| Nome: | Descrição: | Tamanho: | Formato: | |
|---|---|---|---|---|
| 3.99 MB | Adobe PDF |
Autores
Orientador(es)
Resumo(s)
Introdução
As pessoas com esquizofrenia sentem-se repetidamente desajustadas, precisando frequentemente de ajuda para definirem as suas habilidades, interesses e talentos.
Em Enfermagem, a relação terapêutica caracteriza-se pela parceria estabelecida com o cliente, no respeito e valorização das suas capacidades, pretendendo ajuda-lo a ser proactivo na consecução do seu projeto de saúde
A reabilitação psicossocial é um processo que oferece a oportunidade de vir a atingir o seu nível potencial de funcionamento pessoal e social, sendo a conversação um instrumento crítico para a comunicação com o outro.
O ensino sistematizado de comportamentos considerados vitais para o sucesso nas interações sociais, com intervenções que já provaram ser efetivas, faz parte dos desafios mais prementes e críticos desta área de intervenção em enfermagem de saúde mental e psiquiátrica
Do ponto de vista do participante, o funcionamento pessoal e social é melhorado, pois é-lhe facultado a real perceção da sua eficácia social, bem como das respostas e escolhas pragmáticas a nível social, vocacional e de situações de vida típicas, com as quais irá ser capaz de lidar e apreciar.
Finalidade
Construiu-se um caminho de investigação para o desenvolvimento de práticas sistematizadas na recuperação das pessoas com doença mental grave, facilitando a passagem do ambiente controlado, previsível e seguro da clínica hospitalar para o ambiente imprevisível da comunidade, tendo como finalidade o desenvolvimento, implementação, e avaliação do impacto duma formação de generalização das habilidades de conversação.
Estratégias & Métodos
Num desenho quasi-experimental o grupo experimental participou no programa de formação de generalização de habilidades de conversação, avaliado em pré, pós, e follow-up, nas seguintes variáveis: distress e bem-estar, adesão à medicação, estado de ansiedade, autoeficácia geral, vulnerabilidade ao stress, grau de dificuldade nas situações sociais, frequência de convivência com situações sociais comuns, e desempenho pessoal e social.
O desenvolvimento de relação de confiança entre terapeuta e doente/s foi crucial, bem como a personalização e individualização dos timings e dos assuntos a debater em cada sessão da formação.
Resultados
Melhorias estatisticamente significativas no lidar com a ansiedade e com o stress, na noção de autoeficácia, e no desempenho pessoal e social.
Conclusões
Salientam-se as ligeiras melhorias significativas, mas apenas relativas a subgrupos de participantes do grupo experimental, e apenas em alguns momentos de avaliação pós-formação e/ou follow-up. Destes resultados concluímos que existe impacto na melhoria da gestão do stress e na apreciação das suas próprias capacidades, e ainda na melhoria do funcionamento pessoal e social apreciado pelos outros (cuidadores).
Introduction People with schizophrenia feel socially maladjusted repeatedly, often needing help to define their skills, interests and talents. In Nursing, therapeutic nurse-patient relationship is characterized by partnership with the client, respect and appreciation of its capacities, pretending to help him being proactive achieving its health project. Psychosocial rehabilitation is a process that gives people the opportunity to come to reach its potential level of personal and social functioning, being the conversation a critical tool for communicating with others. The systematic teaching of behaviors considered vital to successful social interactions, with interventions proven effective, is one of the most pressing and critical intervention challenges in this area of mental health and psychiatric nursing From the patients’ perspective, their personal and social functioning is enhanced, because are provided with a realistic sense of personal effectiveness and a wider range of choices among social, vocational, recreational, and community living situations which will be able to adequately cope with and enjoy. Aim We constructed a path of research for the development of systematic practices in the recovery of people with serious mental illness, facilitating transition from the controlled, predictable and safe environment of clinical setting for the unpredictable environment of the community, this study aimed the development, implementation, and evaluating the impact of a generalization of conversation skills training program. Strategies & Methods In a quasi-experimental research design, the experimental group participated in the generalization of conversation skills training program, assessed at three moments: pre, post, and follow-up on the following variables: distress and wellness, medication adherence, anxiety state, general self-efficacy, vulnerability to stress, difficulty in social situations, frequency of coping with common social situations, and personal and social performance. Also, it was crucial the development of trust relationship between therapist and patient/s, as well as the personalization and individualization of timings and topics for discussion at each session of training. Results Statistically significant improvements in coping with anxiety and stress, in sense of perceived self-efficacy, and in personal and social performance. Conclusions We shall highlight slight significant improvements, only regarding to subgroups from experimental group participants, and in just a few moments of post-training and follow-up evaluation. Within these results we conclude treatment impact on improving stress management and the self-assessment of their own abilities, and also in improving the personal and social performance appreciated by others (caregivers).
Introduction People with schizophrenia feel socially maladjusted repeatedly, often needing help to define their skills, interests and talents. In Nursing, therapeutic nurse-patient relationship is characterized by partnership with the client, respect and appreciation of its capacities, pretending to help him being proactive achieving its health project. Psychosocial rehabilitation is a process that gives people the opportunity to come to reach its potential level of personal and social functioning, being the conversation a critical tool for communicating with others. The systematic teaching of behaviors considered vital to successful social interactions, with interventions proven effective, is one of the most pressing and critical intervention challenges in this area of mental health and psychiatric nursing From the patients’ perspective, their personal and social functioning is enhanced, because are provided with a realistic sense of personal effectiveness and a wider range of choices among social, vocational, recreational, and community living situations which will be able to adequately cope with and enjoy. Aim We constructed a path of research for the development of systematic practices in the recovery of people with serious mental illness, facilitating transition from the controlled, predictable and safe environment of clinical setting for the unpredictable environment of the community, this study aimed the development, implementation, and evaluating the impact of a generalization of conversation skills training program. Strategies & Methods In a quasi-experimental research design, the experimental group participated in the generalization of conversation skills training program, assessed at three moments: pre, post, and follow-up on the following variables: distress and wellness, medication adherence, anxiety state, general self-efficacy, vulnerability to stress, difficulty in social situations, frequency of coping with common social situations, and personal and social performance. Also, it was crucial the development of trust relationship between therapist and patient/s, as well as the personalization and individualization of timings and topics for discussion at each session of training. Results Statistically significant improvements in coping with anxiety and stress, in sense of perceived self-efficacy, and in personal and social performance. Conclusions We shall highlight slight significant improvements, only regarding to subgroups from experimental group participants, and in just a few moments of post-training and follow-up evaluation. Within these results we conclude treatment impact on improving stress management and the self-assessment of their own abilities, and also in improving the personal and social performance appreciated by others (caregivers).
Descrição
Palavras-chave
Enfermagem Habilidades Generalização Conversação Esquizofrenia Reabilitação psicossocial Aprendizagem Formação Nursing Skills Generalization Conversation Schizophrenia Experimental Psychosocial Rehabilitation Learning Training