RESUMO
BACKGROUND: Studies have shown that spiritual/religious beliefs are associated with mental health and health-related quality of life (HRQoL). However, few studies evaluated how spiritual/religious coping (SRC) could affect hemodialysis patients. OBJECTIVES: The present study investigated the role of SRC behaviors on HRQoL and depressive symptoms in hemodialysis patients. DESIGN AND PARTICIPANTS: This was cross-sectional study with 184 patients. Patients completed the Beck Depression Inventory, Brief SRC Scale, Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36), and a Sociodemographic and Health Characterization Questionnaire. RESULTS: From 218 patients, 184 (84.4%) were included (53.8% male with a median age of 55.9 years). Negative SRC, but not positive SRC, was associated with depressive symptoms. Positive SRC presented significant effects in SF-36 pain and physical and social functioning. On the other hand, negative SRC exhibited significant effects in SF-36 role emotional, energy/fatigue, pain, and physical functioning. CONCLUSION: SRC influences the mental health and HRQoL in Brazilian hemodialysis patients in two distinct ways. If used positively, it may have positive outcomes. However, if used negatively, it may lead to dysfunctional consequences such as greater depressive symptomatology and affect HRQoL. Health professionals must be aware of these "two sides of the same coin."
Assuntos
Adaptação Psicológica , Transtorno Depressivo/psicologia , Falência Renal Crônica/psicologia , Religião , Brasil , Estudos Transversais , Transtorno Depressivo/enfermagem , Feminino , Enfermagem Holística , Humanos , Falência Renal Crônica/enfermagem , Falência Renal Crônica/terapia , Masculino , Pessoa de Meia-Idade , Qualidade de Vida , Diálise Renal , Inquéritos e QuestionáriosRESUMO
Quality of life assessments in patients receiving treatment for substance dependence can serve as one predictor of response to treatment. This study aimed to identify determinants of quality of life in patients of a Psychosocial Care Center for alcohol and other drug users (CAPSad). The sample consisted of 77 patients with a diagnosis of substance dependence being treated at CAPSad for more than six months. Severity of substance dependence was assessed using the Addiction Severity Index (ASI-6), quality of life was assessed using the World Health Organization Quality of Life assessment instrument-short version (WHOQOL-BREF), and depressive symptoms were assessed by the Beck Depression Inventory (BDI). Data on CAPSad activities, psychiatric diagnoses, and medications used were collected from the medical records. Quality of life was significantly impaired in more severe cases of substance dependence and in those with more severe depressive symptoms. As for other variables, poorer quality of life was significantly associated with a greater number of years of education, unemployment, use of medications, and greater use of individual sessions with the reference professional. Linear regression analysis revealed depressive symptom severity to be an independent determinant of quality of life impairment, accounting for over 50% of the variation in physical and psychological domains. These results demonstrate the need to consider other factors, such as depressive symptoms and quality of life, in the treatment of substance dependence.
Assuntos
Alcoolismo/enfermagem , Alcoolismo/reabilitação , Qualidade de Vida/psicologia , Transtornos Relacionados ao Uso de Substâncias/enfermagem , Transtornos Relacionados ao Uso de Substâncias/reabilitação , Adulto , Alcoolismo/psicologia , Brasil , Comorbidade , Comportamento Cooperativo , Transtorno Depressivo/enfermagem , Transtorno Depressivo/psicologia , Transtorno Depressivo/reabilitação , Feminino , Humanos , Comunicação Interdisciplinar , Assistência de Longa Duração/psicologia , Masculino , Pessoa de Meia-Idade , Planejamento de Assistência ao Paciente , Prognóstico , Estatística como Assunto , Centros de Tratamento de Abuso de Substâncias , Transtornos Relacionados ao Uso de Substâncias/psicologia , Resultado do TratamentoAssuntos
Asiático/psicologia , Comparação Transcultural , Competência Cultural , Transtorno Depressivo/enfermagem , Emigrantes e Imigrantes/psicologia , Hispânico ou Latino/psicologia , Refugiados/psicologia , Inquéritos e Questionários , Viés , América Central/etnologia , Pesquisa em Enfermagem Clínica , Compreensão , Transtorno Depressivo/psicologia , Escolaridade , Humanos , Individualidade , Multilinguismo , Projetos Piloto , Psicometria/estatística & dados numéricos , Reprodutibilidade dos Testes , Valores Sociais , Tradução , Estados Unidos , Vietnã/etnologiaRESUMO
En las últimas décadas, la falla cardiaca se ha convertido en un problema de salud pública y, recientemente, se ha identificado la presencia de sintomatología depresiva en personas que padecen esta patología. El estado de depresión afecta la situación clínica del paciente y su tratamiento, y es más significativo en personas que se encuentran en clase funcional III y IV, puesto que son más susceptibles de presentar descompensaciones, rehospitalización y alteración de la calidad de vida, todo lo cual genera un impacto negativo en la morbilidad y mortalidad. Lo anterior hace necesario que el profesional de enfermería oriente el cuidado hacia la identificación y manejo de la depresión, realizando actividades propias de enfermería o en conjunto con otras disciplinas. El propósito de este artículo de revisión es mostrar el impacto de la depresión, reflejado en la incidencia, efectos fisiológicos, signos y síntomas de la depresión en el paciente con falla cardiaca, y las herramientas necesarias que permitan orientar, mejorar y fortalecer el plan decuidado de enfermería...
