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    Avaliação de sintomatologia depressiva e autoestima em usuários de centro de referência no atendimento a queimados
    (Universidade Federal de São Paulo (UNIFESP), 2020-09-24) Moraes, Sandra Renata Pinatti De [UNIFESP]; Marcolan, Joao Fernando [UNIFESP]; Universidade Federal de São Paulo
    Introduction: Burn is one of the most serious injuries that an individual can suffer, which has a negative impact on physical and emotional variables. Objectives: this study aimed to assess the presence and intensity of depressive symptoms, self-image and self-esteem in burned patient, their associations between the presence of depressive symptoms with self-esteem and self-image and to analyze the impact of these symptoms on personal life and social relationship. Method: Descriptive study with a quantitative and qualitative analysis, with 36 participants attended at the university hospital of reference in the care of burned patients, in Londrina-PR through the application of psychometric scales and interviews recorded on audio and carried out at hospital discharge and ambulatory return. A semi-structured questionnaire was used with sociodemographic variables and burn data; Beck's depression inventory; Hamilton Depression Rating Scales (HAM-D) and Montegomery-Asberg Rating Scale (MADRS) and Rosenberg Self-Esteem Scale. Quantitative data were evaluated by statistical program for descriptive and inferential analysis, qualitative data by content analysis. Results: male predominance (24 - 66.67%), median age of 38 [27-51] years, married (23 - 63.89%), white race (25 - 69.44%), income between one and two minimum salaries (19 - 52.77%), second degree burn was the most prevalent (24 - 66.66%), during labor (18 - 50%), for flammable products (12 - 33, 33%), in the spring (12 - 33.33%); most of them underwent debridement and grafting (29-80.55%), the most affected burned area was upper limbs and hands; the majority did not have a support network (20 - 55.56%). Regarding the psychometric scales, most of the individuals presented depressive symptoms in the first stage (35 - 97.0%) and in the second stage (33 - 91.0%), with a worsening of mild / moderate to severe intensity, in the Hamilton (HAM -D) and Montegomery-Asberg (MADRS) Scales. The Beck Inventory did not show significant changes at both times because it was selfapplied. Low self-esteem was prevalent in most of the participants and worsened from the first to the second stage. Self-esteem showed statistical significance for income (p = 0.007), having a previous depressive diagnosis (p = 0.04) and professing faith (p = 0.005). The qualitative analysis provided two categories: "suffering caused by the burn and the impact on self-image" and "coping with suffering", with three thematic units in each category. There was suffering and guilt for the accident that caused the burn, affective family relationships were strengthened, importance of the family support network, work and health team, self-image was compromised and adversely interfered with self-esteem and depressive symptoms, the perception of their body was stigmatized, but professing a faith / religion and having family support were positive factors to face this new life condition. Conclusion: application of psychometric scales allowed to know the intensity of depressive symptoms and self-esteem / self-image in burned patients. These assessments should be included in the clinical practice. Strengthening family relationships and professing faith/religion were important factors in coping with the situation of suffering.