Riscos psicossociais no trabalho dos docentes de enfermagem e estratégias de coping / Psychosocial risks at work of the nursing faculty and coping strategies / Riesgos psicosociales en el trabajo de los profesores de enfermería y las estrategias de afrontamiento

Objetivo: conhecer os riscos psicossociais a que estão expostos os docentes de Enfermagem e estratégias de coping utilizadas pelos mesmos no seu processo de trabalho. Método: estudo descritivo, tipo informativo, a partir de revisão bibliográfica, com busca livre na Biblioteca Virtual em Saúde (BVS), no site da BIREME, na Scielo e na base de dados Bdenf, no período de setembro a outubro de 2014. Foram selecionadas 12 publicações. Resultados: os docentes enfermeiros estão expostos a diferentes formas de organização e remuneração no trabalho que contribuem para o estresse laboral, o assédio moral, alta produtividade e baixo rendimento. As estratégias de coping identificadas foram desde terapias com florais, relaxamento, ao lazer com a família. Conclusão: faz-se essencial uma política voltada para a melhoria das organizações de trabalho docente, a fim de minimizar as doenças e riscos ocupacionais presentes no seu processo de trabalho.(AU)

Objective: to get to know psychosocial risks they are exposed to the Nursing faculty and coping strategies they use in their work process. Method: descriptive, informative study, from literature review, with free search in the Virtual Health Library (VHL), the BIREME site in Scielo and BDENF database, from September to October 2014 were selected 12 publications. Results: The nursing teachers are exposed to different forms of organization and compensation for the work which contribute to work stress, bullying, high productivity and low income. The coping strategies were identified from therapies with florals, relaxation, leisure with family. Conclusion: it is essential to have a policy to improve the teaching work of organizations in order to minimize occupational diseases and risks present in their work process.(AU)

Objetivo: conocer los riesgos psicosociales en que están expuestos los docentes de enfermería y estrategias de afrontamiento utilizadas por los mismos en su proceso de trabajo. Método: estudio descriptivo, de tipo informativo, de revisión de la literatura, con búsqueda libre sobre salud en la Biblioteca Virtual (BVS), en el sitio de BIREME, Scielo y bases de datos BDENF, en el período comprendido entre septiembre a octubre de 2014. Se seleccionaron 12 publicaciones. Resultados: enfermeros docentes están expuestos a diversas formas de organización y remuneración en el trabajo, lo que contribuye al estrés laboral, intimidación moral, alta productividad y bajo rendimiento. Las estrategias de afrontamiento identificadas han sido terapias con florales, la relajación y el ocio con la familia. Conclusión: hace imprescindible una política orientada a la mejora de las organizaciones laborales, con el fin de minimizar las enfermedades y riesgos ocupacionales presentes en su proceso de trabajo.(AU)

A vivência acadêmica em um serviço de atenção psicossocial: relato de experiência / Academic experience in a psychosocial care service: an experience report

Esse artigo objetiva relatar as experiências de acadêmicas de enfermagem vivenciadas no Centro de Atenção Psicossocial (CAPS) através do Programa de Educação pelo Trabalho (PET) para a Saúde/Saúde Mental/Crack, Álcool e outras Drogas. O programa busca qualificar a formação dos futuros profissionais da saúde e é destinado a fomentar grupos de aprendizagem no âmbito da Atenção em Saúde Mental, Crack, Álcool e outras Drogas. Dentro desse contexto, o PET se insere nos serviços de saúde de forma a auxiliar e melhorar a qualidade do serviço prestado aos usuários, familiares e comunidade em que estão inseridos. No CAPS são realizadas diversas atividades, entre elas, grupos de psicofármacos, de artesanato, de atividade física, de alfabetização, de culinária, visitas domiciliares, grupos de familiares, assembleia de usuários, atendimento individual. Estas atividades contribuem no aprendizado dos acadêmicos, proporcionando uma formação cidadã com ampla visão de senso coletivo, percepção de responsabilização e compromisso social.

