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Intervenção do enfermeiro especialista na adesão ao regime terapêutico da pessoa com experiência de doença mental
| Name: | Description: | Size: | Format: | |
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| 1.77 MB | Adobe PDF |
Advisor(s)
Abstract(s)
A não adesão ao regime terapêutico na pessoa com experiência de doença
mental constitui um problema de saúde pública e uma das mais importantes causas
de insucesso dos planos terapêuticos (Cardoso et al., 2016). Esta foi uma das
minhas preocupações durante este percurso, que fiz questão de ver refletida no
presente relatório. Para tal, planeei um projeto de aprendizagem que coloquei em
prática nos dois contextos de EC: no internamento e na comunidade, com o objetivo
principal de desenvolver competências de EESMP para favorecer a adesão ao
regime terapêutico na pessoa com experiência de doença mental.
As intervenções de grupo delineadas no projeto basearam-se na
psicoeducação, tendo sido realizadas um total de oito sessões, divididas
equitativamente em cada contexto de EC, num período total de nove semanas,
tendo cada sessão a duração aproximada de trinta minutos. Para levar a cabo este
conjunto de intervenções, foi crucial estabelecer uma relação terapêutica com cada
participante e assim permitir que a sua implementação fosse ao encontro das suas
necessidades e dificuldades. Para tal, foi necessário aplicar um questionário
sociodemográfico, no sentido de caracterizar cada cliente, tendo em conta que este
fator pode influenciar as atitudes e comportamentos face à adesão ao regime
terapêutico. Foi também aplicada a escala de MAT, de forma a construir um esboço
do perfil desta adesão. Ao longo deste percurso, nunca foram recolhidos dados
pessoais que permitissem a identificação dos participantes.
Assim, delineei estratégias de atuação personalizadas, com base no modelo
teórico de Betty Neuman, que facilitou a partilha de experiências de vida, sofrimento
e superação, promovendo a aceitação da diferença e o encontro de semelhanças.
Procedi a uma avaliação distinta em cada sessão. No final, os clientes
expressaram ter compreendido melhor a sua patologia e adquiriram conhecimentos
sobre as estratégias a implementar para melhorar a sua vivência com ela,
nomeadamente a adesão ao regime terapêutico enquanto pilar fundamental para
evitar recaídas e garantir a qualidade de vida.
The non-adherence to the therapeutic regime in the person who experiences mental illness is a matter of public health and one of the most important causes of therapeutic programs’ failure (Cardoso et al., 2016). This was a concern of mine during my learning and that I truly wanted to reflect in this report. To meet this end, I planned a learning project that I carried out through two contexts of Clinical Internship: in both hospital and in the community, with the main goal of developing skills of a Specialist Nurse in Mental and Psychiatric Health to favour adherence to the therapeutic regime of the person who experiences with mental illness. The group interventions outlined in this project were based on psychoeducation, and they occurred in eight sessions, split equally in each context of Clinical Internship, for a period of nine weeks and lasting approximately thirty minutes. To carry out this group of interventions, it was crucial to establish a therapeutic relationship with each one, thus allowing for this intervention to meet the needs and difficulties of the participants. Therefore, it was necessary to apply a sociodemographic questionnaire, to be able to characterize each client, as this factor can influence attitudes and behaviours towards adherence to the therapeutic regime. The MAT scale was also applied, to construct an outline of the profile of this adherence. Throughout this journey, no personal data that would allow the identification of the participants was collected. Thus, I outlined personalized action strategies, based on Betty Neuman’s theorical model, which facilitated the sharing of life experiences, suffering and overcoming, promoting the acceptance of difference, and finding similarities. I carried out a different assessment in each session. At the end, the clients expressed having a better understanding of their pathology and acquiring knowledge about the strategies to implement to deal with it, namely adherence to the therapeutic regime, considering it fundamental to prevent relapses and promote the quality of their lives.
The non-adherence to the therapeutic regime in the person who experiences mental illness is a matter of public health and one of the most important causes of therapeutic programs’ failure (Cardoso et al., 2016). This was a concern of mine during my learning and that I truly wanted to reflect in this report. To meet this end, I planned a learning project that I carried out through two contexts of Clinical Internship: in both hospital and in the community, with the main goal of developing skills of a Specialist Nurse in Mental and Psychiatric Health to favour adherence to the therapeutic regime of the person who experiences with mental illness. The group interventions outlined in this project were based on psychoeducation, and they occurred in eight sessions, split equally in each context of Clinical Internship, for a period of nine weeks and lasting approximately thirty minutes. To carry out this group of interventions, it was crucial to establish a therapeutic relationship with each one, thus allowing for this intervention to meet the needs and difficulties of the participants. Therefore, it was necessary to apply a sociodemographic questionnaire, to be able to characterize each client, as this factor can influence attitudes and behaviours towards adherence to the therapeutic regime. The MAT scale was also applied, to construct an outline of the profile of this adherence. Throughout this journey, no personal data that would allow the identification of the participants was collected. Thus, I outlined personalized action strategies, based on Betty Neuman’s theorical model, which facilitated the sharing of life experiences, suffering and overcoming, promoting the acceptance of difference, and finding similarities. I carried out a different assessment in each session. At the end, the clients expressed having a better understanding of their pathology and acquiring knowledge about the strategies to implement to deal with it, namely adherence to the therapeutic regime, considering it fundamental to prevent relapses and promote the quality of their lives.
Description
Keywords
Enfermagem psiquiátrica Transtornos mentais Relação terapêutica