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Treino metacognitivo individual para a pessoa com psicose: intervenção especializada do enfermeiro especialista em Enfermagem de Saúde Mental e Psiquiátrica
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| 6.19 MB | Adobe PDF |
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Abstract(s)
A política de desinstitucionalização implementada em Portugal objetiva a estabilização
psicopatológica das pessoas nos serviços de internamento pelo menor período de tempo. Contudo,
as perturbações psicóticas são responsáveis por maiores tempos de internamento e mais
reinternamentos, sendo o Treino Metacognitivo uma intervenção eficaz na redução do delírio e
aumento do insight.
Neste relatório apresentam-se os resultados do planeamento, implementação e avaliação do
Programa de Treino Metacognitivo Individual para a Psicose, que demonstraram a melhoria nos
diagnósticos de enfermagem delírio presente (avaliado pela escala PSYRATS – Delírio) e
consciencialização comprometida (avaliada pela Escala de Insight Cognitivo de Beck), e evidenciaram
a importância da execução de intervenções psicoterapêuticas pelo enfermeiro especialista em
enfermagem de saúde mental e psiquiátrica.
Este relatório descreve a aquisição de competências, segundo a metodologia do processo de
cuidados com as fases avaliação, diagnóstico, planeamento, implementação e avaliação final, assente
na relação terapêutica e nos cuidados centrados na pessoa.
The deinstitutionalization policy implemented in Portugal aims at the psychopathological stabilization of people in inpatient services for the shortest period of time. However, a diagnosis of psychosis is responsible for longer hospital stays and more readmissions, and Metacognitive Training is an effective intervention in reducing delusions and increasing insight. This report presents the results of the planning, implementation and evaluation of the Individualized Metacognitive Therapy Program for Psychosis, which demonstrated an improvement in the nursing diagnoses delirium (assessed by the PSYRATS - Delusion scale) and awareness (assessed by the Beck Cognitive Insight Scale), and show the importance of the implementation of psychotherapeutic interventions by mental health and psychiatry specialist nurses. This report describes the acquisition of skills, according to the methodology of the care process with the phases assessment, diagnosis, planning, implementation and evaluation, based on the therapeutic relationship and patient-centered care. Keywords: Nursing; Mental health; Metacognitive Training; Psychosis; person centered caretherapeutic relationship is a fundamental axis of mental health nursing that operationalizes patient-centered care.
The deinstitutionalization policy implemented in Portugal aims at the psychopathological stabilization of people in inpatient services for the shortest period of time. However, a diagnosis of psychosis is responsible for longer hospital stays and more readmissions, and Metacognitive Training is an effective intervention in reducing delusions and increasing insight. This report presents the results of the planning, implementation and evaluation of the Individualized Metacognitive Therapy Program for Psychosis, which demonstrated an improvement in the nursing diagnoses delirium (assessed by the PSYRATS - Delusion scale) and awareness (assessed by the Beck Cognitive Insight Scale), and show the importance of the implementation of psychotherapeutic interventions by mental health and psychiatry specialist nurses. This report describes the acquisition of skills, according to the methodology of the care process with the phases assessment, diagnosis, planning, implementation and evaluation, based on the therapeutic relationship and patient-centered care. Keywords: Nursing; Mental health; Metacognitive Training; Psychosis; person centered caretherapeutic relationship is a fundamental axis of mental health nursing that operationalizes patient-centered care.
Description
Keywords
Enfermagem Saúde Mental e Psiquiátrica Saúde Mental Treino Metacognitivo Psicose Cuidados centrados na pessoa Nursing Mental and Psychiatric Health Mental Health Psychosis Metacognitive Training Person-Centered Care