In recent decades, heart failure has become a public health problem, and recently, depressivesintomatology has been identified in people suffering heart failure pathology. Depression compromises the patients clinical condition and treatment, this is more significant in people with heart failure functional class III and IV, it generates a negative impact on morbidity and mortality, making them increasingly susceptible to decompensation, impaired quality of life, readmissions and death. Therefore is necessary that professional nursing aimed at care to the identification and management of depression, performing activities of nursing or joint with others disciplines. The purpose of this review article is to show the impact of depression reflected in the incidence, physiological effects, signs and symptoms of depression in patients with heart failure and tools necessary that guide, improve and strengthen the nursing care plan for these patients...
A insuficiência cardíaca tem se tornado, nas últimas décadas como um problema de saúde pública e, recentemente, identificou a presença de sintomas depressivos em pessoas que sofrem desta doença. O estado de depressão compromete a condição clínica do paciente e seu tratamento, é mais significativo em pessoas que estão em classe funcional III e IV, uma vez que eles são mais suscetíveis à descompensação, reinternação e redução da qualidade de vida, gerando um impacto impacto negativo na morbidade e mortalidade. Isso torna necessário que os cuidados de enfermagem para orientar a identificação e gestão das actividades de enfermagem realizando depressão ou em conjunto com outras disciplinas. O objetivo desta revisão é mostrar o impacto da depressãoreflete na incidência, efeitos fisiológicos, os sinais e sintomas de depressão em pacientescom insuficiência cardíaca e ferramentas para orientar, melhorar e reforçar o plano deassistência enfermagem...
Assuntos
Arritmias Cardíacas/psicologia , Pacientes/psicologia , Transtorno Depressivo/enfermagemRESUMO
The objectives of this study were: identifying the presence of depression among elderly dwelling in an Elderly Clinic; proposing a nursing action in order to prevent depression among these elderly guests. Descriptive research carried out at Abrigo Cristo Redentor, in Recife, Pernambuco, Brazil, with a sampling of 41 aged people. Seven out of them presented depression. The main symptoms were: hopelessness; uselessness feeling; insomnia; sadness among others. We concluded by recognizing the difficulties faced by the elderly who need to live in an Elderly Clinic and the importance of the nurse presence to better handle their difficulties.
Assuntos
Idoso de 80 Anos ou mais/psicologia , Idoso/psicologia , Depressão/enfermagem , Instituição de Longa Permanência para Idosos , Institucionalização , Brasil , Estudos de Coortes , Cultura , Depressão/epidemiologia , Depressão/etiologia , Depressão/prevenção & controle , Transtorno Depressivo/epidemiologia , Transtorno Depressivo/etiologia , Transtorno Depressivo/enfermagem , Transtorno Depressivo/prevenção & controle , Feminino , Humanos , Solidão , Masculino , Autonomia Pessoal , Autoimagem , Transtornos do Sono-Vigília/epidemiologia , Transtornos do Sono-Vigília/etiologia , Transtornos do Sono-Vigília/enfermagem , Inquéritos e QuestionáriosRESUMO
This first study of depression and alcohol abuse in indigenous women in Mexico focuses on Mazahua women in a rural village. Women between the ages of 15 and 55 were interviewed using the Beck Depression Inventory, an Alcohol and Other Drug Abuse survey, and a socioeconomic survey. Unexpected results showed that although alcohol abuse was absent, these women experience depression a generation earlier than the international and national averages for women, with an overall incidence about twice as great. Depression was associated with spouse's emigration, infidelity, or alcoholism. Sharp intergenerational differences were found in identity and socioeconomic status.
