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ORIGINAL ARTICLE11-29-2022
Outlining the therapeutic itineraries of children with disabilities in the professional health care subsystem
- Andreia Chaves Farias
, - Evanira Rodrigues Maia ,
- Milena Silva Costa ,
- Maria Rosilene Cândido Moreira ,
- Joseph Dimas de Oliveira , [ … ],
- Antonio Germane Alves Pinto
Abstract
ORIGINAL ARTICLEOutlining the therapeutic itineraries of children with disabilities in the professional health care subsystem
Revista Brasileira de Enfermagem. 2022;75(3):e20210169
DOI 10.1590/0034-7167-2021-0169
- Andreia Chaves Farias ,
- Evanira Rodrigues Maia ,
- Milena Silva Costa ,
- Maria Rosilene Cândido Moreira ,
- Joseph Dimas de Oliveira ,
- Antonio Germane Alves Pinto
Views0See moreABSTRACT
Objectives:
to identify the outlining of therapeutic itineraries of families of children with disabilities in the professional health care subsystem.
Methods:
qualitative research carried out in two specialized services in the state of Ceará, with 41 family members interviewed using the life path technique and reports submitted to descending hierarchical classification and similitude analysis, with the help of the IRaMuTeQ software and the theoretical framework of health care systems.
Results:
the classes described the families’ itineraries in five paths, related to faith, support structures, medical behaviors, professionals, and health services. The professional subsystem stood out as deficient in outlining the therapeutic itinerary for access to health care for children with disabilities, without promoting integration between services in the Care Network.
Final considerations:
the families’ therapeutic itineraries showed homogeneous discourse with themes related to the care of professionals and spiritual aspects.
- Andreia Chaves Farias
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ORIGINAL ARTICLE11-29-2022
Undernutrition and associated factors in primary schoolchildren in Lokossa, Benin: a cross-sectional study
- Herbert Sagbo ,
- Sandhi Maria Barreto ,
- Aline Bárbara Pereira Costa ,
- Larissa Loures Mendes ,
- Nagham Khanafer , [ … ],
- Luana Giatti
Abstract
ORIGINAL ARTICLEUndernutrition and associated factors in primary schoolchildren in Lokossa, Benin: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75(3):e20210254
DOI 10.1590/0034-7167-2021-0254
- Herbert Sagbo ,
- Sandhi Maria Barreto ,
- Aline Bárbara Pereira Costa ,
- Larissa Loures Mendes ,
- Nagham Khanafer ,
- Luana Giatti
Views1See moreABSTRACT
Objectives:
to estimate the prevalence of stunting and thinness and sociodemographic, household, family, dietary, and scholar associated factors in schoolchildren living in Lokossa-Benin.
Methods:
a survey conducted in a probabilistic sample (n=615) of primary schoolchildren (8-17 years), from 12/2018 to 01/2019, using structured questionnaire and 24-hour dietary recall. Thinness and stunting were defined as Height-for-age and Body Mass Index-for-age below-2 standard deviations, respectively. Associations were estimated by chi-square test and logistic regression.
Results:
thinness and stunting prevalence was 13.1% (95%CI:9.0-18.7) and 25.5% (95%CI:20.6-31.2), respectively. Odds of thinness were higher among older schoolchildren and those who experienced hunger at school. Odds of stunting increased with age, low diet diversity, experiencing hunger at school, and having school meal five days a week (OR:2.09; 95%CI:1.29-3.36).
Conclusions:
stunting was the most common problem. Older schoolchildren and those with food deprivation or poor diet diversity were the most affected.
- Herbert Sagbo
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ORIGINAL ARTICLE11-29-2022
Factors associated with bronchopulmonary aspiration: a national-based study
- Jaqueline Helena Tanner ,
- Cristina Mara Zamarioli ,
- Magda Machado de Miranda Costa ,
- Heiko Thereza Santana ,
- Ana Clara Ribeiro Bello dos Santos , [ … ],
- Fernanda Raphael Escobar Gimenes
Abstract
ORIGINAL ARTICLEFactors associated with bronchopulmonary aspiration: a national-based study
Revista Brasileira de Enfermagem. 2022;75(3):e20210220
DOI 10.1590/0034-7167-2021-0220
- Jaqueline Helena Tanner ,
- Cristina Mara Zamarioli ,
- Magda Machado de Miranda Costa ,
- Heiko Thereza Santana ,
- Ana Clara Ribeiro Bello dos Santos ,
- Cleide Felicia de Mesquita Ribeiro ,
- Fernanda Raphael Escobar Gimenes
Views0See moreABSTRACT
Objectives:
to determine the prevalence of bronchopulmonary aspiration in the Brazilian scenario, the factors associated with the incident and the variables associated with death.
