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Promoção do autoconceito da pessoa com experiência de doença mental :
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Abstract(s)
Este relatório reflete o percurso de estágio realizado no âmbito do Curso de Mestrado em
Enfermagem na Área de Enfermagem de Saúde Mental e Psiquiátrica em dois contextos
diferentes: um serviço de internamento de psiquiatria e um serviço comunitário, ambos
na zona metropolitana de Lisboa.
O objetivo principal foi desenvolver competências de enfermeiro especialista de saúde
mental e psiquiatria partindo da realização de um programa de intervenções em grupo,
numa abordagem psicoeducacional e socioterapêutica com recurso a mediadores
expressivos (barro, desenho, pintura, escrita criativa, biblioterapia), dirigido a pessoas
com experiência de doença mental.
Foi utilizada a metodologia de projeto. O programa de intervenções teve como foco a
promoção do autoconceito na pessoa com experiência de doença mental. O autoconceito
é uma estrutura de conhecimento que está relacionada com o processo de
desenvolvimento humano e que se forma a partir da autoconsciência proporcionando o
ajustamento pessoal.
A entrevista semiestruturada e as notas de campo foram alguns instrumentos utilizados.
No serviço de internamento foram selecionadas as pessoas que se encontravam no
internamento psiquiátrico com os diagnósticos de anorexia nervosa e autoconceito
comprometido e foram realizadas seis intervenções.
No contexto comunitário com o mesmo objetivo foram realizadas cinco sessões no grupo
terapêutico que variou entre oito e dez pessoas.
A intervenção socio terapêutica recorrendo à utilização de mediadores expressivos
revelou-se um importante recurso promotor, da autorreflexão, do autoconhecimento, da
autoperceção e expressão de emoções. A avaliação do programa, de intervenções de
enfermagem através da utilização de mediadores expressivos, permitiu-nos afirmar que
é possível promover o bem-estar, a autoconsciência e o autoconceito com as pessoas de
forma a valorizar, explorar e respeitar o significado das suas experiências individuais, dos
problemas de saúde mental e fornecer uma prática centrada na pessoa e na sua
recuperação.
This report reflects the internship course carried out under the Master`s Degree Course in Nursing in the Area of Mental Health and Psychiatric Nursing in two different contexts: a psychiatric inpatient service and a community service, both in the metropolitan area of Lisbon. The main objective was to develop specialist nurse skills in mental health based on a program of group interventions, in a psychoeducational and sociotherapeutic approach, using expressive mediators (clay, drawing, painting, creative writing, bibliotherapy), aimed at people with experience of mental illness. The design methodology was used. The intervention program focused on promoting self concept in people with experience of mental illness. Self-concept is a knowledge structure that is related to the process of human development and that is formed from self awareness providing personal adjustment. Semi-structured interviews and field notes were some of the instruments used. In inpatient service, people who were in psychiatric internment with diagnoses of anorexia nervosa and compromised self-concept were selected, and six interventions were performed. In the community context, with the same objective, five sessions were held in therapeutic group, which varied between eight and ten people. Socio-therapeutic intervention using expressive mediators proved to be an important resource that promotes self-reflection, self-knowledge, self-perception and expression of emotions. The evaluation of the program, of nursing interventions through the use of expressive mediators, allowed us to state that it is possible to promote well-being, self awareness and self-concept with people in order to value, explore and respect the meaning of their experiences of mental health problems and provide a practice centered on the person and his/her recovery
This report reflects the internship course carried out under the Master`s Degree Course in Nursing in the Area of Mental Health and Psychiatric Nursing in two different contexts: a psychiatric inpatient service and a community service, both in the metropolitan area of Lisbon. The main objective was to develop specialist nurse skills in mental health based on a program of group interventions, in a psychoeducational and sociotherapeutic approach, using expressive mediators (clay, drawing, painting, creative writing, bibliotherapy), aimed at people with experience of mental illness. The design methodology was used. The intervention program focused on promoting self concept in people with experience of mental illness. Self-concept is a knowledge structure that is related to the process of human development and that is formed from self awareness providing personal adjustment. Semi-structured interviews and field notes were some of the instruments used. In inpatient service, people who were in psychiatric internment with diagnoses of anorexia nervosa and compromised self-concept were selected, and six interventions were performed. In the community context, with the same objective, five sessions were held in therapeutic group, which varied between eight and ten people. Socio-therapeutic intervention using expressive mediators proved to be an important resource that promotes self-reflection, self-knowledge, self-perception and expression of emotions. The evaluation of the program, of nursing interventions through the use of expressive mediators, allowed us to state that it is possible to promote well-being, self awareness and self-concept with people in order to value, explore and respect the meaning of their experiences of mental health problems and provide a practice centered on the person and his/her recovery
Description
Keywords
Enfermagem psiquiátrica Autoimagem Promoção da saúde Saúde mental