A assistência em saúde mental na estratégia saúde da família: uma revisão de literatura

Com a reorganizao das prticas assistncias em sade mental norteadas pelos princpios do Movimento da Reforma Psiquiatria Brasileira, o Programa Sade da Famlia (PSF) torna-se um contexto importante para a efetivao dessas novas prticas, assim, torna-se indispensvel conhecer como essa assistncia est acontecendo no cotidiano dos profissionais da equipe do PSF. O objetivo desse estudo descrever a produo cientifica acerca da assistncia em sade mental no contexto da Estratgia Sade da Famlia. A metodologia usada foi exploratria, de reviso bibliogrfica. Para essa reviso de literatura foi utilizada uma busca on line, por meio das bases de dados LILACS, BDENF e Scielo com os descritores: assistncia em sade mental e Programa Sade da Famlia; e tambm, os descritores sade mental e sade da famlia. Os resultados mostraram 15 trabalhos que atendiam os critrios de incluso e que os mesmos apresentavam quatro eixos temticos: a concepo de transtorno mental, as prticas assistncias, dificuldades e barreiras para assistncia e possibilidades de atuao e motivao para mudana. O modelo biomdico mostrou-se predominante nas concepes e prticas assistenciais, bem como a forte necessidade de capacitao e educao permanente na rea de sade mental.Descritores: Assistncia em sade mental, Programa Sade da Famlia, Conhecimentos, atitudes e prticas em sade

Associação entre doenças cardiometabólicas autorreferidas, violência e uso de drogas em caminhoneiros

Objective: to analyze the association between cadiometabolic diseases, violence and drug use in truck drivers. Method: cross-sectional study, that involved 235 truck drives that were in a gas station in the city of Uberlândia (MG), Brazil. Data were collected through self-reported interviews and the Chi-Square and Logistic Regression tests were applied, adopting a significance level of 0.05 for all variables. Results: there was a relationship between violent traffic events and some cardiometabolic diseases, especially peripheral vascular disease (OR=6.00 (95% CI 2.47-14.56) and obesity (OR=2.56 (CI 95% 1.42-4.62); and also, alcohol abuse (OR=4.16 (95% CI 1.53-11.29) and tobacco (OR=2.68 (95% CI 1, 10-6.51) were related to these pathologies. Conclusion: exposure to robberies and traffic accidents, and the use of alcohol and tobacco were associated with a greater chance of prevalence of cardiometabolic diseases among truck drivers.Objetivo: analizar la asociación entre enfermedades cardiometabólicas, violencia y consumo de drogas en camioneros. Método: estudio transversal, que involucró 235 camionetas que se encontraban en una gasolinera de la ciudad de Uberlândia (MG), Brasil. Los datos se recolectaron a través de entrevistas autoinformadas y se aplicaron las pruebas de Chi-Cuadrado y Regresión Logística, adoptando un nivel de significancia de 0.05 para todas las variables. Resultados: hubo relación entre eventos de tráfico violento y algunas enfermedades cardiometabólicas, especialmente enfermedad vascular periférica (OR = 6,00 (IC 95% 2,47-14,56) y obesidad (OR = 2,56 (IC 95% 1,42-4,62); y también, alcohol el abuso (OR = 4,16 (IC 95% 1,53-11,29) y el tabaco (OR = 2,68 (IC 95% 1, 10-6,51) se relacionaron con estas patologías. Conclusión: exposición a robos y accidentes de tráfico, y consumo de alcohol y el tabaco se asoció con una mayor probabilidad de prevalencia de enfermedades cardiometabólicas entre los conductores de camiones.Objetivo: analisar a associação entre descrever a prevalência de doenças cardiometabólicas com o fato de ter sofrido acidente e assalto no último ano, e/ou apresentar um uso abusivo de álcool e tabaco entre motoristas de caminhão. Método: estudo quantitativo e transversal que envolveu 235 motoristas de caminhão que estiveram em um posto de combustível no município de Uberlândia, estado de Minas Gerais (MG), Brasil. Os dados foram coletados por meio de entrevistas autorrelatadas, foram aplicados os Testes de Qui Quadrado e Regressão Logística, adotando-se um nível de significância de 0,05 para todas as variáveis.  Resultados: observou-se uma relação entre os eventos violentos no trânsito e algumas doenças cardiometabólicas, especialmente a doença vascular periférica e a obesidade; sendo que também o abuso de álcool e tabaco se relacionaram com essas patologias. Conclusão: os resultados mostram que a rotina estressante e intensa dos motoristas de caminhão pode refletir em sua saúde física.

