Opinião dos profissionais das equipes de um município paulista sobre a assistência psiquiátrica / Opinion of the teams on psychiatric care in a city in the countryside of São Paulo state.

AUTOR(ES)

Gabriela Carrion Degrande Moreira

FONTE

IBICT - Instituto Brasileiro de Informação em Ciência e Tecnologia

DATA DE PUBLICAÇÃO

08/08/2012

RESUMO

The progressive organization of the health system and the insertion of mental patients in an emergency situation make its autonomy and chronicity overlap the disorder exacerbation. Objective: to identify the views of top-level professionals and technical / auxiliary nurses on mental health care, in a city of São Paulo State. Method: exploratory-descriptive, semi- structured interviews in the Emergency Room (PS) of the general hospital, Psychosocial Care Center (CAPS I) and Outpatient Clinic (AEM). Approved by the Ethics Committee of School of Nursing of Ribeirão Preto (EERP/USP) and by the Municipal Health Department. Results: of 46 people, 12 are in CAPS I and AEM and 34 PS, 76% female, 44% from 30 to 39 years, 65% up to 09 years of graduation, 64% attended courses after they graduated, 72% said that the institution partially follows the national policy for mental health. The main difficulties found in the services were related to the physical structure (48%), specifically lack of a professional mental health in the emergency room (43%) willing to look to the patient and work together to employees in the continuing education process. The structure of labor relations was considered adequate by some and totally unsuitable for most people. Many cares assigned to the nursing team are performed by other categories, such as observation, notes, therapeutic interactions, recreations and well-being. The routine record observation of mental patients during the interaction was significant. The professional training was considered inadequate to perform the work in mental health with the same frequency that others consider fail in professional training. Patients are forwarded to mental health services and, the psychiatric hospital. Nurses and physicians perform the initial care. The basics procedures of the service when the mental patients is in an emergency situation were identified as communication, physical and chemical restraint and, sent to reference services as well as hospitalization in psychiatric hospital such as treatment in secondary level of specialist services. Conclusion: there is functional link between primary care and third; demand is significant, city self-structure, need for continuing education of staff and opening of psychiatric beds in general hospitals. The research contributed significantly to contextualize mental health in the city, especially with regard to the care of mental patients in an emergency situation in small towns.

ASSUNTO(S)

enfermagem psiquiátrica health services mental health psychiatric nursing saúde mental serviços de saúde

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