Assuntos
Alcoolismo/enfermagem , Transtorno Depressivo/enfermagem , Grupos Populacionais/psicologia , População Rural/estatística & dados numéricos , Adolescente , Adulto , Fatores Etários , Alcoolismo/epidemiologia , Alcoolismo/etnologia , Alcoolismo/psicologia , Pesquisa em Enfermagem Clínica , Comorbidade , Estudos Transversais , Transtorno Depressivo/epidemiologia , Transtorno Depressivo/etnologia , Transtorno Depressivo/psicologia , Feminino , Humanos , Incidência , México , Pessoa de Meia-Idade , Grupos Populacionais/estatística & dados numéricos , Enfermagem Psiquiátrica/educação , Serviço SocialRESUMO
Nursing for mental health patients was not born as a field of knowledge but rather as customary practice, that is, it was not born from a theoretical study, as a reflective exercise on the nature of appropriate treatment, but as a violent reaction against human indignity. Using the example of the Portuguese man Juan Ciudad Duarte, known as Saint John of God, the author removes the saintly nature of his man to introduce us to his most human side as a reformer, set in a historical context marked by the humanistic renaissance era and by his territory, the recently conquered Granada. Based on two cultural focuses of the Renaissance, mystical thinking and the disease of melancholy, we can get close to the origin of mental health care in Spain. Not due to a contemplative mysticism, but an active mysticism induces Juan Ciudad to rebel against the established order. Furthermore he does this using the metaphor of madness and madman in an epoch when melancholy was considered to be an evil which possessed the enlightened, a disease which afflicted the reformers, those who had crossed beyond the borders of acceptable behavior and thinking. Through this means, mysticism and melancholic humor became the basic formula which made it culturally possible to renovate the model for treating mental patients in modern Spain.
Assuntos
História da Enfermagem , Transtornos Mentais/história , Transtorno Depressivo/história , Transtorno Depressivo/enfermagem , História do Século XV , História do Século XVI , História do Século XVII , Transtornos Mentais/enfermagem , EspanhaRESUMO
OBJECTIVE: This study evaluated the efficacy of a training program developed by Pan American Health Organization/World Health Organization (PAHO/WHO) for primary care nurses aimed at improving their capacity to detect and manage depression. METHOD: Changes in knowledge and clinical practice were assessed in a group of primary care nurses in Panama who underwent the program. They were compared with a group of controls. RESULTS: Nurses who underwent the training program showed a statistically significant improvement in knowledge and detection of depressive disorders. In addition, they increased their notification of patients with depression to the primary care physician. No change was noted in the control group. CONCLUSION: The results point to the benefit of the PAHO/WHO training program for primary care nurses in the care of major depression. Further studies are required to confirm these results.
Assuntos
Transtorno Depressivo/diagnóstico , Transtorno Depressivo/enfermagem , Educação/normas , Pesquisa em Avaliação de Enfermagem , Enfermagem Primária/normas , Enfermagem Psiquiátrica/educação , Adulto , Distribuição de Qui-Quadrado , Educação em Enfermagem/normas , Feminino , Humanos , Modelos Logísticos , Diagnóstico de Enfermagem , Organização Pan-Americana da Saúde , Panamá , Organização Mundial da SaúdeRESUMO
Este trabalho apresenta uma busca de estratégias para o atendimento de pacientes alcoolistas e depressivos nas unidades básicas de saúde. A proposta fundamenta-se na aplicação de um marco conceitual que foi elaborado a partir da Teoria Interacionist a de Joyce Travelbee e por m eio das cinco fases, busca-se estabelecer uma relação terapêutica, compreendida como o próprio processo de enfermagem. O trabalho realizado visou através da interação enfermeira-pacientes-familiares estabelecer uma relação de ajuda com o propósito de promover o vínculo pessoal por meio de relações efetivas com o objetivo de oferecer ajuda a partir da criação de espaços terapêuticos e educativos, oportunizando, sempre que necessário, encaminhamentos que possibilitem a recuperação. ...
