age 39 years and standard deviation of 14,4 years. The women have remained at the age of admissions than men in five years. A significant difference of age (p = 0.0001) of gender by Student t-test, but not when stratified by type of hospital (p = 0.076), the significance level of 5%. By chi-squared, gender is highly associated with marital status (p = 0.0001) but not in relation to the origin (p = 0.0600). The sample of 393 patients distributed among VPI s (253) (64.4%) and IPH s 140 (35.6%) identified a significant association was between: type of hospital with sex (p = 0.0030) and marital status (p = 0.0170), the significance level of 5%.Clinical data were characterized in two categories by the use of alcohol / drugs 70 (27.6%) followed by psychological distress 68 (26.9%) for VPH s and change the critical, 40 (28.6%) and suffering psychological (23.4%) to IPI s. In that involuntarily hospitalized, there was the inability to self-determination and lack of insight, with percentages above 70% and 50% respectively. The multiple internments were around 80% of (IPI s) and internments for first time in 20%, the estimative of Medical release was of 15 to 30 days more than 65%, and therefore aggressive 52 (37%) and psychotic outbreak 36 (26.8%). It is, therefore, of importance to intensify the work of expansion services in primary care, linked to the network of care in mental health among the basic actions of health

ASSUNTO(S)

laws medical act saude publica deinstitutionalization psychiatry leis ato médico desinstitucionalização psiquiatria

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