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  • INCIDENCE OF MENTAL RETARDATION IN RECIFE POPULATION: AN ANALYSIS FROM NATIONAL HEALTH INDICATORS

    Introduction: Mental retardation is characterized by the arrest or incomplete development of intellectual functioning, essentially by a impairment of cognitive functions, language, motor skills and social behavior. The prevalence rate traditionally quoted is 1% of the young population. Objective: To describe the incidence / prevalence data in cases of mental retardation between 2014 and 2018 by sample of the type of clinical care, gender and age group in the city of Recife. Methodology: This is a study in secondary databases, through the Basic Data indicators of Brazil, a tool of the health information system, using quantitative analysis of the variables. Results: We analyzed data regarding hospitalizations between 2014 and 2018. We observed that Recife had 93.7% of hospital admissions in Pernambuco, and the total amount spent by public coffers in 2018 was 31% higher than 2017, however, 24.2% lower than the average of the analyzed period. There is an equivalence in elective (56%) and urgent (46%) hospitalizations. The most frequently hospitalized age group was 20 to 29 years old (33.1%), followed by 30 to 39 years old (22.7%); The brown color presented 78.1% of the hospitalizations and 61% of the hospitalizations corresponded to the male gender. The average hospital stay of 2018 was the highest in the historical series (17.7), 46.7% higher than the average of the analyzed period (12.06). It is also noteworthy that together, the Areias General Hospital and the Ulysses Pernambucano Psychiatric Hospital received 81% of the notified hospitalizations. Discussion: There was a decrease in the incidence of cases in the population of the city of Recife, especially in 2017 and 2018. The most affected age group is young adults and males can be considered as a risk factor. Attention should be paid to the increase in permanence in 2018 as this is not a good indicator…

  • EXPERIENCE REPORT: EXPERIENCE OF FAMILY AND OR CAREGIVER PEDIATRIC NEPHROLOGY PATIENTS IN AN INTEGRAL MEDICINE REFERENCE HOSPITAL IN THE NORTHEAST

    Introduction: CKD is also called Chronic Kidney Disease (CKD) and, when installed, compromises renal functions in a slow, progressive and irreversible manner. Therefore, in some cases, renal replacement therapy treatments are necessary, including hemodialysis (HD). The family, in turn, also experiences changes in their roles and dynamics of functioning that influence the act of taking care of themselves and others. Objective: To promote reflections on the life projects of family members/caregivers of Pediatric Nephrology Hemodialysis patients at a reference hospital in Integral Medicine in the Northeast. Methods: Experience report through a group meeting with host intervention, listening directed to life projects aimed at family members and or companions of hemodialysis patients. Results: It was perceived from the reports that the task of caring is complex and permeated by diverse and contradictory feelings, but that many of the people who experience this experience felt emotionally weakened. We also verified that responsibility is transferred as an additional action to the family, which in its daily life is obliged to accumulate the function of “living for” the patient’s dialysis treatment. Surrounded by fears and uncertainties, they “abdicated” from work, studies, friends, leisure, personal care, despite nurturing a common feeling, present in all expressions: faith. Considerations: With this intervention, although brief, one can understand the importance of providing the family member or companion with a moment of reflection and exchange of experiences.

  • Understanding Health Professionals about Preservation of Silence in the Intensive Care Unit During the Post-Heart Surgery Surgery: a Systematic Review

    Introduction: Through studies in the scientific literature about the measurement of sounds in the Intensive Care Unit environment, it is clear that the noise, continuous sound of equipment and those caused by the health team itself is excessive and above 85dB (decibels), favors increased sensitivity of patients to pain, irritation, post-traumatic stress and may cause psychomotor agitation, delirium, changes in heart rate and sleep. A peaceful environment can bring countless benefits to restoring the health of patients, as well as reducing the stress of professionals. Objective: To analyze some research and studies published in Brazil about the noise in an Intensive Care Unit and the perception that professionals have about this topic. Methods: A systematic literature review was performed with electronic search of articles indexed in PePSIC and SciELO databases, published from 2009 to 2019, in which the inclusion and exclusion criteria were considered. Results: indicate that the noise in this type of place often presents with an oscillating intensity of moderate to intense. It is verified that there is from the professionals a certain level of understanding of the existence of noise in the ICU. Considerations: Despite the finding by professionals about noise, it is also observed that there are few current publications about the awareness of health professionals regarding the importance of preserving a quieter environment and criteria that reinforce effective humanization interventions during the study. postoperative period of cardiac surgery in this type of environment.