Methods:
a cross-sectional and analytical study, carried out from analysis of notifications of incidents related to bronchopulmonary aspiration of the Health Surveillance Notification System, from January 2014 to December 2018.
Results:
of the 264,590 notifications, 553 referred to aspiration, whose prevalence rate was 0.21%. There was an association between the event and age, ethnicity, main medical diagnosis, country region, service type, health unit and consequences for patients. Furthermore, four independent predictor variables for death were found: living in the North or South regions, being elderly and receiving healthcare at night.
Conclusions:
the prevalence rate of bronchopulmonary aspiration was small, but with a negative impact on patients.
- Jaqueline Helena Tanner
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ORIGINAL ARTICLE11-29-2022
Professional burnout of nursing team working to fight the new coronavirus pandemic
- Ana Maria Müller de Magalhães ,
- Denilse Damasceno Trevilato ,
- Daiane Dal Pai ,
- Amanda da Silveira Barbosa ,
- Natascha Monteiro Medeiros , [ … ],
- João Lucas Campos de Oliveira
Abstract
ORIGINAL ARTICLEProfessional burnout of nursing team working to fight the new coronavirus pandemic
Revista Brasileira de Enfermagem. 2022;75:e20210498
DOI 10.1590/0034-7167-2021-0498
- Ana Maria Müller de Magalhães ,
- Denilse Damasceno Trevilato ,
- Daiane Dal Pai ,
- Amanda da Silveira Barbosa ,
- Natascha Monteiro Medeiros ,
- Victória Gabech Seeger ,
- João Lucas Campos de Oliveira
Views0See moreABSTRACT
Objective:
to identify burnout and associated factors among nursing workers working in coping with COVID-19.
Methods:
a cross-sectional study, developed in four hospitals in a capital in southern Brazil. Sample (n=499) composed of nurses and nursing technicians/assistants, who answered an online form containing socio-occupational characterization and the Maslach Burnout Inventory. Descriptive and inferential statistical analysis was performed, including multiple comparison tests.
Results:
burnout was identified in 60 (12%) workers, with no significant difference between hospitals, but with a difference in dimensions between them. In the emotional exhaustion dimension, a higher proportion (52.9%) was found at a moderate level. Prevalence of high level of professional achievement of 95.4% was identified.
Conclusion:
the presence of burnout was significantly prevalent among nurses and females. It reinforces the need to develop strategies to promote the health of nursing workers, providing improvement in health services and reduction of care and labor risks.
- Ana Maria Müller de Magalhães
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ORIGINAL ARTICLE11-29-2022
Changes implemented in the work environment of nurses in the COVID-19 pandemic
- José Luís Guedes dos Santos ,
- Fernando Henrique Antunes Menegon ,
- Gustavo Baade de Andrade ,
- Etiane de Oliveira Freitas ,
- Silviamar Camponogara , [ … ],
- Alacoque Lorenzini Erdmann
Abstract
ORIGINAL ARTICLEChanges implemented in the work environment of nurses in the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2022;75:e20201381
DOI 10.1590/0034-7167-2020-1381
- José Luís Guedes dos Santos ,
- Fernando Henrique Antunes Menegon ,
- Gustavo Baade de Andrade ,
- Etiane de Oliveira Freitas ,
- Silviamar Camponogara ,
- Alexandre Pazetto Balsanelli ,
- Alacoque Lorenzini Erdmann
Views0See moreABSTRACT
Objective:
to describe the changes implemented in the work environment of nurses in university hospitals considering the COVID-19 pandemic.
Methods:
this qualitative and descriptive research was developed from an online survey with 75 nurses from three Brazilian university hospitals. Data processing occurred through textual analysis with the aid of software IRAMUTEQ.
