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O portador de transtorno mental e a vida em família
Brischiliari, Adriano;Waidman, Maria Angélica Pagliarini;
Escola Anna Nery , 2012, DOI: 10.1590/S1414-81452012000100020
Abstract: the general objective of this study was to unveil through a family viewpoint the participation of mental health patients in their family life. it was a qualitative approach study, conducted between march and may 2010. the 14 contributors belonged to 11 families of mental health patients, residing in the city of maringá-pr. thematic oral history was used as the data collection technique. the results demonstrated there is still difficulty with regard to family participation and decisions. with regard to daily chores, most patients contribute whenever they are not in crisis, but with limitations; family relationships are permeated with feelings of pain and suffering associated with pity and commiseration. it is concluded that nursing plays an important role in the family, by guiding and supporting its needs.
O cuidado interdisciplinar à família do portador de transtorno mental no paradigma da desinstitucionaliza??o
Waidman, Maria Angélica Pagliarini;Elsen, Ingrid;
Texto & Contexto - Enfermagem , 2005, DOI: 10.1590/S0104-07072005000300004
Abstract: this bibliographic study attempted to identify the references concerning multi-care and interdisciplinary care in mental health from studies concerning desinstitucionalization and the family, as well as discover the categories that emerge from within the analysis. forty-one, four doctoral dissertations in nursing, ten master's thesis's in nursing, two doctoral dissertations in medicine, and twenty-five articles published in national periodicals of nursing and/or medicine. the data analyzed according to the bardin technique. three categories were determined: criticism to the care offered by professionals; the need to prepare professional who will care for the mentally disturbed; and the importance of the professional as an agent of desinstitutionalization and social reinsertion of someone with a mental disturbance. interdisciplinary work in mental health is one presuppositions for desinstitutionalization to be effective; however, as this study demonstrates, professionals face great challenges in developing this type of work.
O cuidado interdisciplinar à família do portador de transtorno mental no paradigma da desinstitucionaliza o
Maria Angélica Pagliarini Waidman,Ingrid Elsen
Texto & Contexto - Enfermagem , 2005,
Abstract: Estudio de tipo bibliográfico buscó identificar en los estudios acerca de ladesinstitucionalización y la familia las referencias sobre el cuidado multi y interdisciplinario en salud mentaly apuntar las categorias que emergen según en el tema. Fueron analizados cuarenta y una publicaciones,cuatro tesis y diez disertaciones de maestrado en enfermería, dos disertaciones de medicina y veinticincoarticulos publicados en periodicos brasile os de enfermería y de medicina. El análisis del contenido utilizadoen este estudio fue de Bardin. Fue se aladas tres categorías: crítica al cuidado ofrecido por algunos profesionales;la necesidad de preparación del profesional de la salud para cuidar de las familias del portadores de trastornomental y; la importancia del profesional de la salud como agente de desinstitutionalización y reinserción socialdel portador de transtorno mental. El trabajo interdisciplinario de la salud mental es uno de los supuestos paraque la desinstitutionalización sea eficaz, no obstante, en este estudio puede apreciarse que los profesionales dela salud presentaron dificultad para desarrollar esta forma de trabajo.
A enfermagem frente a problemas de relacionamento na família
Marcon, Sonia Silva;Waidman, Maria Angélica Pagliarini;
Revista Brasileira de Enfermagem , 2003, DOI: 10.1590/S0034-71672003000300007
Abstract: the objective is to present some aspects of the family relationship due to communication problems. it is a part of a three generation qualitative study about the experience of families as they raise their children. the historical method was adopted as the methodological line and in the collection of data, in association of the participant observation of life history. the existence of problems/difficulties were identified in family communication within the scope of intra- and inter-generation, as well as changes in this communication throughout the three generations with respect to form, quality, quantity, types, resources, and others. the conclusion is that there are many problems/difficulties in communication within the family, especially within the inter-generation sphere, and nursing staff should be aware to these issues if a global assistance is intended for the family.