  • Nursing Care for Women With Postpartum Blues: A Literature Review

    Introduction: During the puerperal period the woman becomes more sensitive, requiring more emotional support, attention and affection, as it becomes more susceptible to hormonal, psychological and social changes due to the need to adjust to the new role, that of being a mother, which can lead to internal and external conflicts that can directly influence your mental health. Thus, nursing care for puerperal women is of fundamental importance so that they can understand the emotions and changes experienced in this phase, as well as for the identification and monitoring of these cases. Objective: To analyze what the current literature evidences about nursing care for women with puerperal Blues. Methodology: Literature review in MEDLINE, BDENF, LILACS and PubMed databases. A total of 96 articles were found, of which 23 were pre – selected and after the inclusion criteria were applied, 16 remained. A reading of these in full with peer review was performed, and they were subsequently crossed to discuss the divergences found in order to reduce interpretation errors. Results: According to the literature, about 50% of women present puerperal Blues in up to two weeks postpartum, that if there is no necessary therapy, more than 20% of these women tend to develop postpartum depression (PPD). Conclusion: Therefore, an appropriate approach and performed by trained professionals is paramount to identify the factors associated with puerperal blues during puerperium consultations, so that there is the ideal management to promote a better Quality of life, avoiding mental distress.

  • NURSING PERFORMANCE IN PREVENTING POST-DELIVERY DEPRESSION

    Introduction: Becoming a mother entails significant physical and emotional changes that intensify throughout pregnancy and the puerperal period período. The pregnancy-puerperal period may favor or intensify the occurrence of psychological distress in women and even more severe conditions, such as postpartum depression (PPD). In developed countries, PPD affects 10 % to 15 % of women; In Brazil, the prevalence of postpartum depression ranged from 5 % to 9 % in 2016. Objective: To identify how nurses act in the prevention of postpartum depression. Methodology: Integrative literature review study with partial data from the study “Nursing care in the prevention and care of women with postpartum depression”. We searched the MEDLINE, LILACS, BDENF databases using the combination of descriptors: “Nursing”, “Nursing Care”, “Women’s Health”, “Prenatal Care”, “Postpartum Depression”, “Period Post childbirth”. From the 845 articles found, ten articles were selected to compose the final study sample, all primary studies published between 2008 and 2018 and answering the guiding question of the research: how the nurse acts in the prevention of postpartum depression. Results: The puerperium is considered a period of risk for physiological and psychological changes, so it is essential to have qualified nursing care based on prevention of complications, physical and emotional comfort and health education, encouraging women in coping and adaptation in the transition to maternity. The initial approach to the mother in psychic distress usually occurs in primary care; Thus, it is essential that nurses have the competence to identify signs of psychological distress and can plan and implement a care plan for the identified needs. In prenatal nursing consultations, it is important to have a closer relationship based on respect and ethics. When conducting health education groups and actions, nurses favor a space for sharing fears, anxieties and experiences, providing the clarification of doubts and the exchange…

  • BURDEN OF CARE AND QUALITY OF LIFE IN MOTHERS OF AUTISTIC CHILDREN

    Introduction: Autism is a developmental disorder that encompasses changes in the area of socialization, communication and cognition, being sometimes associated to some degree of mental retardation. An autistic child in the family tends to alter the whole routine and the mother, who is the most involved figure in the care of the child, tends to live in function of it, experiencing a continuous psychological overload and compromising its quality of life. Objective: To identify the socio-demographic profile, and to investigate the burden and quality of life in mothers of autistic children attended by Espaço Treat, in Arapiraca-Alagoas. Methodology: This is a descriptive, cross-sectional study with a quantitative approach. Data collection instruments were used: socio-demographic profile questionnaire, Burden scale and WHOQOL-bref. The study was approved by the Research Ethics Committee (REC) of the Universidade Federal de Alagoas. Mothers with a history of psychiatric diseases and those with sensory, motor or cognitive impairments that could impair the application of the instruments used were excluded; Mothers who resided outside Arapiraca/AL; And mothers under the age of 18 years old. Results: The subjects were 35 mothers of autistic children attended by Espaço treat in the period from March to June of 2016. Most mothers had a mean age above 35 years and were predominantly white, married, with more than 10 years of schooling and had a profession. Most of them did not have health insurance and also did not receive financial benefit from the state. Most caregivers of children with autism presented moderate burden of care and the quality of life that was considered mostly as neither good nor bad, showing a lower average in the environment domain (54.73) and higher in the Social relations domain (63.80). There was no statistically significant correlation between quality of life and burden on care of these mothers…

