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Objective@#To explore the relationship among grit, self-identity and self-esteem and the mediating role of self-identity between grit and self-esteemin middle school students, so as to provide evidence for the study of grit of middle school students.@*Methods@#In March 2019,1 476 middle school students were selected from two ordinary middle schools in a county of Fujian Province. 12-Ttem Grit-scale, Selt-identity Scale and Selt-esteem Scale were used to conduct the questionnaire survey.@*Results@#Relevant analysis showed that perseverance of efforts, consistency of interests were positively correlated with self-identity (r=0.40, 0.31,P<0.01) and self-esteem (r=0.46, 0.18, P<0.01). Self-identity and self-esteem were positively correlated (r=0.67,P<0.01).The results of the mediation test showed that self-identity partially mediates the relationship between perseverance of efforts and self-esteem,mediation effect accounted for 50.38% of the total effect.Self-identity fullymediatesthe relationshipbetween consistency of interests and self-esteem.@*Conclusion@#The self-identity of middle school students partially mediates the relationship between perseverance of efforts and self-esteem, and completely mediates the relationship between consistency of interests and self-esteem.
RESUMEN
Objetivo: Este trabalho objetiva relatar a experiência do projeto de apoio matricial às ESF, com a intenção de contribuir com a rede de atenção à saúde mental. Material e métodos: Primeiramente, realizou-se o diagnóstico situacional do CAPSII, o qual reforçou a necessidade de integração da rede de atenção à saúde através do apoio matricial. A roda de conversa foi o método adotado para conduzir as visitas de apoio matricial às ESF. Resultados: Diante das dúvidas dos profissionais de saúde, foram fornecidas informações sobre o manejo dos usuários com transtornos mentais, os diagnósticos e as possibilidades de intervenção e encaminhamento para cada caso. Em geral, as dúvidas refletiam a falta de suporte técnico especializado para lidar com as demandas em saúde mental, as quais estão presentes no cotidiano das práticas de saúde, principalmente quando relacionadas a casos crônicos ou em situação de crise. Conclusão: Conclui-se que a falta de comunicação e de umaestreita relação entre a ESF e o CAPS II compromete significativamente o funcionamento da rede de saúde mentale, conseqüentemente, a qualidade do atendimento prestado a os usuários de transtorno mental e seus familiares. O presente projeto foi reconhecido pela sua relevância e institucionalizado nas práticas dos serviços de saúde mental de Palmas-TO, enfatizando a necessidade de implantação do NASF - Núcleo de Apoio à Saúde da Família.
Objective: This study aims to report the experience of thematrix support in Family Health Teams, with the purpose of contributing to the mental health care network. Material andmethods: First, there was a situational diagnosis of CAPS II,which reinforced the need to integrate the health carenetwork through the matrix support. The free discussionwas the method adopted to conduct the visits of matrixsupport in the FHTs. Results: Given the concerns of healthprofessionals, information was provided as regardsmanagement of users with mental disorders, diagnosis andpossibilities of intervention and referral for each case. Ingeneral, the questions reflected a lack of specialized technicalsupport to cope with the demands on mental health, whichare present in everyday health practices, especially whenrelated to chronic conditions or crises. Conclusion: It isconcluded that lack of communication and of a closerelationship between FHTs and CAPS II significantlyundermines the functioning of the mental health network and,consequently, the quality of care given to users of mentaldisorders and to their families. This project was recognizedfor its relevance and was institutionalized in the practices ofmental health services in Palmas-TO, emphasizing the needfor deployment of the NASF - Support Center for Family Health.