Navegando por Palavras-chave "Determinação de necessidades de cuidados de saúde"

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    Motivation to change drinking behavior: the differences between alcohol users from an outpatient gastroenterology clinic and a specialist alcohol treatment service
    (Associação Paulista de Medicina - APM, 2005-11-01) Figlie, Neliana Buzi [UNIFESP]; Dunn, John [UNIFESP]; Gomes, Luis Cláudio Santoro [UNIFESP]; Turisco, Janaina [UNIFESP]; Payá, Roberta [UNIFESP]; Laranjeira, Ronaldo [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    CONTEXT AND OBJECTIVE: For some patients who have developed significant alcohol-related physical disease, total abstinence from alcohol may offer the best chance of survival. The aim of this study was to investigate motivation for treatment in two groups of alcohol users: outpatients from the gastroenterology clinic and outpatients from the specialist alcohol treatment service. DESIGN AND SETTING: Cross-sectional study, at a federally funded public teaching hospital. METHODS: The sample studied was 151 outpatients from the gastroenterology clinic and 175 from the specialist alcohol treatment service. The interview was conducted in the outpatient clinics at the first appointment, and consisted of demographic questions and scales for measuring quality of life, alcohol dependence, pattern of alcohol, motivation for treatment and consequences of alcohol consumption. RESULTS: The results suggested that outpatients from the gastroenterology clinic were less dependent on alcohol, had suffered fewer consequences from alcohol and had fewer emotional and mental health problems than did the outpatients from the alcohol treatment service. In relation to their stages of change, the gastroenterology outpatients presented high precontemplation scores at the beginning of treatment while outpatients of alcohol treatment service showed higher scores in contemplation, action and maintenance. CONCLUSION: The medical treatment may be a reason for the temporary alcohol abstinence behavior among the gastroenterology outpatients.
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    Necessidades de pacientes com transtornos do espectro da esquizofrenia como indicador de resultado na avaliação de serviços comunitários de saúde mental
    (Universidade Federal de São Paulo (UNIFESP), 2017-02-15) Andrade, Mario Cesar Rezende [UNIFESP]; Andreoli, Sergio Baxter [UNIFESP]; Bandeira, Marina de Bittencourt; http://lattes.cnpq.br/5161981285689911; http://lattes.cnpq.br/3330444987520974; http://lattes.cnpq.br/0634812325568520; Universidade Federal de São Paulo (UNIFESP)
    Objective: To study the needs of patients with schizophrenia spectrum disorders treated at community mental health services and their association with service use, adjusted for individual variables. Methods: A cross-sectional study was carried out with a probabilistic sample of 401 patients who were attended at the five Psychosocial Care Centers of the city of Santos, in a period of one year prior to data collection. Needs assessment was performed using the Camberwell Assessment of Need, applied in a structured clinical interview. This instrument 22 clinical and social needs of patients with severe disorders. Its score is obtained through the sum of the number of total, met and unmet needs besides the possibility of analyzing whether there is a need and whether it is met or unmet. Symptoms were assessed by the Positive and Negative Symptom Scale and a questionnaire of history of the disease was adapted from the Life Chart Rating Form. Hierarchical multiple regression analyzes were performed to investigate the factors associated with numbers of total and unmet needs. Hierarchical logistic regression was applied to identify factors related to the following clinical needs: psychotic symptoms, information and psychological distress. Results: The average number of total needs (attended + unmet) was 5.85 (3.09) and the number of unmet needs was 2.91 (2.55). These numbers were shown to be associated only with sociodemographic and clinical indicators of severity, showing no association with the use of services. The presence of the need related to psychotic symptoms was associated with a higher level of positive symptoms and non-involvement of the family in the treatment, while na unmet need was again associated with a higher level of these symptoms and a dissatisfaction with the medication used. The presence of information need was associated with lower educational level, higher age at onset and monitoring of medication use by the family, while na unmet need was associated with noninvolvement of the family in the treatment, although this model was not statistically significant. The need related to psychological distress was associated with the presence of suicidal thoughts in the last year, greater general psychopathology, use of psychotherapy in the last year and absence of psychosocial rehabilitation activities, while an unmet need was again associated with a higher level of psychopathology and the lack of follow-up of the patient in the treatment by a family member. Conclusion: The present study pointed to the needs assessment as a possible outome measure in Brazilian mental health services, associated to the use of these services. This occurred mainly in the analysis of patients' specific clinical needs. The results also reinforced the role of family members in meeting patients' needs. These findings seem to contribute to the production of outcome measure which are relevant to mental health services in Brazil, where there is still no systematic and continuous evaluation of mental health care.
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    The needs of members of the families of general hospital inpatients
    (Associação Paulista de Medicina - APM, 2008-03-01) Lucchese, Ana Cecília [UNIFESP]; Citero, Vanessa de Albuquerque [UNIFESP]; De Marco, Mario Alfredo [UNIFESP]; Andreoli, Sergio Baxter [UNIFESP]; Nogueira-Martins, Luiz Antonio [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    CONTEXT AND OBJECTIVE: The needs of members of the families of intensive care unit patients have been studied, but little is known about the needs of members of the families of general hospital inpatients, especially patients with chronic diseases. The aim of this study was to identify the needs of members of the families of general hospital inpatients and investigate associations between these needs and the patients' clinical and psychiatric profiles. DESIGN AND SETTING: Descriptive study, in a public teaching hospital. METHODS: A random sample of 47 patients and members of their families was studied. Family members' needs were investigated using the critical care family needs inventory and the patients' clinical profiles were investigated using the hospital anxiety and depression scale, confusion assessment method and Karnofsky performance status. The frequencies of family members' needs were described and the patients' clinical and psychiatric characteristics were correlated with the needs using the chi-squared test. RESULTS: Chronic patients predominated and the needs for reassurance and information were indicated as the most important by all members of their families. No associations were found between the patients' characteristics and the needs of members of their families during the hospitalization. CONCLUSIONS: The needs indicated by members of the families of general hospital inpatients were similar to those of members of the families of patients in intensive care units: they considered it very important to be reassured and kept informed throughout the hospitalization.