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Intervenção do enfermeiro especialista em saúde mental e psiquiátrica na pessoa com perturbação psicótica induzida por substâncias
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Resumo(s)
A perturbação psicótica induzida por uso de substâncias constitui um desafio complexo em saúde mental, associando-se a maior instabilidade clínica e piores resultados funcionais e sociais. Neste contexto, as abordagens integradas e multidisciplinares, assumem particular relevância, destacando o papel do Enfermeiro Especialista em Enfermagem de Saúde Mental e Psiquiátrica na avaliação, intervenção e coordenação de cuidados.
O presente relatório tem como objetivo documentar o percurso formativo e as atividades desenvolvidas no âmbito do estágio com relatório, bem como refletir criticamente sobre a prática clínica desenvolvida em dois contextos de estágio (saúde mental comunitária e internamento de agudos), evidenciando o desenvolvimento de competências especializadas.
A metodologia integrou revisão narrativa da literatura, dois estudos de caso de natureza qualitativa e análise crítica das atividades desenvolvidas.
As intervenções implementadas, incluindo Entrevista Motivacional, Psicoeducação e Intervenção familiar, evidenciaram resultados positivos no aumento da consciencialização, na motivação, na estabilidade clínica e em progressos na reabilitação psicossocial, reforçando a importância da abordagem integrada na recuperação de pessoa com psicose induzida por consumos.
Palavras-chave: Psicose induzida por substâncias; Enfermagem saúde mental e psiquiátrica; Entrevista motivacional; Psicoeducação.; Intervenção familiar.
Abstract Substance-induced psychotic disorder constitutes a complex challenge in mental health, associated with increased clinical instability and poorer functional and social outcomes. In this context, integrated and multidisciplinary approaches gain particular relevance, highlighting the role of the Specialist Nurse in Mental Health and Psychiatric Nursing in the assessment, intervention, and coordination of care. This report aims to document the training path and the activities carried out within the framework of the final internship, as well as to critically reflect on the clinical practice developed in two different settings (community mental health and acute inpatient care), evidencing the development of specialized competencies. The methodology included a narrative literature review, two qualitative case studies, and critical analysis of the clinical activities undertaken. The interventions implemented—Motivational Interviewing, Psychoeducation, and Family Intervention—demonstrated positive outcomes in raising awareness, enhancing motivation, promoting clinical stability, and supporting psychosocial rehabilitation. These findings reinforce the importance of an integrated, person-centered approach in the recovery process of individuals with substance-induced psychosis. Keywords: Substance-induced psychosis; mental health and psychiatric nursing; Motivational interviewing; Psychoeducation; Family intervention.
Abstract Substance-induced psychotic disorder constitutes a complex challenge in mental health, associated with increased clinical instability and poorer functional and social outcomes. In this context, integrated and multidisciplinary approaches gain particular relevance, highlighting the role of the Specialist Nurse in Mental Health and Psychiatric Nursing in the assessment, intervention, and coordination of care. This report aims to document the training path and the activities carried out within the framework of the final internship, as well as to critically reflect on the clinical practice developed in two different settings (community mental health and acute inpatient care), evidencing the development of specialized competencies. The methodology included a narrative literature review, two qualitative case studies, and critical analysis of the clinical activities undertaken. The interventions implemented—Motivational Interviewing, Psychoeducation, and Family Intervention—demonstrated positive outcomes in raising awareness, enhancing motivation, promoting clinical stability, and supporting psychosocial rehabilitation. These findings reinforce the importance of an integrated, person-centered approach in the recovery process of individuals with substance-induced psychosis. Keywords: Substance-induced psychosis; mental health and psychiatric nursing; Motivational interviewing; Psychoeducation; Family intervention.
Descrição
Palavras-chave
Competência profissional Enfermagem psiquiátrica Entrevista motivacional Psicoses induzidas por substâncias Psicoterapia Relatos de casos Case reports Motivational interviewing Professional competence Psychiatric nursing Psychoses substance induced Psychotherapy