Contribuições do farmacêutico para o trabalho interdisciplinar com pessoas com diagnóstico de transtorno de pânico: desafios do cuidado em saúde mental em rede
Data
2018-09-26
Autores
Rocha, Rafaela 
Orientadores
Zihlmann, Karina Franco
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Introdução: com a reforma psiquiátrica e a implantação de uma rede de atenção psicossocial (RAPS) articularam-se pontos de atenção à saúde no território para pessoas com sofrimento ou transtornos mentais, com objetivo principal de promover aumento de autonomia e cidadania. Entretanto, há ainda, diversas dificuldades na gestão e efetivação dessa rede, como a grande demanda da AB nos CAPS, o que gera consequentemente um cuidado fragmentado focado na prescrição medicamentosa. A equipe interdisciplinar tem importante papel no cuidado com pessoas com sofrimento por transtorno de pânico, entre os profissionais destaca-se o farmacêutico na orientação da utilização de psicofármacos. Objetivos: investigar a percepção de pessoas com transtorno de pânico (TP) quanto seu tratamento em saúde, bem como sua compreensão sobre o cuidado prestado pela equipe interdisciplinar do CAPS. Método: trata-se de um estudo qualitativo, transversal e retrospectivo, realizado de agosto de 2016 a fevereiro de 2018, com oito usuários adultos diagnosticados com TP de um CAPS do município de Santos - SP. Foram realizadas entrevistas em profundidade, semidirigidas com um roteiro temático. Os discursos foram categorizados por meio da Análise de Conteúdo temática segundo Bardin (2011). Resultados e discussão: identificou-se que as pessoas diagnosticadas com TP são muitas vezes encaminhadas para o CAPS sem ao menos uma tentativa de tratamento, e essa demanda não prioritária encontra no equipamento o tratamento baseado apenas em medicamentos. Os entrevistados afirmaram não ter conhecimento sobre diversos aspectos do seu tratamento, apenas uma pessoa fazia outro tipo de acompanhamento interdisciplinar no CAPS, os demais somente médico. Para os entrevistados o profissional farmacêutico é somente um dispensador de medicamentos. Considerações finais: efetivar os espaços da RAPS para oferecer um cuidado singular ainda é um desafio. Cabe também ao profissional farmacêutico viabilizar esse processo na AB através do apoio matricial, que poderá ser efetivado como produto técnico da dissertação por meio da estratégia GAM em uma UBS do território, que além de fomentar o cuidado compartilhado, institui espaços de educação permanente e efetiva esse profissional como educador em saúde tanto para profissionais da AB quanto para a comunidade.
Introduction: psychiatric reform and the implementation of a psychosocial care network (RAPS) articulated points of health care in the territory for people with mental suffering or disorders, with the main objective of promoting increased autonomy and citizenship. However, there are also several difficulties in the management and actualization of this network, such as the large demand of common mental disorders being treated at the CAPS, which consequently generates a fragmented care focused on prescription drugs. The interdisciplinary staff has an important role in the care of people diagnosed with panic disorder (PD); among the professionals, the pharmacist stands out in the orientation, specially on the use of psychotropics. Objectives: To investigate the perception of people with panic disorder regarding their health treatment, as well as their understanding of the care provided by the interdisciplinary CAPS staff. Method: This is a qualitative, crosssectional and retrospective study, carried out from August 2016 to February 2018, with eight adult users of a psychosocial care center (CAPS) in the city of Santos - SP who had been diagnosed with PD. In-depth, semi-guided interviews were conducted with a thematic script. The discourses were categorized through the Thematic Content Analysis according to Bardin (2011). Results and discussion: It was identified that people diagnosed with PD are often referred to the CAPS without not even one attempt of treatment, and this non-prioritary demand finds at the CAPS a treatment based only on medications. Respondents stated that they did not know about several aspects of their treatment, only one person did another type of interdisciplinary follow-up at the CAPS, the others were only in medical follow-ups. For those interviewed, the pharmacist is just a dispenser of medicines. Final considerations: carrying out RAPS spaces to offer singular and integral care is still a challenge. It is also up to the pharmacist to make this process feasible in primary care (AB) through the matrix support, which can be used as a technical product of the dissertation through an autonomous medication management group in a basic health unit of the territory, which in addition to fostering shared care, establishes permanent education spaces and implements this professional as a health educator for both AB professionals and the community.
Introduction: psychiatric reform and the implementation of a psychosocial care network (RAPS) articulated points of health care in the territory for people with mental suffering or disorders, with the main objective of promoting increased autonomy and citizenship. However, there are also several difficulties in the management and actualization of this network, such as the large demand of common mental disorders being treated at the CAPS, which consequently generates a fragmented care focused on prescription drugs. The interdisciplinary staff has an important role in the care of people diagnosed with panic disorder (PD); among the professionals, the pharmacist stands out in the orientation, specially on the use of psychotropics. Objectives: To investigate the perception of people with panic disorder regarding their health treatment, as well as their understanding of the care provided by the interdisciplinary CAPS staff. Method: This is a qualitative, crosssectional and retrospective study, carried out from August 2016 to February 2018, with eight adult users of a psychosocial care center (CAPS) in the city of Santos - SP who had been diagnosed with PD. In-depth, semi-guided interviews were conducted with a thematic script. The discourses were categorized through the Thematic Content Analysis according to Bardin (2011). Results and discussion: It was identified that people diagnosed with PD are often referred to the CAPS without not even one attempt of treatment, and this non-prioritary demand finds at the CAPS a treatment based only on medications. Respondents stated that they did not know about several aspects of their treatment, only one person did another type of interdisciplinary follow-up at the CAPS, the others were only in medical follow-ups. For those interviewed, the pharmacist is just a dispenser of medicines. Final considerations: carrying out RAPS spaces to offer singular and integral care is still a challenge. It is also up to the pharmacist to make this process feasible in primary care (AB) through the matrix support, which can be used as a technical product of the dissertation through an autonomous medication management group in a basic health unit of the territory, which in addition to fostering shared care, establishes permanent education spaces and implements this professional as a health educator for both AB professionals and the community.
Descrição
Citação
ROCHA, Rafaela. Contribuições do farmacêutico para o trabalho interdisciplinar com pessoas com diagnóstico de transtorno de pânico: desafios do cuidado em saúde mental em rede. 2018. 119 f. Dissertação (Mestrado em Ensino em Ciências da Saúde) - Universidade Federal de São Paulo, Instituto de Saúde e Sociedade, Santos, 2018.