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A pessoa com perturbação psicótica induzida por substâncias : O papel do enfermeiro especialista de saúde mental e psiquiatria
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Enquadramento: A psicose associada ao consumo de substâncias constitui um fenómeno complexo na área da saúde mental, com impacto no funcionamento global do indivíduo. Neste contexto, torna-se necessária a implementação de intervenções especializadas, sustentadas na evidência científica. O Enfermeiro Especialista em Enfermagem de Saúde Mental e Psiquiátrica (EESMP) assume um papel central na estabilização clínica, reabilitação psicossocial e prevenção de recaídas, especialmente em contextos articulados entre internamento de agudos e cuidados comunitários.
Objetivos: Analisar a intervenção do EESMP numa pessoa com psicose induzida por substâncias, identificando os ganhos em saúde e a integração das práticas com a evidência científica.
Metodologia: Estudo de caso de natureza qualitativa, desenvolvido em contexto de internamento de agudos. A recolha de dados baseou-se na observação direta do utente, na análise do processo clínico e na implementação de intervenções de enfermagem especializadas. Paralelamente, realizou-se uma revisão narrativa da literatura para fundamentar teoricamente as intervenções desenvolvidas.
Resultados: As intervenções de enfermagem especializadas contribuíram para a estabilização do quadro psicótico e para a melhoria da consciência da doença. Destacam-se a relação terapêutica sustentada na escuta ativa, a entrevista motivacional, a psicoeducação e o envolvimento da família, através de intervenções de apoio e esclarecimento, como elementos centrais no processo de recuperação.
Conclusão: O EESMP assume um papel essencial na abordagem integrada da psicose associada ao consumo de substâncias, sendo determinante a articulação entre os diferentes níveis de cuidados. A prática baseada na evidência orienta a tomada de decisão clínica e favorece ganhos em saúde, reforçando a importância de intervenções estruturadas, contínuas e centradas na pessoa.
Palavras-chave: saúde mental, psicose, entrevista motivacional, relação terapêutica, envolvimento familiar
Abstract Background: Substance-induced psychosis constitutes a complex phenomenon in the field of mental health, with a significant impact on the individual’s overall functioning. In this context, the implementation of specialised interventions grounded in scientific evidence is essential. The Mental Health and Psychiatric Nurse Specialist (MHPNS) plays a central role in clinical stabilisation, psychosocial rehabilitation and relapse prevention, particularly in integrated settings involving acute inpatient care and community services. Objectives: To analyse the intervention of the MHPNS in a person with substance-induced psychosis, identifying health gains and the integration of practice with scientific evidence. Methodology: Qualitative case study developed in an acute psychiatric inpatient setting. Data collection was based on direct observation of the patient, analysis of clinical records and the implementation of specialised nursing interventions. In parallel, a narrative literature review was conducted to provide theoretical support for the interventions developed. Results: Specialised nursing interventions contributed to the stabilisation of the psychotic condition and to the improvement of illness awareness. The therapeutic relationship grounded in active listening, motivational interviewing, psychoeducation and family involvement through supportive and informative interventions emerged as central elements in the recovery process. Conclusion: The MHPNS plays an essential role in the integrated approach to substance-induced psychosis, with coordination between different levels of care being fundamental. Evidence-based practice guides clinical decision-making and promotes health gains, reinforcing the importance of structured, continuous and person-centred interventions. Keywords: mental health; psychosis; motivational interviewing; therapeutic relationship; family involvement
Abstract Background: Substance-induced psychosis constitutes a complex phenomenon in the field of mental health, with a significant impact on the individual’s overall functioning. In this context, the implementation of specialised interventions grounded in scientific evidence is essential. The Mental Health and Psychiatric Nurse Specialist (MHPNS) plays a central role in clinical stabilisation, psychosocial rehabilitation and relapse prevention, particularly in integrated settings involving acute inpatient care and community services. Objectives: To analyse the intervention of the MHPNS in a person with substance-induced psychosis, identifying health gains and the integration of practice with scientific evidence. Methodology: Qualitative case study developed in an acute psychiatric inpatient setting. Data collection was based on direct observation of the patient, analysis of clinical records and the implementation of specialised nursing interventions. In parallel, a narrative literature review was conducted to provide theoretical support for the interventions developed. Results: Specialised nursing interventions contributed to the stabilisation of the psychotic condition and to the improvement of illness awareness. The therapeutic relationship grounded in active listening, motivational interviewing, psychoeducation and family involvement through supportive and informative interventions emerged as central elements in the recovery process. Conclusion: The MHPNS plays an essential role in the integrated approach to substance-induced psychosis, with coordination between different levels of care being fundamental. Evidence-based practice guides clinical decision-making and promotes health gains, reinforcing the importance of structured, continuous and person-centred interventions. Keywords: mental health; psychosis; motivational interviewing; therapeutic relationship; family involvement
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Competência profissional Enfermagem psiquiátrica Papel do enfermeiro Psicoses induzidas por substâncias Nurse's role Professional competence Psychiatric nursing Psychoses substance induced