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Abstract(s)
A ansiedade constitui-se como uma condição fisiológica de proteção individual, no
entanto, quando em intensidade elevada, impacta fortemente ao nível do bem-estar e
funcionalidade individual. Esta condição é transversal ao individuo com ou sem diagnóstico
diferencial de doença do foro mental e a análise da tendência dos últimos anos retrata um
evidente aumento da sua prevalência na sociedade, pelo que importa tornar o acesso a cuidados
de saúde especializados mais precoce e efetiva, o que poderá passar por alargar o alcance dos
cuidados especializados em enfermagem de saúde mental e psiquiátrica.
O presente relatório de estágio visa retratar o trajeto de aquisição e desenvolvimento de
competências na área de especialização de saúde mental e psiquiátrica, no âmbito do Curso de
Especialidade e Mestrado em enfermagem, com enfoque na vivencia da ansiedade. O principal
objetivo definido prende-se com desenvolver cuidados especializados à pessoa com doença
mental com vista à redução da ansiedade, através de intervenções especializadas centradas no
corpo, com recurso ao movimento expressivo e ao relaxamento. Como objetivos específicos
foram definidos: compreender a vivencia da ansiedade na pessoa com doença mental;
aprofundar a relação terapêutica com a pessoa com doença mental e com ansiedade manifesta;
dinamizar intervenções de âmbito psicoterapêutico com vista à redução da ansiedade da pessoa
com doença mental e ansiedade com recurso a mediadores centrados no corpo.
A componente prática que alicerçou o percurso académico percorrido decorreu em dois
contextos clínicos distintos, um com carácter de internamento e outro de âmbito comunitário.
Para a aquisição e desenvolvimento das competências preconizadas procurei descrever, analisar
e avaliar as intervenções desenvolvidas. Da avaliação das intervenções de âmbito
psicoterapêutico implementadas concluiu-se impacto significativo na redução da ansiedade,
tanto através de dados subjetivos, obtidos no contacto direto com os participantes, pela sua
narrativa, como pela monitorização de indicadores de resultados objetivos obtidos pela
aplicação da STAI-Y, avaliação de dados fisiológicos, tais como a TA e FC, e monitorização
de indicadores de resultados NOC, relacionados com a ansiedade, estabelecendo uma análise
comparativa entre os resultados obtidos no inicio e no final das sessões dinamizadas.
Anxiety is a physiological condition of individual protection, however, when at high intensity, it strongly impacts the level of well-being and individual functionality. This condition is transversal to the individual with or without differential diagnosis of mental illness and the analysis of the trend of recent years portrays a clear increase of prevalence in society, so it is importante earlier and more effective access to specialized health care, which may be to extend the scope of mental and psychiatric specialized nursing cares. This internship report aims to portray the path of acquisition and development of competencies in the area of mental and psychiatric health specialization, within the scope of the Specialty course and Master's degree in nursing, focusing on the experience of anxiety. The main objective is to develop specialized care for people with mental illness in order to reduce anxiety, through specialized interventions centered on the body, using expressive movement and relaxation. As specific objectives were defined: understand the experience of anxiety in the person with mental illness; deepen the therapeutic relationship with the person with mental illness and manifest anxiety; to boost psychotherapeutic interventions to reduce the anxiety of people with mental illness and anxiety with the use of body-centered mediators. The practical component that undertook the academic course covered took place in two distinct contexts of clinical practice, one with an internment character and the other of community scope. For the acquisition and development of the competencies recommended will be described, analyzed and evaluated the interventions that had been developed. The evaluation of the psychotherapeutic interventions implemented concluded a significant impact on the reduction of anxiety, both through subjective data obtained in direct contact with participants, by their narrative, and by monitoring indicators of objective results, such as STAI-Y, evaluation of physiological data, AT and FC, and the surveillance of indicatorsof NOC results related to anxiety, establishing a comparative analysis between the results obtained at the beginning and at the end of the sessions.
Anxiety is a physiological condition of individual protection, however, when at high intensity, it strongly impacts the level of well-being and individual functionality. This condition is transversal to the individual with or without differential diagnosis of mental illness and the analysis of the trend of recent years portrays a clear increase of prevalence in society, so it is importante earlier and more effective access to specialized health care, which may be to extend the scope of mental and psychiatric specialized nursing cares. This internship report aims to portray the path of acquisition and development of competencies in the area of mental and psychiatric health specialization, within the scope of the Specialty course and Master's degree in nursing, focusing on the experience of anxiety. The main objective is to develop specialized care for people with mental illness in order to reduce anxiety, through specialized interventions centered on the body, using expressive movement and relaxation. As specific objectives were defined: understand the experience of anxiety in the person with mental illness; deepen the therapeutic relationship with the person with mental illness and manifest anxiety; to boost psychotherapeutic interventions to reduce the anxiety of people with mental illness and anxiety with the use of body-centered mediators. The practical component that undertook the academic course covered took place in two distinct contexts of clinical practice, one with an internment character and the other of community scope. For the acquisition and development of the competencies recommended will be described, analyzed and evaluated the interventions that had been developed. The evaluation of the psychotherapeutic interventions implemented concluded a significant impact on the reduction of anxiety, both through subjective data obtained in direct contact with participants, by their narrative, and by monitoring indicators of objective results, such as STAI-Y, evaluation of physiological data, AT and FC, and the surveillance of indicatorsof NOC results related to anxiety, establishing a comparative analysis between the results obtained at the beginning and at the end of the sessions.
Description
Keywords
Enfermagem psiquiátrica Ansiedade Relaxamento Saúde mental