This article aims reporting the nursing academic experiences faced at the Center of Psychosocial Assistance (CAPS ­ in Portuguese) through the Work Education Program (PET) for Health / Mental Health / Crack, Alcohol and other Drugs. The program aims qualifying the preparation of future health professionals and is developed in order to help learning groups focused on Mental Health Attention, Crack, Alcohol and other Drugs. Within this context, the PET is present in health services in order to help and improve the quality of the service offered to users, families and the community in which these people live. At CAPS, several activities are performed, including psychotropic groups, craftwork, physical education, literacy, cooking, home visits, family groups, users' groups, and individual assistance. These activities contribute in the experience of the students, providing some citizen training with a broad vision of collective sense, perception of accountability and social commitment.

Visita domiciliar no atendimento a usuários de um centro de atenção psicossocial: relato de experiência / Home visit in the care of users in a psychosocial care center: an experience report / Visita domiciliaria en el cuidado a usuarios en un centro de atención psicosocial: relato de experiencia

Este artigo tem como objetivo relatar a experiência acadêmica do curso de enfermagem de um Centro de Atenção Psicossocial (CAPS) por meio de visita domiciliar. O CAPS é um serviço de base comunitária que atende pessoas com transtorno mental e seus familiares, em que a inclusão social e a reabilitação são os eixos que norteiam o cuidado dos profissionais. Um dos principais dispositivos utilizados para monitorar a rede social é a visita domiciliar, pois a partir dela podemos ter o diagnóstico da realidade do indivíduo e de sua família. Podemos ver a visita domiciliar como uma forma de compartilhar mais a sintonia entre a comunidade e os alunos que desenvolvem a doença. Através da troca de conhecimentos podemos intervir de forma positiva, melhorando a qualidade de vida da comunidade através da educação e promoção da saúde.

This article aims to report the academic experience of the nursing program at a Center for Psychosocial Care (CAPS) through home visits. CAPS is a community-based service that provides care for people with mental illness and their families, in which social inclusion and rehabilitation are the axes that guide the care of professionals. One of the main devices used to monitor the social network is the home visit, because from it we can have the diagnosis of the reality of the individual and his family. We can see the home visit as a way to share more in line between the community and students who develop the disease. Through the exchange of knowledge we can intervene in a positive way, improving the quality of life of the community through education and health promotion. during home visits can strengthen ties with families in order to involve all actors in the process of care before it is possible to create or strengthen ties to the professional providing greater autonomy in interdisciplinary effectiveness of their actions.

Este artículo tiene como objetivo relatar la experiencia de académicas del curso de enfermería en un Centro de Atención Psicosocial (CAPS) a través de visitas domiciliarias. El CAPS es un servicio de base comunitaria que presta cuidados a persona con enfermedad mental y a su familia, en el que la inclusión social y la rehabilitación son los ejes que guían a los profesionales de estos cuidados. Uno de los principales dispositivos utilizados para acompañar esa red social es la visita domiciliaria, pues es a partir de ella que podemos tener el diagnóstico de la realidad del individuo y de su familia. Podemos observar la visita domiciliaria como un espacio de cambio más próximo entre la comunidad y los alumnos que la desarrollan. Mediante el intercambio de conocimientos podemos intervenir de una manera positiva, mejorando la calidad de vida de esta comunidad a través de la educación y promoción de la salud. Durante la visita domiciliaria es posible estrechar los lazos con las familias para que participen todos los actores del proceso de la atención, delante de esto es posible crear o fortalecer los vínculos, proporcionando al profesional una mayor autonomía en la efectividad de sus acciones interdisciplinarias.

Effects of massage therapy on sleep quality after coronary artery bypass graft surgery.