Results:
five semantic classes were obtained: Organization of units for exclusive care of patients with COVID-19; Adaptations in the use of personal protective equipment; Physical structure adaptation; Care flow institution; Increased number of beds and training courses. Final considerations: the results show the effort of healthcare and nursing professionals/managers in the development of structural adaptations and reorganizations of care processes, in the hospital context, to respond with quality and efficiency to the demands arising from the COVID-19 pandemic.
- José Luís Guedes dos Santos
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EXPERIENCE REPORT11-29-2022
Virtualization of the Brazilian Nursing Week in the COVID-19 pandemic: the novelty and the tangible
- Luiza Mara Correia ,
- Ricardo de Mattos Russo Rafael ,
- Mercedes Neto ,
- Juliana Amaral Prata ,
- Magda Guimarães de Araujo Faria
Abstract
EXPERIENCE REPORTVirtualization of the Brazilian Nursing Week in the COVID-19 pandemic: the novelty and the tangible
Revista Brasileira de Enfermagem. 2022;75:e20201203
DOI 10.1590/0034-7167-2020-1203
- Luiza Mara Correia ,
- Ricardo de Mattos Russo Rafael ,
- Mercedes Neto ,
- Juliana Amaral Prata ,
- Magda Guimarães de Araujo Faria
Views0See moreABSTRACT
Objective:
to report the virtualization experience of the 81st Brazilian Nursing Week of a public university in the state of Rio de Janeiro.
Methods:
an experience report with descriptive approach on the planning and virtual operationalization of a traditional nursing event, which took place in May 2020.
Results:
the event had 543 entries and 39 activities were offered, 3 panels with the presence of international guests, 1 national conference, 3 thematic roundtable discussions, 9 roundtable discussions involving projects and extension leagues, 5 cultural activities and 17 activities in social networks (lives and videos). Final considerations: the virtualization of the 81st Brazilian Nursing Week brought the learning and appropriation of new ways of debating nursing in times of physical isolation, which will contribute to an immediate future in social and work relations as well as to the collaborative construction of knowledge.
- Luiza Mara Correia
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ORIGINAL ARTICLE11-29-2022
Reflections on nursing and COVID-19 in light of health education
- Patricia Neyva da Costa Pinheiro ,
- Edna Johana Mondragón-Sánchez ,
- Maria Isabelly Fernandes da Costa ,
- Icleia Parente Rodrigues
Abstract
ORIGINAL ARTICLEReflections on nursing and COVID-19 in light of health education
Revista Brasileira de Enfermagem. 2022;75:e20201305
DOI 10.1590/0034-7167-2020-1305
- Patricia Neyva da Costa Pinheiro ,
- Edna Johana Mondragón-Sánchez ,
- Maria Isabelly Fernandes da Costa ,
- Icleia Parente Rodrigues
Views0See moreABSTRACT
Objective:
To reflect on the nursing and pandemic of COVID-19 considering health education, health promotion, and the Ottawa Charter action areas.
Methods:
A theoretical-reflexive study on health education and health promotion concepts and the areas of action presented in the Ottawa Charter.
Results:
Educational actions are present in the contexts of epidemics and pandemics, as well as in the work of nurses, who need to be increasingly based on dialogue and individual and collective empowerment to enable users to adopt healthy and preventive behaviors – in this case, concerning COVID19. However, this professional needs effective and efficient public policy actions and measures based on scientific assumptions of health promotion. Final considerations: The actions of health education need to be increasingly valued because knowledge can be considered the first “vaccine” to combat any pandemic.
- Patricia Neyva da Costa Pinheiro
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ORIGINAL ARTICLE11-26-2022
Factors associated with suicide ideation of healthcare university students
- Girliani Silva de Sousa ,
- Barbara Moreira Duarte Ramos ,
- Luis Antônio Batista Tonaco ,
- Amanda Márcia dos Santos Reinaldo ,
- Maria Odete Pereira , [ … ],
- Nadja Cristiane Lappann Botti
Abstract
ORIGINAL ARTICLEFactors associated with suicide ideation of healthcare university students
Revista Brasileira de Enfermagem. 2022;75:e20200982
DOI 10.1590/0034-7167-2020-0982
- Girliani Silva de Sousa ,
- Barbara Moreira Duarte Ramos ,
- Luis Antônio Batista Tonaco ,
- Amanda Márcia dos Santos Reinaldo ,
- Maria Odete Pereira ,
- Nadja Cristiane Lappann Botti
Views0See moreABSTRACT
Objectives:
to analyze the factors associated with suicidal ideation in students from healthcare graduation courses.
