Telenursing in mental health: effect on anxiety symptoms and alcohol consumption during the COVID-19 pandemic. / Teleenfermería en salud mental: efecto sobre los síntomas de ansiedad y el consumo de alcohol durante la pandemia de COVID-19.

OBJECTIVE: (1) A remote intervention with a positive impact on reducing anxiety and alcohol use. (2) Nursing as a protagonist of preventive care in mental health (3) A low-cost intervention that covers several population groups. (4) Telenursing in mental health as a care strategy during COVID-19. to investigate the effect of a remote intervention on anxiety symptoms and alcohol use in users of the Primary Health Care service. METHOD: a quasi-experimental study conducted with 1,270 participants who answered the Alcohol Use Disorders Identification Test and the State-Trait Anxiety Inventory-6. Of these, 1,033 interviewees scored for moderate/severe anxiety symptoms (STAI-6 > 3) and moderate/severe risk alcohol use (AUDIT-C > 3), and received the interventions via telephone calls with follow-up periods lasting seven and 180 days. For data analysis, a mixed-effects regression model was used. RESULTS: the effect of the intervention performed was positive in reducing anxiety symptoms between T0 and T1 (µ=1.6, p<0.001) and in reducing the alcohol use pattern between T1 and T3 (µ=1.57, p<0.001). CONCLUSION: the follow-up results suggest a positive effect of the intervention in reducing anxiety and the alcohol use pattern, which tends to be maintained over time. There is diverse evidence that the intervention proposed can be an alternative for preventive care in mental health, in situations where accessibility of the user or the professional is compromised.

Suicide preventive strategies for the nursing team in the COVID-19: a scoping review / Estratégias preventivas ao suicídio para equipe de enfermagem na COVID-19: uma revisão de escopo / Estrategias preventivas al suicidio para un equipo de enfermería durante el COVID-19: una revisión de alcance

Resumo Objetivo Identificar as estratégias de prevenção da ideação suicida e do suicídio durante a pandemia de COVID-19 para a equipe de enfermagem. Métodos Revisão de escopo realizada nas bases de dados PubMed, BVS, SCOPUS, Web of Science, LILACS, CINAHL, Embase, PsycINFO e na literatura cinzenta como Google Acadêmico. Resultados Compõem esta revisão 11 artigos, todos publicados em inglês, a maioria publicada no ano de 2021, nos Estados Unidos da América. As estratégias identificadas perpassam a psicoeducação; espaços para acolhimento das demandas dos profissionais, escuta, apoio e promoção de bem-estar; avaliação e rastreio da saúde mental; encaminhamento para serviços de apoio especializados; intervenção psicológica e aconselhamento; estratégias para reconhecer e lidar com gatilhos, emoções e pensamentos negativos; ações de autocuidado; escuta; apoio e promoção de bem-estar; dentre outras. Conclusão As estratégias que resultaram em impacto positivo na saúde mental das equipes de enfermagem foram a criação de espaços para acolhimento das demandas dos profissionais, escuta, apoio e promoção de bem-estar, além da avaliação e do rastreio da saúde mental como formas de prevenção às ações e às ideações suicidas. Destaca-se a importância de estudos que avaliem o efeito das estratégias na saúde mental das equipes de enfermagem para que protocolos possam ser criados na mitigação do problema.

Resumen Objetivo Identificar las estrategias de prevención de la ideación suicida y del suicidio durante la pandemia de COVID-19 para el equipo de enfermería. Métodos Revisión de alcance realizada en las bases de datos PubMed, BVS, SCOPUS, Web of Science, LILACS, CINAHL, Embase, PsycINFO y en la literatura gris, como Google Académico. Resultados Integran esta revisión 11 artículos, todos publicados en inglés, la mayoría publicada en el año 2021, en Estados Unidos de América. Las estrategias identificadas abarcan la psicoeducación; espacios para la acogida de las demandas de los profesionales, escucha, apoyo y promoción del bienestar; evaluación y rastreo de la salud mental; derivación para servicios de apoyo especializados; intervención psicológica y orientación; estrategias para reconocer y lidiar con disparadores, emociones y pensamientos negativos; acciones de autocuidado; escucha; apoyo y promoción del bienestar; entre otras. Conclusión Las estrategias que tuvieron un impacto positivo en la salud mental de los equipos de enfermería fueron la creación de espacios para acoger las demandas de los profesionales, escucha, apoyo y para la promoción del bienestar, además de la evaluación y el rastreo de la salud mental como formas de prevención de las acciones y de las ideaciones suicidas. Se destaca la importancia de estudios que evalúen el efecto de las estrategias en la salud mental de los equipos de enfermería para que se puedan crear protocolos para mitigar el problema.