Psychological Exhaustion and Problematic Use of Drugs in The Nursing Team in A Hospital Environment

Objective: The objective of this study was to verify the relationship between problematic drug use and the occurrence of Burnout Syndrome among nursing professionals in a hospital environment. Methods: This is a study with a quantitative and exploratory approach. 416 professionals participated in the research. The data collection instrument was Sociodemographic and professional information; Alcohol, Smoking and Substance Involvement  Screening Test; Alcohol Use DisordersIdentification Test - Consumption; Maslach Burnout Inventory. The level of significance (p value) was set at 0.05. Results: The consumption of tobacco and alcohol among workers was evidenced, being common to the practice of using alcohol in binge. There was a positive correlation between the use of alcohol and the occurrence of depersonalization and between the use of sedatives and depersonalization. Conclusion: It is essential that there are actions to minimize the occurrence of mental disorders in nursing workers.&nbsp

Fatigue levels among Family Health Strategy professionals in the Brazilian countryside

Introduction: This research addresses fatigue within the team of nursing professionals of the Family Health Strategy (FHS). Objectives: To describe the fatigue levels of FHS nursing professionals. Identify the presence of fatigue among nursing professionals. Method: The research has a descriptive-analytical, quantitative character. Questionnaires were applied to a sample of 112 professionals at basic family health units in the city of Uberlândia, Brasil. Simple and applied statistics were used in order to collect the data. Results: The study showed that the sample had a greater predominance of females, aged between 30 and 49 years, with a greater number of nurses and who have only one job. It was identified with the DUFS questionnaire that 20, 8% say that they always need extra energy to handle their daily tasks and that 36.9% of professionals have had the need to rest more. Thus, this research shows the presence of fatigue in 70.8% of professionals. Conclusion: Evaluating the projections of fatigue on the body, this research shows self-reported signs that are already present signs, which can be recognized as symptoms and that translate signs of compromise, at some level, of the well-being of the workers in question, certainly reflecting on daily life, which may also compromise the health of these workers and their performance

Abordagem do tabagismo nos grupos de sala de espera como estratégia de promoção à saúde / Approach to smoking in waiting room groups as a health promotion strategy

Objetivo: Relatar a experiência de estudantes de Enfermagem em uma ação educativa sobre o combate ao tabagismo, salientando a necessidade de uma abordagem direcionada, respeitando as particularidades de cada indivíduo e o convidando para uma conversa aberta. Métodos: O estudo consiste em um relato de experiência, de natureza descritiva, e o seu desenvolvimento ocorreu no período de março a maio de 2019.  Resultado: No início da ação houve desinteresse e distanciamento dos participantes, foi preciso que os executores mudassem sua abordagem para atingir seu público. A atividade finalizou com sucesso e com interessados no plano de cessação. Conclusão: Em tempos que o tabagismo é responsável por uma grande parcela de óbitos e fator de risco para doenças crônicas, deve se unir esforços para orientação da população, uma vez que essa dependência é algo evitável e de grande impacto na saúde. 

Demand forecast in the emergency department in Minas Gerais, Brazil

This study presents a mathematical model to carry out the demand forecasts in relation to patientes classified as green in the emergency department of a municipality in Minas Gerais, Brazil. In addition, another approach will investigate whether the green patients demand remains the same over the weekend, as compared to the weekdays, since there is no support from Primary Health Care units over the weekend. A retrospective study of the emergency service in the municipality of Monte Carmelo was carried out from January 2014 to December 2017.The time series of the patients classified as green during the host by the nurse, according to the Manchester Triage Scale, was analyzed in the temporal domain for the construction of a parametric model with the purpose of realizing the demand forecast. The Manchester Triage Scale has been adopted in most emergency department as a guiding instrument for risk classification, prioritizing the most serious cases. The data processing was fulfilled using Software R Version 3.4. The ARIMA model (1,1,1) presented a better fit for this forecast. The predictions of this model are values close to those observed for the number of patients seen that ranges from 1780.4 to 1796.6 patients per month. In relation to the demand of patients classified as green at the weekend, it has shown that it is slightly lower than the weekend, but it is still an expressive demand. The application of the models must be seen by the managers as a tool to aid decisions, thus it must support processes of planning, management and evaluation of public policies. In this context, mathematical models for demand forecasting are an instrument for management care and services