Methods:
quantitative, cross-sectional study, with 251 students from the courses of radiology, speech-language therapy, medicine, nutrition, health service management, and nursing, from a federal higher education institution in the Southeast of Brazil. Data were collected from August to October 2019, using an electronic questionnaire.
Results:
the prevalence of suicidal ideation among participants was 26.33%. In the final logistic regression model, only depressive symptoms were associated with suicidal ideation. Having symptoms of depression increased the chances of suicidal ideation 2.6 times.
Conclusion:
the high prevalence of suicidal ideation and its associated factors constitutes a situational diagnosis that demands the elaboration of public and institutional policies, focused on the promotion and attention to the mental health of the students.
- Girliani Silva de Sousa
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ORIGINAL ARTICLE04-09-2020
High-risk areas of leprosy in Brazil between 2001-2015
- Rayssa Nogueira Rodrigues ,
- Heloisy Alves de Medeiros Leano ,
- Isabela de Caux Bueno ,
- Kleane Maria da Fonseca Azevedo Araújo ,
- Francisco Carlos Félix Lana
Abstract
ORIGINAL ARTICLEHigh-risk areas of leprosy in Brazil between 2001-2015
Revista Brasileira de Enfermagem. 2020;73(3):e20180583
DOI 10.1590/0034-7167-2018-0583
- Rayssa Nogueira Rodrigues ,
- Heloisy Alves de Medeiros Leano ,
- Isabela de Caux Bueno ,
- Kleane Maria da Fonseca Azevedo Araújo ,
- Francisco Carlos Félix Lana
Views0See moreABSTRACT
Objectives:
to identify high-risk areas of leprosy in Brazil from 2001 to 2015.
Methods:
this is an ecological study of spatial analysis based on Brazilian municipalities. Spatial scan statistics were used to identify spatial clustering and measure the relative risk from the annual detection rate of new cases of leprosy. By criterion based on the Gini index, only secondary clusters were considered.
Results:
spatial scan statistics detected 26 clusters, in which the detection rate was 59.19 cases per 100 thousand inhabitants, while in the remainder of the country it was 11.76. Large part of the cluster area is located in the Legal Amazon. These groups included only 21.34% of the total population, but 60.40% of the new cases of the disease.
Conclusions:
Leprosy remains concentrated in some areas, showing the need for control programs to intensify actions in these municipalities.
- Rayssa Nogueira Rodrigues
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REVIEW04-16-2021
Clinical outcomes of patient navigation performed by nurses in the oncology setting: an integrative review
- Rodrigo Lima Rodrigues ,
- Franciane Schneider ,
- Luciana Puchalski Kalinke ,
- Silvana Silveira Kempfer ,
- Vânia Marli Schubert Backes
Abstract
REVIEWClinical outcomes of patient navigation performed by nurses in the oncology setting: an integrative review
Revista Brasileira de Enfermagem. 2021;74(2):e20190804
DOI 10.1590/0034-7167-2019-0804
- Rodrigo Lima Rodrigues ,
- Franciane Schneider ,
- Luciana Puchalski Kalinke ,
- Silvana Silveira Kempfer ,
- Vânia Marli Schubert Backes
Views0See moreABSTRACT
Objective:
to evidence the clinical outcomes of navigation performed by nurses in cancer patients.
Methods:
this is an integrative literature review with collection in MEDLINE via PUBMED, LILACS, Web of Science, Scopus, and CINAHL databases. The final sample consisted of seven studies. The data were analyzed and presented descriptively. Data related to clinical outcomes were compiled and described in full. The Agency for Healthcare Research and Quality categorization was used to assess the level of evidence.
Results:
the clinical outcomes demonstrated were decreased distress, anxiety and depression, improved control and management of symptoms, improved physical conditioning, improved quality and continuity of care, improved quality of life, reduced time to start treatment.