INTRODUCTION: Having poor sleep quality is common among patients following cardiopulmonary artery bypass graft surgery. Pain, stress, anxiety and poor sleep quality may be improved by massage therapy. OBJECTIVE: This study evaluated whether massage therapy is an effective technique for improving sleep quality in patients following cardiopulmonary artery bypass graft surgery. METHOD: Participants included cardiopulmonary artery bypass graft surgery patients who were randomized into a control group and a massage therapy group following discharge from the intensive care unit (Day 0), during the postoperative period. The control group and the massage therapy group comprised participants who were subjected to three nights without massage and three nights with massage therapy, respectively. The patients were evaluated on the following mornings (i.e., Day 1 to Day 3) using a visual analogue scale for pain in the chest, back and shoulders, in addition to fatigue and sleep. Participants kept a sleep diary during the study period. RESULTS: Fifty-seven cardiopulmonary artery bypass graft surgery patients were enrolled in the study during the preoperative period, 17 of whom were excluded due to postoperative complications. The remaining 40 participants (male: 67.5%, age: 61.9 years ± 8.9 years, body mass index: 27.2 kg/m² ± 3.7 kg/m²) were randomized into control (n = 20) and massage therapy (n = 20) groups. Pain in the chest, shoulders, and back decreased significantly in both groups from Day 1 to Day 3. The participants in the massage therapy group had fewer complaints of fatigue on Day 1 (p=0.006) and Day 2 (p=0.028) in addition, they reported a more effective sleep during all three days (p=0.019) when compared with the participants in the control group. CONCLUSION: Massage therapy is an effective technique for improving patient recovery from cardiopulmonary artery bypass graft surgery because it reduces fatigue and improves sleep.

Effects of massage therapy on sleep quality after coronary artery bypass graft surgery

INTRODUCTION: Having poor sleep quality is common among patients following cardiopulmonary artery bypass graft surgery. Pain, stress, anxiety and poor sleep quality may be improved by massage therapy. OBJECTIVE: This study evaluated whether massage therapy is an effective technique for improving sleep quality in patients following cardiopulmonary artery bypass graft surgery. METHOD: Participants included cardiopulmonary artery bypass graft surgery patients who were randomized into a control group and a massage therapy group following discharge from the intensive care unit (Day 0), during the postoperative period. The control group and the massage therapy group comprised participants who were subjected to three nights without massage and three nights with massage therapy, respectively. The patients were evaluated on the following mornings (i.e., Day 1 to Day 3) using a visual analogue scale for pain in the chest, back and shoulders, in addition to fatigue and sleep. Participants kept a sleep diary during the study period. RESULTS: Fifty-seven cardiopulmonary artery bypass graft surgery patients were enrolled in the study during the preoperative period, 17 of whom were excluded due to postoperative complications. The remaining 40 participants (male: 67.5 percent, age: 61.9 years ± 8.9 years, body mass index: 27.2 kg/m² ± 3.7 kg/m²) were randomized into control (n = 20) and massage therapy (n = 20) groups. Pain in the chest, shoulders, and back decreased significantly in both groups from Day 1 to Day 3. The participants in the massage therapy group had fewer complaints of fatigue on Day 1 (p=0.006) and Day 2 (p=0.028) in addition, they reported a more effective sleep during all three days (p=0.019) when compared with the participants in the control group. CONCLUSION: Massage therapy is an effective technique for improving patient recovery from cardiopulmonary artery bypass graft surgery because it reduces fatigue and improves sleep.

Aspectos fisioterapêuticos e prognósticos da Síndrome de Pusher / Aspectos fisioterapéuticos y pronósticos de la Síndrome de Pusher / Physiotherapeutic aspects and prognostic of Pusher Syndrome

Síndrome de Pusher (SP) é uma alteração do controle postural caracterizada por um distúrbio da percepção corporal vertical em relação à gravidade, na qual os pacientes empurram o corpo lateralmente utilizando o hemicorpo não parético. Ela tem sido pouco estudada e ainda há controvérsias na literatura quanto aos seus aspectos terapêuticos e prognósticos. O objetivo deste trabalho foi verificar esses fatores terapêuticos e prognósticos. Para isso, foi realizada uma revisão da literatura por meio de pesquisas simples nas bases de dados: Medline, Embase, Pubmed, Lilacs, EBM, Cochrane, PEDro, Scielo, Portal da Pesquisa e Informa World, com os descritores pusher syndrome, contraversive pushing e pusher behavior. Foram incluídos ensaios clínicos com enfoque terapêutico e/ou prognóstico, em todos os idiomas. Foram excluídos ensaios clínicos com enfoque etiológico, fisiopatológico e diagnóstico. Ao todo, 341 referências foram encontradas e 8 ensaios clínicos responderam aos critérios de inclusão. Apenas 2 estudos descreveram a metodologia terapêutica utilizada, que consistiu em feedback visual sobre a postura vertical correta, já que a percepção visual vertical parece estar íntegra mas a transferência de peso e o treino de marcha são habilidades ausentes nesses pacientes, que impelem o corpo lateralmente. Ao que parece, a síndrome tem um bom prognóstico, com sintomas reduzidos ou ausentes entre 2 e 6 meses após o início da reabilitação. A presença associada de heminegligência e a etiologia da lesão parecem prejudicar o prognóstico. Essa estratégia terapêutica demonstrou resultados satisfatórios, mas ainda é necessária a realização de mais estudos randomizados para comprovar sua eficácia e seu impacto sobre o prognóstico da síndrome de Pusher.