Substance use and mental health of Brazilian truck drivers

Objetivo: evaluar el uso de sustancias y la salud mental de los camioneros brasileños, y cómo estos impactan en sus comportamientos relacionados con la conducción. Métodos: estudio transversal realizado con 235 camioneros en Brasil. Resultados: Los conductores que condujeron después de beber eran fumadores, sufrieron agresiones y experimentaron ansiedad. Las fallas en la conducción se asociaron con la conducción después de beber y han sufrido agresiones. Los errores se asociaron con la alteración del sueño y la participación en accidentes que tuvieron víctimas. Las infracciones fueron mayores entre quienes condujeron después de beber, consumieron drogas, tenían ansiedad y problemas de sueño. Conclusión: El uso de sustancias, la salud mental, la somnolencia y la violencia están interrelacionados para los camioneros brasileños.Objective: to evaluate the substance use and mental health of Brazilian truck drivers, how these impact on their driving-related behaviors. Methods: cross-sectional study conducted with 235 truck drivers in Brazil. Results: The drivers who drove after drinking were smokers, suffered assaults and experienced anxiety. Lapses in driving were associated with driving after drinking and have suffered assaults. Errors were associated with impaired sleep and being involved in accidents that had victims. Violations were greater amongst those who drove after drinking, used drugs, had anxiety and impaired sleep. Conclusion: Substance use, mental health, drowsiness and violence are interrelated for Brazilian truck drivers

Consumo de sustancias y salud mental de los camioneros brasileños

Objective: to evaluate the substance use and mental health of Brazilian truck drivers, how these impact on their driving-related behaviors.Methods: cross-sectional study conducted with 235 truck drivers in Brazil. Results: The drivers who drove after drinking were smokers, suffered assaults and experienced anxiety. Lapses in driving were associated with driving after drinking and have suffered assaults. Errors were associated with impaired sleep and being involved in accidents that had victims. Violations were greater amongst those who drove after drinking, used drugs, had anxiety and impaired sleep. Conclusion: Substance use, mental health, drowsiness and violence are interrelated for Brazilian truck drivers.Objetivo: evaluar el uso de sustancias y la salud mental de los camioneros brasileños, y cómo estos impactan en sus comportamientos relacionados con la conducción. Métodos: estudio transversal realizado con 235 camioneros en Brasil. Resultados: Los conductores que condujeron después de beber eran fumadores, sufrieron agresiones y experimentaron ansiedad. Las fallas en la conducción se asociaron con la conducción después de beber y han sufrido agresiones. Los errores se asociaron con la altera-ción del sueño y la participación en accidentes que tuvieron víctimas. Las infracciones fueron mayores entre quienes condujeron después de beber, consumieron drogas, tenían ansiedad y problemas de sueño. Conclusión: El uso de sustancias, la salud mental, la somnolencia y la violencia están inter-relacionados para los camioneros brasileños

Fadiga e uso de álcool por graduandos do curso de Enfermagem

Objective: to analyze the use of alcohol in the binge drinking pattern and the levels of fatigue in graduates of the Nursing course at the Federal University of Uberlândia. Method: the research is of quantitative approach, using descriptive and bivariate statistics, with the value of p>0.05, and carried out according to Resolution 466/12 of the NHC. Thus, questionnaires were applied to a sample of 202 university students from the Nursing undergraduate program of the Federal University of Uberlândia. Results: the study showed the highest predominance of alcohol in females, with a mean age of 22.6 years. Conclusion: the analysis and discussion of the data made it possible to affirm that the abusive use of alcohol is present, mainly in the form of binge drinking, and is associated with the presence of fatigue and academic performance in undergraduate students of Nursing, in different school periods.Objetivo: analisar o uso de álcool no padrão binge drinking e os níveis de fadiga em graduandos do curso em Enfermagem na Universidade Federal de Uberlândia. Método: a pesquisa é de abordagem quantitativa, utilizando estatísticas descritivas e bivariadas, com o valor de p>0,05, e realizada conforme a Resolução nº 466/12 do CNS. Assim, foram aplicados questionários em uma amostra com 202 universitários da graduação em Enfermagem da Universidade Federal de Uberlândia. Resultados: o estudo mostrou a maior predominância do álcool no sexo feminino, com idade média de 22,6 anos de idade. Conclusão: a análise e a discussão dos dados possibilitaram afirmar que o uso abusivo de álcool está presente, principalmente na forma de binge drinking, e encontra-se associado à presença da fadiga e ao desempenho acadêmico nos universitários da graduação em Enfermagem, em diferentes períodos letivos.Objetivo: analizar el uso de alcohol en el patrón de consumo excesivo de alcohol y los niveles de fatiga en estudiantes universitarios de enfermería de la Universidad Federal de Uberlândia. Método: la investigación tiene un enfoque cuantitativo, utilizando estadísticas descriptivas y bivariadas, con un valor de p> 0.05, y realizada de acuerdo con la Resolución 466/12 del CNS, por lo tanto, se aplicaron cuestionarios a una muestra de 202 estudiantes universitarios en enfermería en la Universidad Federal de Uberlândia. Resultados: el estudio mostró un mayor predominio del alcohol en mujeres, con una edad promedio de 22.6 años. Conclusión: el análisis y discusión de los datos permitió afirmar que el abuso de alcohol está presente, principalmente en la forma de binge drinking, que se asocia con la presencia de fatiga y rendimiento académico en estudiantes de licenciatura en enfermería, en diferentes periodos académicos