  • ANXIETY IN HIGH RISK MANAGERS IN ALAGOAS

    Introduction: Pregnancy needs to be evaluated with special attention because it lists physical, hormonal, psychic and social insertion changes that can reflect directly on your mental health. High-risk pregnant women may be afflicted with mental disorders such as anxiety and depression and this may have consequences for both maternal and fetal health. Objective: To evaluate the presence of anxiety signs and symptoms in high risk pregnant women in Alagoas. Methodology: Cross-sectional, descriptive study with quantitative approach. The research was conducted at the reference outpatient clinic for high risk pregnancy in the State of Alagoas: Professor Alberto Antunes University Hospital – HUPAA. For data collection we used the identification questionnaire containing social data for sample characterization and the anxiety inventory (STAI) that assesses signs and symptoms of anxiety as trait (STAI T) and state (STAI E) and classifies anxiety on high, moderate and low. The sample consisted of 100 pregnant women from a population of 400 high-risk pregnant women attended monthly and the survey was conducted between January and April 2019. Results: Regarding the presence of signs and symptoms of anxiety, we obtained STAI E classified as high (24 – 9.7%), moderate (132 – 43.4%) and low (91 – 36.8%); and STAI T classified as high (19 – 7.6%), moderate (147 – 59.5%) and low (81 – 32.7%). The study indicates that high-risk pregnant women may present signs and symptoms of anxiety, as it is a phase of life in which women experience feelings of fear and insecurity due to possible obstetric complications. Conclusion: High-risk pregnant women present situations that may interfere with the normal evolution of a pregnancy. Health professionals should be prepared to receive this risky pregnant woman and contribute to early identification and improvement of signs and symptoms of anxiety and depression of this pregnant woman. Final considerations:…

  • Psychosocial Factors Involved with the Development of Postpartum Depression: an Integrative Review

    Introduction: The pregnancy is a period in which the woman goes through physiological and emotional changes. Given this, it is observed that women with low education and low income are vulnerable to being affected by Postpartum Depression (PPD). There are factors that are related to the case series of this disease, so it is necessary to identify them so that a better strategy for caring for women with PPD. Objective: Conduct an integrative review on the psychosocial factors involved in the development of postpartum depression, according to literary publications from 2009 to 2019. Methodology: This was an integrative bibliographic review conducted from February to June 2019. The databases consulted were: VHL, SciELO and PubMed, using the following descriptors: “Postpartum Depression”, “Postpartum Period” and “Mental Health”, combined by the operators “AND” and/or “OR”. We found 273 publications, which after reading and applying the inclusion and exclusion criterion left 07 publications. Results: The main factors related to PPD were stress, lack of psychosocial support, anxiety and distress, as well as unwished pregnancy and family problems. In addition, specific protocols for the diagnosis of this disease and lack of preparation of health professionals for reception are lacking. Conclusion: More efficient public policies and specific protocols for the treatment of PPD are needed, as well as the creation of new strategies to reduce the incidence of PPD. Emphasizing the importance of monitoring these women by a multidisciplinary health team in order to gain a holistic view of this problem.

  • Prevalence in the Use of Anxiolytics Among Nursing Professionals: an Integrative Review

    Introduction: Anxiety disorders have increased significantly in the last century, mainly due to the profound transformations that occurred in the economic and cultural context that were accompanied by the pressures of a modern, technological and mainly increasingly competitive society. Health professionals have a weakness and ease regarding the use of psychotropic drugs due to excessive stress, excessive workload, charges, dissatisfaction in the workplace or family. Objective: To identify prevalence of anxiolytic use by nursing professionals between 2013 and 2018. Methodology: Integrative review conducted in the LILACS, VHL and Pubmed databases, including quantitative research articles in Portuguese and English. Those whose methodological descriptions provided insufficient information were excluded. Results: The searches led to 400 articles which, after applying the inclusion and exclusion criteria, formed a corpus of 07 articles. The results indicate a high prevalence of anxiolytic use among health professionals for female nursing workers, married, with working hours of 40 hours or more per week, aged between 18 and 47 years. Among the main side effects of anxiolytic consumption were sleepiness and decreased reflexes. Conclusion: There is a need for stricter control in dispensing these drugs, as in their indications, thus preventing inappropriate consumption or the occurrence of dependence by professionals. Psychosocial support is fundamental for the rational use of these drugs and in improving the quality of life of health professionals.

  • BURNOUT SYNDROME AMONG MEDICAL STUDENTS: AN INTEGRATIVE REVIEW

    Introduction: Burnout Syndrome is conceptualized as a result of chronic stress in the workplace, characterized as a psychological syndrome composed of emotional exhaustion, depersonalization and reduced personal fulfillment. The prevalence of this syndrome in medical students is quite expressive, and the more the student is exposed to the academic cycle, the greater the risk of developing an anxiety disorder, especially Burnout Syndrome. Objectives: To analyze in the literature the correlation between Anxiety Disorders, Burnout Syndrome and Medical Students. Methodology: The research took place in the CAPES, PubMed and VHL Regional Portal. The terms “burnout”, “anxiety disorders” and “medical students” were considered as descriptors. Articles published between 2014 and 2019 were included. Results: Of the 69 articles found, only six were included in the review. Evidence was found that there is an association relationship between medical study and student mental exhaustion. It was also relating the time of exposure to the course with a higher prevalence of mental disorders. Relaxation techniques have shown a decline in Burnout’s cognitive and emotional stress and anxiety. Conclusion: Burnout Syndrome is a reality among medical students. However, despite the importance of the theme, the literature on this correlation is incipient. There is a need for further investigations into strategies that aim to reduce the incidence, and consequently the prevalence of this syndrome, favoring the mental health of college students and the training of good health professionals.