Fatores interferentes nas a??es da equipe da Estratégia Saúde da Família ao portador de transtorno mental
Pini, Jéssica dos Santos;Waidman, Maria Angélica Pagliarini;
Revista da Escola de Enfermagem da USP , 2012, DOI: 10.1590/S0080-62342012000200015
Abstract: this qualitative study was performed with family health strategy teams in maringá - pr. the objective of the study was to identify the factors that affect interventions provided to individuals with mental disorders. data were collected through focal groups and were subjected to content analysis. participants reported personal and professional issues related to the structure of the service, such as negative feelings, lack of professional skills, and a prioritization towards curative interventions. the mental healthcare network establishes criteria for assistance, deficient reference and counter-reference and the matrix activity. factors affecting the interventions included attachment, lack of family involvement, lack of team participation and poor patient adherence. it was found that few factors contributed to the interventions while many were viewed as hindrances; however, by identifying these factors, the teams can work to improve mental health care.
FAMíLIA DA PESSOA COM TRANSTORNO MENTAL E SUAS NECESSIDADES NA ASSISTêNCIA PSIQUIáTRICA
Jacqueline Botura Bessa,Maria Ang lica Pagliarini Waidman
Texto & Contexto - Enfermagem , 2013,
Abstract: Se tuvo por objetivo conocer las necesidades de la familia cuidadora de una persona con trastorno mental en el actual modelo de atención en la salud. Se trata de un estudio cualitativo, realizado en municipios de tres regiones de salud del Estado de Paraná, empleando la recolección de datos de treinta y dos familias. Los datos fueronanalizados por medio de indicadores. Los resultados apuntan carencias en los servicios de la red de salud mental en relación a los cuidados a las personas con trastorno mental y sus familiares en lo que concierne la necesidad de: adaptación tras el diagnostico de la patología; orientación familiar; adhesión al tratamiento; ingreso; auxilio financiero; asistencia para transporte; reinserción en la sociedad; inclusión en los servicios extra hospitalarios tras el ingreso y el vínculo entre el profesional y la persona asistida. Por lo tanto llegamos a la conclusión de que estas necesidades necesitan ser exploradas por los profesionales de la red en salud mental para la posibilidad y la concretización de una asistencia no institucionalizada, integral y resolutiva a la persona con trastorno mental y a su familia.
Percep es e atua o do Agente Comunitário de Saúde em saúde mental Percepciones y actuación del Agente Comunitario de Salud en salud mental Community Health Agents' perceptions and practice in mental health
Maria Angélica Pagliarini Waidman,Bruna da Costa,Marcelle Paiano
Revista da Escola de Enfermagem da USP , 2012, DOI: 10.1590/s0080-62342012000500019
Abstract: Este estudo teve como objetivo identificar as percep es de Agentes Comunitários de Saúde acerca de saúde e transtorno mental, bem como verificar o preparo desses agentes para atuar na área. Trata-se de uma pesquisa qualitativa que utilizou como técnica de coleta de dados a entrevista semiestruturada e, para interpreta o dos dados, a técnica de análise de conteúdo. Foram entrevistados 45 Agentes Comunitários de Saúde da Estratégia Saúde da Família, pertencentes às 21 unidades básicas de saúde do município de Maringá, PR. Os resultados obtidos demonstram os preconceitos em rela o ao transtorno mental desses profissionais, que reconhecem a importancia de se trabalhar tanto com o portador quanto com a família, mas n o se sentem capacitados para prestar uma assistência adequada. Por compartilharem o mesmo contexto social e por conhecerem de perto a dinamica da comunidade, vislumbramos os agentes como importantes facilitadores no cuidado à saúde mental. Estudio que objetivó identificar las percepciones de Agentes Comunitarios de Salud acerca de salud y transtorno mental, así como verificar la preparación de tales agentes para actuar en el área. Investigación cualitativa con datos recolectados mediante entrevista semiestructurada, analizados según análisis de contenido. Fueron entrevistados 45 Agentes Comunitarios de Salud de la Estrategia Salud de la Familia, pertenecientes a las 21 unidades primarias de salud del municipio (Maringá, PR). Los resultados obtenidos demuestran los preconceptos de estos profesionales, en relación al transtorno mental. Los Agentes reconocen la importancia de trabajar tanto con el afectado como con su familia, pero no se sienten capacitados para brindar una atención adecuada. Por formar parte del mismo contexto social y conocer de cerca la dinámica comunitaria, vislumbramos a los agentes como importantes facilitadores en el cuidado de la salud mental. The objectives of this study are to identity the perceptions of community health agents regarding health and mental disorders, and to verify the preparation these agents receive to work in this field. This qualitative study was performed using semi-structured interviews for data collection and utilizing content analysis to interpret the data. Interviews were performed with 45 community health agents working in the Family Health Strategy, who reported to 21 basic health units in the city of Maringá, PR. Results show the prejudice that these workers have regarding mental disorders. They recognize the importance of working with the patient and the family but do not feel prepared to pr
Possibilidades e limites da teoria de joyce travelbee para a constru o de uma metodologia de cuidado à família.
