ABSTRACT
O presente estudo busca realizar um diagnóstico da atenção à saúde mental no contexto da Atenção Primária no município de Florianópolis. Para tanto, utilizamos como instrumento para a coleta de dados entrevistas realizadas com coordenadores de unidades locais de saúde. Os resultados apontaram para o recente surgimento de um trabalho mais específico em saúde mental, embora os relatos pareçam indicar que as equipes ainda desenvolvam suas ações direcionadas mais para a realização diagnóstica e reabilitação do que para a promoção em saúde e prevenção de agravos maiores decorridos do sofrimento psíquico. Este estudo procurou contribuir para o conhecimento do cuidado realizado em saúde mental na atenção básica, trazendo elementos para discussões pautadas na realidade do município e na perspectiva de colaborar para o aprimoramento deste serviço.
This study aims to do a diagnosis of mental health care within the context of Primary Care in Florianópolis, SC. Thus, interviews were conducted with coordinators of local health units to collect data besides documental analyses. The results showed that a more specific approach has been recently adopted in mental health, even though the comments of those interviewed signal that the working teams' actions are still focused on diagnosis production and rehabilitation rather than on health promotion and prevention of further damage resulting from the mental illnesses. This study attempted to contribute to a deep understanding of mental health care provided by Primary Care Units, by offering and opportunity to discuss this issue based on the local reality, and collaborating for the improvement of this service.
Subject(s)
Primary Health Care , Mental HealthABSTRACT
This study was conducted to determine the correlation between weighted needle pinprick sensory threshold(PPT) and sensory nerve conduction tests. The subjects were 53 healthy controls, 31 diabetic patients without peripheral neuropathic symptoms(DM) and 36 diabetic patients with peripheral neuropathic symptoms(DN). PPT was measured on the index and little fingers, bilaterally, as well as under the lateral malleolus, bilaterally. In electrophysiologic assessment the left and right median, ulnar and sural nerves were studied. Each mean PPTs was high in order of controls, DM and DN. Age adjusted PPT was significantly different among three groups on right little finger(p<0.05) and left malleolus(p<(0.05), but not significantly different between DN and DM on other sites. Each sensory nerve conduction velocity and amplitude was statistically significantly different among three groups(p<0.05). Correlations of PPT with sensory nerve conduction velocity and amplitude were statistically significant on each site and ranged from -0.4203(left malleolus) to -0.5649(right index finger) and from -0.3897(left index finger) to -0.6200(right index finger), respectively. When electrophysiological study is not feasible, measurement of PPT may be helpful for the assessment of peripheral sensory neurological function.