Assuntos
Humanos , Alcoolismo/enfermagem , Centros de Saúde , Relações Enfermeiro-Paciente , Relações Profissional-Família , Transtorno Depressivo/enfermagemRESUMO
Although immigrants and refugees share the experience of adapting to a new country, life experiences and circumstances surrounding leaving their homelands are vastly different. The most salient difference is their motivation for leaving. Immigrants typically leave their homeland to seek improved economic opportunities and/or to join other family members. Refugees leave their homeland under the threat of injury or loss of life due to political or religious persecution and severe deprivation of basic life necessities. Since the decision to migrate is often viewed as a positive change for immigrant women in comparison to refugee women, mental health problems may be under -detected. The researchers will describe the prevalence of depression in two of the largest groups of migrant women in the U.S., immigrant Mexican women (N=220) and refugee Southeast Asian women (N=163). The purpose of this paper is to compare and contrast life circumstances that may impact on the prevalence of depression in both groups of women. The issues presented are important for nurses internationally who assess and design interventions for immigrant and refugee populations of women.
Assuntos
Asiático/psicologia , Transtorno Depressivo/etnologia , Emigração e Imigração , Americanos Mexicanos/psicologia , Refugiados/psicologia , Adulto , Sudeste Asiático/etnologia , Comparação Transcultural , Estudos Transversais , Transtorno Depressivo/enfermagem , Feminino , Humanos , Profissionais de Enfermagem , Diagnóstico de EnfermagemRESUMO
This is the report about a therapeutic relationship developed with a depressed patient using the principles of non directive techniques centralized on the patient, the nurse tried to understand the problem brought up by him and his alternative of solution establishing the help relationship with the least interference. The analysis point out the patient problems such as the positive and negative aspects of the nurse performance.
Assuntos
Transtorno Depressivo/enfermagem , Transtorno Depressivo/psicologia , Relações Enfermeiro-Paciente , Enfermagem Psiquiátrica/métodos , Comunicação , Humanos , Masculino , Pessoa de Meia-Idade , Resolução de ProblemasRESUMO
In a humanist care model we searched to analyse experiences lived by nurses interacting with chronic depression patients. There was a female patient who was being assisted by Psycho-social Support Nucleus (NAP), 60 years old, presenting depressive symptoms, proper for her age, probably stressed by her suffering experiences in life. It was a therapeutic interaction as matters of the patient's interest (not the nurses interest) have been presented; the pace of communication has been determined b the patient herself; the nurse (except in the very beginning when the patient was a little anxious) followed her communication, physically approaching her whenever it was necessary; intervened only at necessary moments; inspired confidence that was necessary for the patient to talk about her intimate feelings; helped her to recover when she was out of control; conducted her safely, but with comprehensive attitude until the patient felt easy to leave her; demonstrated that she could help her in other moments if she thought it was necessary. Interaction achieved its aims helping the patient and being technically adequate for therapeutic and diagnosis aspects.
Assuntos
Comunicação , Transtorno Depressivo/enfermagem , Transtorno Depressivo/psicologia , Relações Enfermeiro-Paciente , Enfermagem Psiquiátrica/métodos , Idoso , Doença Crônica , Empatia , Feminino , Comportamento de Ajuda , Humanismo , Humanos , Pessoa de Meia-Idade , Modelos de Enfermagem , Apoio SocialRESUMO
Säo descritos os principais pontos norteadores da assistência a pacientes com depressäo endógena. A autora tem como principal objetivo ajudar o enfermeiro no planejamento da assistência de enfermagem e na orientaçäo aos membros da equipe de enfermagem.
Assuntos
Transtorno Depressivo/enfermagem , Enfermagem Psiquiátrica/métodos , Equipe de EnfermagemRESUMO
This study examined correlates of maternal depression among Mexican-American migrant farmworker mothers. One hundred Mexican-American migrant farmworker mothers of preschoolers who participated in the Texas Migrant Council's Headstart program were interviewed. The results suggested that this sample of mothers was at risk for depression. Those mothers who had child care support available and whose problems were taken seriously when shared were less likely to become depressed than mothers who did not have such support.