Maria Angélica Pagliarini Waidman,Ingrid Elsen,Sonia Silva Marcon
Revista Eletr?nica de Enfermagem , 2006,
Abstract: Este estudo, de natureza teórico-reflexiva, tem por objetivo apresentar a teoria de Joyce Travelbee e analisar suas limita es e potencialidades, com o propósito de construir uma metodologia de cuidado à família. Para o seu desenvolvimento fizemos uma explana o sobre a teoria englobando os conceitos, cren as e pressupostos da autora. Foi ainda realizada uma revis o de vários autores que utilizaram a teórica em seus estudos científicos e finalmente apresentamos uma reflex o a partir da análise da teoria, explicitando suas possibilidades e seus limites e como ela pode ser utilizada como suporte para o desenvolvimento de uma metodologia de cuidado às famílias de pessoas com transtornos mentais, com vistas à desinstitucionaliza o e a sua reinser o na família e comunidade.
Produzindo conhecimento sobre família: a contribui??o da enfermagem do Sul do Brasil
Marcon, Sonia Silva;Waidman, Maria Angélica Pagliarini;Decesaro, Maria das Neves;Arêas, Marcia Maria Marino;
Acta Paulista de Enfermagem , 2006, DOI: 10.1590/S0103-21002006000100004
Abstract: objectives: this is a descriptive and exploratory research, having the family as the guiding theme, which aimed to identify and characterize theoretical and methodological aspects of research conducted during graduate studies at brazilian nursing schools. methods: the sample consisted of 45 studies. data were collected with a semi-structured instrument from march to june, 2002. results: the results revealed that the majority of studies (66.6%) were conducted at federal university of santa catarina, a great part of them (26.7%) were defended in 2000 and used nursing theories as theoretical or conceptual framework (40.0%). the majority of the data (68.9%) were collected in the family homes. family care (44.6%) and the relationship among family members (34.0%) were the themes of most studies. these themes were grouped into six categories. conclusions: although the family as a theme for research has been used in many studies over the years, most research has focused on descriptive and exploratory investigations. these studies normally addressed broad purposes and used approaches emerging from researcher' professional experience. most studies have used family homes as the background for the investigation.
Conflitos e sentimentos de mulheres portadoras de HIV/AIDS: um estudo bibliográfico
Botti, Maria Luciana;Waidman, Maria Angélica Pagliarini;Marcon, Sonia Silva;Scochi, Maria José;
Revista da Escola de Enfermagem da USP , 2009, DOI: 10.1590/S0080-62342009000100010
Abstract: this is a literature review with the purpose to identify how the conflicts and feelings of women living with hiv/aids are addressed in the national literature, and the proposed pathways for an integral care approach. data were collected in november, 2006, in the lilacs database, using the following keywords: women, feelings, hiv, aids, suffering, depression and fear. the inclusion criterion was that these studies should have been published in the past five years. the sample was made up of 14 studies (four dissertations, two theses and eight articles). the content analysis method allowed for the identification of three thematic categories: the researcher's perspective, what their perspective identifies and their perspective beyond the physical body - which reveal the necessity of addressing women considering their whole context as human beings, including issues of vulnerability, social gender ideology and the promotion of self-esteem and citizenship.
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