Abstract Objective To identify strategies for the prevention of suicidal ideation and suicide during the COVID-19 pandemic for the nursing team. Methods Scoping review performed in PubMed, VHL, SCOPUS, Web of Science, LILACS, CINAHL, Embase, PsycINFO databases and in the gray literature, such as Google Scholar. Results This review comprises 11 articles, all published in English, mostly in year 2021 in the United States of America. The identified strategies include psychoeducation; spaces for embracement of professionals' demands, listening, support and promotion of wellbeing; mental health assessment and screening; referral to specialized support services; psychological intervention and counseling; strategies for recognizing and dealing with triggers, emotions and negative thoughts; self-care actions, among others. Conclusion Strategies that had a positive impact on the mental health of nursing teams were the creation of spaces for embracement of professionals' demands, listening, support and promotion of wellbeing, and the assessment and screening of mental health as ways of preventing suicidal actions and ideations. The importance of studies that evaluate the effect of strategies on the mental health of nursing teams stands out, so that protocols can be created to mitigate the problem.

Implications of Cannabis and Cannabinoid Use in COVID-19: Scoping Review.

OBJECTIVE: to identify and synthesize studies on the effects of cannabis use and its relation with SARS-CoV-2, as well as the therapeutic possibilities of using cannabinoids in the prevention and treatment of COVID-19. METHODS: scoping review, in the BVS, PubMed, SCIELO, CINAHL, SCOPUS, Web of Science, MedNar, CAPES and ProQuest databases, with no language restriction and year limitation. Narrative synthesis was performed. RESULTS: cannabis use causes changes in the respiratory and vascular system, it reduces the production of cytokines, which affects the users' immune system, increasing the susceptibility to infection and progression of COVID-19. However, studies have suggested the use of cannabinoids in the prophylaxis and treatment of COVID-19, due to their anti-inflammatory effect. CONCLUSIONS: the use of inhaled cannabis increases the progression and severity of the infection. On the other hand, the benefits of cannabinoids seem promising to modulate the immune system, but it needs further studies.

Alcohol Use and Anxiety in Primary Health Care Patients During the COVID-19 Pandemic: a Phone-Based Study

In March 2020, physical distancing and quarantine measures were implemented in Brazil, which may have affected the physical and mental health of the population. This cross-sectional study used a convenience sample and telephone-based interviews to identify anxiety symptoms and alcohol use patterns among 1,264 Brazilian primary health care (PHC) patients during the COVID-19 pandemic. The State-Trait Anxiety Inventory-State 6 and Alcohol Use Disorders Identification Test (AUDIT-C) questionnaires were used to assess anxiety symptoms and alcohol use patterns, respectively. According to the AUDIT-C results, the prevalence of harmful drinking was 38.5%. Those who reported that their alcohol consumption decreased during the pandemic had high scores on the AUDIT-C, indicating a moderate/severe risk of drinking. Moderate or severe anxiety was observed in 60.1% of participants. These results highlight the needs to assess the pandemic’s consequences on the mental health of the population and to encourage the implementation of preventive approaches in PHC settings to address anxiety and harmful alcohol consumption.

Strategies Adopted by Addiction Facilities during the Coronavirus Pandemic to Support Treatment for Individuals in Recovery or Struggling with a Substance Use Disorder: A Scoping Review.

This review aimed to identify and synthesize strategies and actions adopted by addiction facilities to support and maintain treatment during the coronavirus disease 2019 (COVID-19) pandemic. A scoping review was conducted using the following information sources: Virtual Health Library, SCOPUS, Web of Science, PubMed, CINAHL, and Latin American and Caribbean Health Science Literature. From a total of 971 articles, 28 studies were included. The strategies to maintain the care offer were telehealth/telemedicine, counselling/screening, 24-h telephone, webinars, conducting group therapy and support among users, adaptation for electronic health records, increased methadone/naloxone dispensing, restriction in the number of medication dispensing/day, and electronic prescription and home delivery medications. These strategies can be used to support health professionals in addressing the impact of the pandemic on the treatment of those in recovery or struggling with a substance use disorder when in-person treatment is not possible.