O trabalho de enfermagem em saúde mental na estratégia de saúde da família.

Abstract

Psychiatric Reform is understood as a new paradigm in mental health and is anchored in concepts such as demstitationalization and psychosocial rehabilitation. And defined as a strategic attitude inserted in the piano of public health policies. And from the Reform that the user is seen as an important social actor, with full right to from Saiide Science The Strategy of attention in citizenship, autonomy and community-based quality treatment. Saiide da Familia (ESF) shows itself as an important tool in the network mental health once converges to the assistance proposal within the principles of Psychiatric Reform. This study sought to characterize the profile of FHS nurses from municipality of Cajazeiras; identify the care offered by nurses and the FHS in the face of health needs identified as mental health problems; and assess whether these care provided by nurses is based on the notion of integrality, welcoming / bonding and listening to the subject in the developed health actions. It is a exploratory-descriptive study with a quantitative and qualitative approach. The study subjects were 14 nurses who work in the Family Basic Snide Units of the Municipality of Cajazeiras - PB. The instruments for collecting dz dos were a questionnaire containing objective questions and a script with guiding questions for the conducting the interviews. The researcher faithfully followed the ethical observances of the Resolution 196/96 of the National Council of Saiide. Quantitative data were analyzed through the frequency and percentage index. Qualitative data were analyzed by the Content Analysis method, in its thematic analysis modality. Con:; study subjects are exclusively female, are mostly in the age group from 24 to 30 years old and are predominantly married. Regarding training professional all completed the course in institutions in Paraiba, where; most in private institutions and in the period from 2004 to 2008. All studied the said discipline mental and the traditional model hospital was the main internship field. Most have work experience in the ESF over 6 months, in relation to employment 6 they are also linked to a hospital and / or other services. In the second stage of the research, it is possible to verify that the conceptions of the process health mental illness exposed by the subjects of the study are based on the biological model as opposed to the attention model psychosocial and the current policy of organizing health services, need to break with this service model, which is still hegemonic in the actions of developed in the FHS. This compromises the effectiveness of a daily practice based on the notion of integrality, reception / attachment and listening to the subject. Becomes There is an urgent need to implement municipal public policies that promote articulation between mental health and basic care, awareness and continued training regarding the social role of nursing in the collective health, contributing to reflections about of health care for people in psychological distress and their aitonomy process and (re) social insertion.