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CirurgicaMENTE: Programa Psicoeducativo em Enfermagem para a redução da ansiedade na pessoa no período pré-operatório
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O presente relatório descreve o percurso de aprendizagem desenvolvido no âmbito do Mestrado em Enfermagem de Saúde Mental e Psiquiátrica, da Escola Superior de Saúde do Instituto Politécnico de Leiria, evidenciando as competências comuns e específicas do enfermeiro especialista adquiridas ao longo dos ensinos clínicos realizados em três contextos distintos: internamento, comunidade e respostas diferenciadas. Em cada contexto foram desenvolvidas intervenções psicoeducacionais, psicoterapêuticas, socioterapêuticas e psicossociais, centradas nas necessidades das pessoas acompanhadas, com recurso a programas estruturados, bem como a estudos de caso, formação em serviço e reflexões críticas sustentadas no ciclo de Gibbs.
Integrado neste percurso, apresenta-se o projeto de melhoria contínua da qualidade CirurgicaMENTE, um programa psicoeducativo de enfermagem para a redução da ansiedade na pessoa no período pré-operatório, implementado na Consulta Externa de Psiquiatria de uma Unidade Local de Saúde da Região de Lisboa e Vale do Tejo. O programa foi estruturado em quatro sessões individuais presenciais, baseadas na abordagem cognitivo-comportamental, integrando psicoeducação, reestruturação cognitiva e treino de respiração diafragmática. Adotou-se um estudo pré-experimental de grupo único com avaliação pré e pós-intervenção, utilizando a Escala GAD-7 como instrumento principal. A amostra final foi constituída por cinco participantes. Os resultados evidenciaram uma redução estatisticamente significativa da ansiedade (p=0,042), com diminuição da média da GAD-7 de 9,0 para 2,2 pontos e da mediana de 9,0 para 1,0, sem qualquer caso de agravamento. Os questionários de satisfação revelaram níveis muito elevados de aceitação do programa.
Os resultados sugerem que intervenções breves, estruturadas, de base psicoeducativa e cognitivo-comportamental, conduzidas pelo enfermeiro especialista em saúde mental, podem constituir uma resposta eficaz na redução da ansiedade pré-operatória. A reduzida dimensão amostral constitui a principal limitação, recomendando-se a replicação do programa com amostras maiores.
This report describes the learning path developed within the Master's Degree in Mental Health and Psychiatric Nursing at the School of Health Sciences, Polytechnic Institute of Leiria, highlighting the common and specific competencies of the specialist nurse acquired throughout the clinical placements carried out in three distinct settings: inpatient care, community care, and specialised responses. In each setting, psychoeducational, psychotherapeutic, sociotherapeutic, and psychosocial interventions were developed, centred on the needs of the individuals receiving care, using structured programmes, case studies, in-service training, and critical reflections supported by the Gibbs reflective cycle. As part of this learning path, the continuous quality improvement project CirurgicaMENTE is presented — a nursing psychoeducational programme for the reduction of anxiety in adults during the preoperative period, implemented at the Outpatient Psychiatry Clinic of a Local Health Unit in the Lisbon and Tagus Valley region. The programme comprised four individual face-to-face sessions based on a cognitive-behavioural approach, integrating psychoeducation, cognitive restructuring, and diaphragmatic breathing training. A pre-experimental single-group design with pre- and post-intervention assessment was adopted, using the GAD-7 Scale as the main instrument. The final sample consisted of five participants. Results showed a statistically significant reduction in anxiety (p=0.042), with the GAD-7 mean decreasing from 9.0 to 2.2 points and the median from 9.0 to 1.0, with no cases of worsening. Satisfaction questionnaires revealed very high levels of programme acceptance. The findings suggest that brief, structured interventions based on psychoeducation and cognitive-behavioural therapy, delivered by specialist mental health nurses, may represent an effective response in reducing preoperative anxiety. The small sample size constitutes the main limitation, and replication with larger samples is recommended.
This report describes the learning path developed within the Master's Degree in Mental Health and Psychiatric Nursing at the School of Health Sciences, Polytechnic Institute of Leiria, highlighting the common and specific competencies of the specialist nurse acquired throughout the clinical placements carried out in three distinct settings: inpatient care, community care, and specialised responses. In each setting, psychoeducational, psychotherapeutic, sociotherapeutic, and psychosocial interventions were developed, centred on the needs of the individuals receiving care, using structured programmes, case studies, in-service training, and critical reflections supported by the Gibbs reflective cycle. As part of this learning path, the continuous quality improvement project CirurgicaMENTE is presented — a nursing psychoeducational programme for the reduction of anxiety in adults during the preoperative period, implemented at the Outpatient Psychiatry Clinic of a Local Health Unit in the Lisbon and Tagus Valley region. The programme comprised four individual face-to-face sessions based on a cognitive-behavioural approach, integrating psychoeducation, cognitive restructuring, and diaphragmatic breathing training. A pre-experimental single-group design with pre- and post-intervention assessment was adopted, using the GAD-7 Scale as the main instrument. The final sample consisted of five participants. Results showed a statistically significant reduction in anxiety (p=0.042), with the GAD-7 mean decreasing from 9.0 to 2.2 points and the median from 9.0 to 1.0, with no cases of worsening. Satisfaction questionnaires revealed very high levels of programme acceptance. The findings suggest that brief, structured interventions based on psychoeducation and cognitive-behavioural therapy, delivered by specialist mental health nurses, may represent an effective response in reducing preoperative anxiety. The small sample size constitutes the main limitation, and replication with larger samples is recommended.
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Enfermagem de saúde mental e psiquiátrica Ansiedade pré-operatória Psicoeducação Terapia cognitivo-comportamental Competências especializadas Intervenção não farmacológica
Contexto Educativo
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Licença CC
Sem licença CC