Pusher Syndrome (PS) is an alteration of postural control characterized by a disorder of vertical body perception relative to gravity, in which patients push the body laterally using the non-paretic hemibody. It has not been much studied and there are still controversies in the literature regarding therapeutic and prognostic aspects. The aim of this work was checking these therapeutic and prognostic factors. For doing that, a literature survey was done by means of simple inquiries in the bases Medline, Embase, Pubmed, Lilacs, EBM, Cochrane, Peter, Scielo, Portal da Pesquisa and Informa World, with the keywords pusher syndrome, contraversive pushing and pusher behavior. Clinical papers were included with therapeutic and / or prognostic approach in all languages. Clinical papers were excluded with etiologic, physiopathologic and diagnostic approaches. Altogether, 341 references were found and 8 clinical papers were found that filled the inclusion criteria. Only 2 studies described the used therapeutic methodology, which consisted in visual feedback on the correct vertical posture, since vertical visual perception seems to persist but transfer of weight and march training were skills absent in these patients, who move the body laterally. Apparently, the syndrome has a good prognostic, with reduced or absent symptoms from 2 to 6 months after the beginning of rehabilitation. The associated presence of heminegligence and the etiology of injury seem to compromise prognostic. This therapeutic strategy had satisfactory results, but more randomized studies are necessary to prove its efficiency and impact on Pusher Syndrome prognostic.

La Síndrome de Pusher (SP) es una modificación del control postural caracterizado por un desorden de la percepción vertical del cuerpo con relación a la gravitad en la cual los pacientes empujan el cuerpo lateralmente usando el hemicuerpo non-paretico. No ha sido muy estudiada y todavía hay controversias en la literatura en cuanto a aspectos terapéuticos y pronósticos. La meta de este trabajo fue comprobar estos factores terapéuticos y pronósticos. Para hacerlo, se procedió a una revisión de literatura de promedio buscas simples en las bases de datos Medline, Embase, Pubmed, Lilas, EBM, Cochrane, Peter, Scielo, Portal da Pesquisa y Informa World, con las palabras clave pusher syndrome, contraversive pushing y pusher behavior. Se han incluido artículos clínicos con acercamiento terapéutico y / o pronóstico en todas las lenguas. Se han excluido artículos clínicos con acercamiento etiológico, fisiopatológico y diagnóstico. Se encontraran 341 referencias y 8 artículos clínicos fueron encontrados que llenaban los criterios de inclusión. Sólo 2 estudios describieron la metodología terapéutica usada, que consistió en feedback visual acerca de la postura vertical correcta, ya que parece que la percepción visual vertical persiste, pero el traslado del peso y el entrenamiento de marcha son habilidades ausentes en estos pacientes, que mueven el cuerpo lateralmente. Por lo visto, el síndrome tiene un pronóstico bueno, con síntomas reducidos o ausentes a partir de 2 a 6 meses después del principio de la rehabilitación. Parece que la presencia asociada de heminegligencia y la etiología de lesión comprometen el pronóstico. Esa estrategia terapéutica tubo resultados satisfactorios, pero más estudios aleatorios son necesarios para demostrar su eficacia e impacto en cuanto al pronóstico de la Síndrome de Pusher.