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Intervenção psicoeducacional na adesão terapêutica da pessoa com sintomatologia depressiva: Desenvolvimento de competências especializadas em enfermagem de saúde mental e psiquiátrica
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Advisor(s)
Abstract(s)
As perturbações depressivas e de ansiedade constituíram, em 2019, uma das
principais causas de encargos globais em saúde, sendo a não adesão à terapêutica
farmacológica um dos maiores obstáculos no tratamento das perturbações depressivas. Neste
contexto, a psicoeducação consolidou-se como uma abordagem psicoterapêutica orientada
para a promoção da literacia em saúde e otimização da adesão terapêutica.
O presente relatório, desenvolvido no âmbito do Mestrado em Enfermagem de Saúde
Mental e Psiquiátrica, teve como objetivo apresentar o percurso formativo realizado e
evidenciar o desenvolvimento de competências comuns e específicas do Enfermeiro
Especialista em Saúde Mental e Psiquiatria; bem como ilustrar a aquisição de competências
de mestre, através da análise crítica e reflexiva da prática profissional.
Os diferentes Ensinos Clínicos proporcionaram experiências que permitiram a
aquisição e o desenvolvimento de competências fundamentais. Embora todas as competências
previstas tenham sido trabalhadas, a promoção da adesão terapêutica, o reforço do autocuidado
e a gestão dos efeitos adversos dos tratamentos foram objeto de maior desenvolvimento, por
se articularem diretamente com o projeto de autoformação e por conseguinte com título deste
relatório.
A realização do mesmo, no âmbito do Módulo III, assinalou o culminar deste
percurso académico cuja elaboração, recorreu a uma metodologia descritiva, analítica e
reflexiva, sustentada na evidência científica e nos referenciais normativos da profissão,
nomeadamente o Regulamento nº 515/2018 da Ordem dos Enfermeiros e o referencial teórico
de Hildegard Peplau.
As intervenções realizadas promoveram o autoconhecimento, o desenvolvimento do
juízo critico, a capacidade de tomada de decisão e otimizaram as competências técnicas e
científicas, possibilitando a consolidação de uma prática baseada na evidência. Essas
intervenções evidenciaram a aplicação dos conhecimentos adquiridos no contexto académico
na prática clínica, contribuindo para a melhoria contínua dos cuidados de enfermagem em
saúde mental.
Depressive and anxiety disorders were among the principal contributors to the global burden of disease in 2019, with non-adherence to pharmacological treatment constituting one of the major obstacles in the management of depressive conditions. Within this context, psychoeducation has been consolidated as a psychotherapeutic approach directed towards enhancing health literacy and optimising therapeutic adherence. This dissertation, undertaken within the framework of the Master's Degree in Mental Health and Psychiatric Nursing, aims to present the educational and clinical trajectory pursued, to evidence the development of both general and specific competencies of the Mental Health and Psychiatric Nurse Specialist, and to illustrate the acquisition of master’s-level competencies through critical and reflective analysis of professional practice. The various Clinical Placements provided experiences that enabled the acquisition and development of fundamental competencies. Although all the expected skills were addressed, particular emphasis was placed on promoting therapeutic adherence, strengthening self-care, and managing the adverse effects of treatments. These areas received greater attention as they were directly aligned with the self-directed learning project and, consequently, with the title of this report. It’s elaboration, within the scope of Module III, represents the culmination of this academic journey, utilising a descriptive, analytical, and reflective methodology underpinned by scientific evidence and professional regulatory standards, namely Regulation No. 515/2018 of the Portuguese Order of Nurses, alongside the theoretical framework proposed by Hildegard Peplau. The interventions undertaken fostered self-awareness, enhanced critical thinking and clinical reasoning, strengthened decision-making capabilities, and refined technical and scientific competencies, thereby consolidating evidence-based practice. Furthermore, these interventions demonstrated the effective translation of academic knowledge into clinical practice, contributing meaningfully to the continuous advancement of mental health nursing care.
Depressive and anxiety disorders were among the principal contributors to the global burden of disease in 2019, with non-adherence to pharmacological treatment constituting one of the major obstacles in the management of depressive conditions. Within this context, psychoeducation has been consolidated as a psychotherapeutic approach directed towards enhancing health literacy and optimising therapeutic adherence. This dissertation, undertaken within the framework of the Master's Degree in Mental Health and Psychiatric Nursing, aims to present the educational and clinical trajectory pursued, to evidence the development of both general and specific competencies of the Mental Health and Psychiatric Nurse Specialist, and to illustrate the acquisition of master’s-level competencies through critical and reflective analysis of professional practice. The various Clinical Placements provided experiences that enabled the acquisition and development of fundamental competencies. Although all the expected skills were addressed, particular emphasis was placed on promoting therapeutic adherence, strengthening self-care, and managing the adverse effects of treatments. These areas received greater attention as they were directly aligned with the self-directed learning project and, consequently, with the title of this report. It’s elaboration, within the scope of Module III, represents the culmination of this academic journey, utilising a descriptive, analytical, and reflective methodology underpinned by scientific evidence and professional regulatory standards, namely Regulation No. 515/2018 of the Portuguese Order of Nurses, alongside the theoretical framework proposed by Hildegard Peplau. The interventions undertaken fostered self-awareness, enhanced critical thinking and clinical reasoning, strengthened decision-making capabilities, and refined technical and scientific competencies, thereby consolidating evidence-based practice. Furthermore, these interventions demonstrated the effective translation of academic knowledge into clinical practice, contributing meaningfully to the continuous advancement of mental health nursing care.
Description
Keywords
Adesão terapêutica Enfermagem Saúde Mental Psicoeducação
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