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A auto-estima do utente com humor depressivo :
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|---|---|---|---|---|
| 2.01 MB | Adobe PDF |
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Advisor(s)
Abstract(s)
A incidência cada vez maior de casos de depressão na população portuguesa e
o elevado número de utentes com diagnósticos de enfermagem autoestima
comprometida e humor depressivo, observados no decorrer dos estágios em
hospital de dia e internamento de agudos de psiquiatria, tornaram premente a
abordagem destes diagnósticos. Estudos revelam que o nível de autoestima
pode fazer a diferença entre a saúde e a doença mental, dessa forma, a
compreensão e promoção da mesma pode ser crucial no tratamento dos utentes
com humor depressivo. Nesse âmbito, este relatório pretendeu perceber se
existia relação entre autoestima e humor depressivo, planear e executar
intervenções psicoeducativas, psicoterapêuticas, expressivas e relação
terapêutica, de forma a compreender se estas podiam contribuir para a
promoção da autoestima e diminuição da recorrência de humor depressivo. O
modelo teórico de enfermagem utilizado para sustentar a minha prática foi o
Modelo Teórico de Peplau. Para dar resposta aos objetivos foi efetuada uma
abordagem de triangulação metodológica através da colheita de dados diretos e
indiretos provenientes de relação terapêutica, aplicação de escalas, avaliação
escrita e verbal das sessões, execução de um estudo de caso, realização de
intervenções de enfermagem psicoterapêuticas, psicoeducativas e expressivas
e efetivação de notas de sessão.
Pese embora no resultado das escalas não se tenha verificado um aumento
médio significativo da autoestima do grupo, a nível individual foram verificadas
diferenças relevantes na promoção da autoestima. Os dados provenientes da
relação terapêutica, da avaliação e notas de sessão, permitem afirmar que houve
aumento da autoestima e diminuição de recorrência de humor depressivo,
constatando-se que as intervenções de enfermagem efetuadas tiveram
influência positiva nesses diagnósticos. Os resultados gerais demonstraram
também a existência de relação entre as variáveis.
Estas conclusões podem ser um contributo valioso em futuros estudos
longitudinais e para a enfermagem de saúde mental e psiquiátrica.
The increasing incidence of depression cases in the Portuguese population and the high number of patients with nursing diagnoses of compromised self-esteem and depressive mood, observed during the day hospital and acute inpatient psychiatry unit internships, made the approach of these diagnoses pressing. Studies show that the level of self-esteem can make the difference between health and mental illness, so understanding and promoting it can be crucial in the treatment of users with depressed mood. In this context, this report intended to understand whether there is a relationship between self-esteem and depressed mood, planning and executing psychoeducational, psychotherapeutic, expressive and therapeutic interventions, in order to understand whether these can contribute to the promotion of self-esteem and decrease recurrences of depressed mood. The theoretical model of nursing used to support my practice was Peplau's Theoretical Model. A methodological triangulation approach was used through the collection of direct and indirect data from therapeutic relationships, scales application, written and verbal evaluation of the sessions, execution of a case study, execution of psychotherapeutic, psychoeducative, and expressive nursing interventions and effectuation of session notes. Even though the result of the scales did not show a significant increase in the average of the group's self-esteem, at the individual level relevant differences were found, in the promotion of self-esteem. The data taken from the therapeutic relationship, from the evaluation and session notes, allow me to state that there was an increase in self-esteem and a decrease in recurrence of depressive mood, showing that the nursing interventions performed had a positive influence on these diagnoses. The general results also demonstrated the existence of a relationship between the variables. These conclusions can be a valuable contribution to future longitudinal studies and for mental and psychiatric health nursing.
The increasing incidence of depression cases in the Portuguese population and the high number of patients with nursing diagnoses of compromised self-esteem and depressive mood, observed during the day hospital and acute inpatient psychiatry unit internships, made the approach of these diagnoses pressing. Studies show that the level of self-esteem can make the difference between health and mental illness, so understanding and promoting it can be crucial in the treatment of users with depressed mood. In this context, this report intended to understand whether there is a relationship between self-esteem and depressed mood, planning and executing psychoeducational, psychotherapeutic, expressive and therapeutic interventions, in order to understand whether these can contribute to the promotion of self-esteem and decrease recurrences of depressed mood. The theoretical model of nursing used to support my practice was Peplau's Theoretical Model. A methodological triangulation approach was used through the collection of direct and indirect data from therapeutic relationships, scales application, written and verbal evaluation of the sessions, execution of a case study, execution of psychotherapeutic, psychoeducative, and expressive nursing interventions and effectuation of session notes. Even though the result of the scales did not show a significant increase in the average of the group's self-esteem, at the individual level relevant differences were found, in the promotion of self-esteem. The data taken from the therapeutic relationship, from the evaluation and session notes, allow me to state that there was an increase in self-esteem and a decrease in recurrence of depressive mood, showing that the nursing interventions performed had a positive influence on these diagnoses. The general results also demonstrated the existence of a relationship between the variables. These conclusions can be a valuable contribution to future longitudinal studies and for mental and psychiatric health nursing.
Description
Keywords
Enfermagem psiquiátrica Autoestima Saúde mental Humor irritável