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ativaMente – Programa de atividade física para adultos com ansiedade: Desenvolvimento de competências na área de Enfermagem Saúde Mental e Psiquiátrica
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Orientador(es)
Resumo(s)
O presente relatório resulta do estágio desenvolvido no âmbito do Mestrado em Enfermagem de
Saúde Mental e Psiquiátrica, tendo como objetivo principal a aquisição de competências comuns e
específicas de Enfermeiro Especialista em Enfermagem de Saúde Mental e Psiquiátrica. Para tal,
foi concebido, adaptado e implementado o programa “ativaMente – atividade física para adultos
com diagnóstico de enfermagem de ansiedade”, baseado no Modelo de Promoção da Saúde de
Nola Pender (2011), aplicado em três contextos clínicos distintos: comunidade (grávidas),
internamento (pessoas com diagnóstico psiquiátrico) e contexto prisional (reclusos sem consumo
ativo de substâncias).
O programa estruturou-se em sessões de psicoeducação e aconselhamento individual, com o
objetivo de promover a atividade física, reduzir a sintomatologia ansiosa e potenciar o conhecimento
e a consciencialização para a mudança de comportamentos. A utilização de instrumentos de
avaliação validados permitiu a monitorização dos ganhos em saúde e a adaptação das intervenções
às necessidades individuais. Foram ainda elaborados três estudos de caso, representativos dos
diferentes contextos de estágio, permitindo aprofundar o raciocínio clínico, a compreensão das
respostas humanas ao sofrimento psíquico e a operacionalização do processo de enfermagem.
A intervenção revelou impacto positivo na redução dos níveis de ansiedade, na melhoria do bemestar
subjetivo e na valorização da atividade física como recurso terapêutico. A experiência nos
diferentes contextos permitiu demonstrar a versatilidade do programa e a importância da sua
adaptação às características das populações-alvo. No contexto prisional, em particular, o programa
superou as expectativas iniciais, promovendo adesão, envolvimento e ganhos subjetivos em saúde,
mesmo em situações marcadas por vulnerabilidade acrescida.
Este percurso formativo contribuiu de forma decisiva para o desenvolvimento de competências
técnicas, relacionais e éticas, essenciais à prática especializada em saúde mental, revelando-se
determinante na construção de intervenções de enfermagem mais significativas, promotoras de
autonomia, bem-estar e qualidade de vida das pessoas acompanhadas.
This report is the result of an internship developed within the Master’s Degree in Mental Health and Psychiatric Nursing, with the primary goal of acquiring the specific skills of a Specialist Nurse in Mental Health and Psychiatric Nursing. For this purpose, the program "ativaMente – physical activity for adults with a nursing diagnosis of anxiety" was designed, adapted, and implemented, based on Nola Pender’s Health Promotion Model (2011), and applied in three distinct clinical settings: community (pregnant women), inpatient care (individuals with psychiatric diagnoses), and in a prison context (inmates without active substance use). The program was structured into psychoeducational sessions and individual counseling, aiming to promote physical activity, reduce anxiety symptoms, and enhance knowledge and awareness for behavior change. The use of validated assessment tools enabled the monitoring of health gains and the adaptation of interventions to individual needs. Additionally, three case studies representing the different internship settings were analyzed, allowing for a deeper clinical reasoning, better understanding of human responses to psychological suffering, and practical application of the nursing process. The intervention demonstrated a positive impact on anxiety reduction, improvement of subjective well-being, and increased recognition of physical activity as a therapeutic resource. The experience across different contexts highlighted the program's versatility and the importance of tailoring it to the characteristics of the target populations. In the prison context, in particular, the program exceeded initial expectations by promoting adherence, engagement, and subjective health gains, even in highly vulnerable situations. This training journey was decisive in the development of technical, relational, and ethical competencies essential to specialized mental health nursing practice, proving to be fundamental in the construction of more meaningful nursing interventions that promote autonomy, well-being, and quality of life for the individuals supported.
This report is the result of an internship developed within the Master’s Degree in Mental Health and Psychiatric Nursing, with the primary goal of acquiring the specific skills of a Specialist Nurse in Mental Health and Psychiatric Nursing. For this purpose, the program "ativaMente – physical activity for adults with a nursing diagnosis of anxiety" was designed, adapted, and implemented, based on Nola Pender’s Health Promotion Model (2011), and applied in three distinct clinical settings: community (pregnant women), inpatient care (individuals with psychiatric diagnoses), and in a prison context (inmates without active substance use). The program was structured into psychoeducational sessions and individual counseling, aiming to promote physical activity, reduce anxiety symptoms, and enhance knowledge and awareness for behavior change. The use of validated assessment tools enabled the monitoring of health gains and the adaptation of interventions to individual needs. Additionally, three case studies representing the different internship settings were analyzed, allowing for a deeper clinical reasoning, better understanding of human responses to psychological suffering, and practical application of the nursing process. The intervention demonstrated a positive impact on anxiety reduction, improvement of subjective well-being, and increased recognition of physical activity as a therapeutic resource. The experience across different contexts highlighted the program's versatility and the importance of tailoring it to the characteristics of the target populations. In the prison context, in particular, the program exceeded initial expectations by promoting adherence, engagement, and subjective health gains, even in highly vulnerable situations. This training journey was decisive in the development of technical, relational, and ethical competencies essential to specialized mental health nursing practice, proving to be fundamental in the construction of more meaningful nursing interventions that promote autonomy, well-being, and quality of life for the individuals supported.
Descrição
Palavras-chave
Ansiedade Atividade Física Saúde Mental Promoção da Saúde