O objetivo deste artigo é comparar as médias de sobrecarga de cuidadores de usuários do Centro de Atenção Psicossocial infanto-juvenil (CAPSi) da cidade de Pelotas (RS) em relação à saúde mental de crianças e adolescentes e a do próprio cuidador. Estudo transversal realizado com o principal cuidador do usuário do CAPSi. A sobrecarga foi avaliada pela escala Zarit Burden Interview e os problemas de saúde mental dos usuários através da Strengths and Difficulties Questionnaire (SDQ). Para verificar a presença de possíveis transtornos mentais comuns (TMC) nos cuidadores, utilizou-se o questionário Self-Report Questionnaire (SRQ-20). Foi utilizado o Teste t e ANOVA para análise dos dados. As médias de sobrecarga foram significativamente mais altas nos cuidadores de usuários com problemas de conduta (p = 0,000), hiperatividade (p = 0,001) e problemas de relacionamento com colegas (p = 0,001). Também foram significativamente maiores entre aqueles classificados como possíveis casos de TMC (p = 0,000); entre as mulheres (p = 0,032) e os que já tiveram problemas na Justiça e/ou Conselho Tutelar (p = 0,039) envolvendo o usuário. Salienta-se a importância de trabalhos destinados aos cuidadores visando melhorar a qualidade do cuidado e da vida dos mesmos.
Background The parental bond is characterized by the perception of care and protection received by parental figures throughout human development. During the gestational period, the intensity in which the woman manifests behaviors and feelings for the fetus was denominated maternal-fetal attachment (MFA). In this perspective, the literature indicates that there is association between MFA and the pregnant woman's perception about the bond established with her parents. Aims This study aimed to evaluate the association between MFA and perceived parental bonds of pregnant women in the city of Pelotas/RS (Brazil). Study design This is a cohort study with 839 women during their gestational period. All women answered to the Parental Bonding Instrument to investigate the perceived parental bonds, and the MFA was assessed through the Maternal-Fetal Attachment Scale. Results The main results showed that perceived paternal overprotection was associated with a higher MFA after adjustment (B 2.00 CI95% 0.30; 3.70). Additionally, the pregnant women who were in the first trimester of pregnancy ( p < 0.001), who did not live with a partner ( p = 0.018), and who did not feel supported by the baby's father during pregnancy ( p = 0.014) presented lower scores of MFA. Conclusion This study showed the importance of the paternal role in the women's life, considering the perception of the bond with their father during their development, an adequate support by the father of the baby, and the presence of a partner during pregnancy. As a result, the paternal role may influence the feelings and behaviors of greater affection, care, and concern regarding the fetus.
Objetivo: Avaliar e caracterizar as quedas de pacientes em um hospital no sul do Brasil. Método: Estudo descritivo e retrospectivo de 73 notificações de quedas em um hospital no sul do Brasil, de janeiro 2016 a dezembro de 2019. Utilizou-se dados secundários obtidos pelo Núcleo de Segurança do Paciente da instituição e da Morse Fall Scale, sendo a análise estatística descritiva. Resultados: A maioria dos pacientes que sofreram quedas foi do sexo masculino (60,3%), >61 anos (50,6%), tratamento clínico (89,0%), portadores de neoplasias (43,8%) em uso contínuo de medicações (91,8%). As quedas ocorreram da própria altura (67,1%), no banheiro (56,2%) e no turno da noite (50,0%). Em 50,7% das quedas houve danos ao paciente, sendo os danos considerados como: leve (62,2%), moderado (32,4%) e grave (5,4%). Conclusão: Melhorar a compreensão das quedas e as suas consequências pode auxiliar os profissionais na avaliação dos riscos e no estabelecimento de medidas preventivas.
The COVID-19 pandemic has changed individuals and families, causing adverse psychological effects, especially in young adults, women, and parents. This study aimed to verify the prevalence of current major depressive episode (CMDE) in mothers of preschoolers (up to five years old) and its associated stressors during the COVID-19 pandemic in a municipality in the Southern Brazil. This is a cross-sectional, population-based study with mothers. All mothers were interviewed by telephone call during the COVID-19 pandemic. We used the Mini-International Neuropsychiatric Interview (M.I.N.I. Plus) to assess the presence of CMDE. Statistical analysis was conducted using the chi-square test and a multivariate logistic regression. We evaluated 666 mothers. The prevalence of CMDE was 12.3%. Mothers with financial losses had 2.1 (95%CI: 1.3-3.4) more odds of presenting CMDE than those financially stable. We observed that financial losses were determinant for the higher prevalence of depression in mothers.
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