Final considerations:
there is research that shows better clinical outcomes in cancer patients through navigation by nurses across the continuum of health care.
- Rodrigo Lima Rodrigues
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ORIGINAL ARTICLE12-13-2019
Perceptions and expectations of pregnant women about the type of birth
- Roberta Marielle Arik ,
- Cristina Maria Garcia de Lima Parada ,
- Vera Lúcia Pamplona Tonete ,
- Fernanda Cristina Manzini Sleutjes
Abstract
ORIGINAL ARTICLEPerceptions and expectations of pregnant women about the type of birth
Revista Brasileira de Enfermagem. 2019;72:41-49
DOI 10.1590/0034-7167-2017-0731
- Roberta Marielle Arik ,
- Cristina Maria Garcia de Lima Parada ,
- Vera Lúcia Pamplona Tonete ,
- Fernanda Cristina Manzini Sleutjes
Views0See moreABSTRACT
Objective:
to understand the perceptions and expectations of pregnant women about the type of birth.
Method:
this is a qualitative research, based on the assumptions of the Humanization of Obstetric Care. 15 pregnant women were interviewed twice at the beginning and the end of gestation between October 2015 and May 2016. Data were analyzed according to the method of the Discourse of the Collective Subject.
Results:
the discourses were associated with four themes: Advantages of vaginal birth over cesarean section; Fear and unpredictability of vaginal birth; Importance of the doctor in the definition of the type of birth; and Influence of family and friends in choosing the type of birth.
Final considerations:
according to pregnant women, vaginal birth has more benefit compared to cesarean section. However, during gestation and birth, fear of pain and the unexpected, and medical opinions of friends and family against vaginal birth strongly influence the choice of cesarean section.
- Roberta Marielle Arik
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REVIEW09-30-2020
Telenursing in care, education and management in Latin America and the Caribbean: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20190317
Abstract
REVIEWTelenursing in care, education and management in Latin America and the Caribbean: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20190317
DOI 10.1590/0034-7167-2019-0317
Views0See moreABSTRACT
Objective:
Analyze the knowledge generated about telenursing related to the roles of nurses (care, education and management) in Latin America and the Caribbean, based on scientific evidence.
Methods:
Integrative review, for the years 2009 to 2019, in scientific databases from Latin America and the Caribbean. Twelve articles were selected.
Results:
Nine studies focused on care and three on education. The information and communication technology used in the studies was telephony directed toward non-communicable diseases. There were concerns about the remote communication process. With respect to education, two focused on educating health teams and one on educating patients.
Conclusion:
It is necessary to conduct studies on telenursing that generate changes in care practices, explore information and communication technology resources and provide communication training focused on this new care model.
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REVIEW08-14-2020
Nursing practice environment in Primary Health Care: a scoping review
Revista Brasileira de Enfermagem. 2020;73(6):e20190479
Abstract
REVIEWNursing practice environment in Primary Health Care: a scoping review
Revista Brasileira de Enfermagem. 2020;73(6):e20190479
DOI 10.1590/0034-7167-2019-0479
Views0INTRODUCTIONKnowledge and scientific evidence about nursing practice environments (NPE) in the context of Primary Health Care (PHC) is scarce.Policy makers, health and professional organizations have proposed to redesign the health system in PHC with the aim of increasing citizens’ accessibility, improving customer outcomes and maximizing efficiency. […]See more
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ORIGINAL ARTICLE08-19-2019
Interruptions and nursing workload during medication administration process
Revista Brasileira de Enfermagem. 2019;72(4):1001-1006
Abstract
ORIGINAL ARTICLEInterruptions and nursing workload during medication administration process
Revista Brasileira de Enfermagem. 2019;72(4):1001-1006
DOI 10.1590/0034-7167-2018-0680
Views0See moreABSTRACT
Objective:
To investigate the sources and causes of interruptions during the medication administration process performed by a nursing team and measure its frequency, duration and impact on the team’s workload.
Métodos:
This is an observational study that timed 121 medication rounds (preparation, administration and documentation) performed by 15 nurses and nine nursing technicians in a Neonatal Intensive Care Unit in the countryside of the state of São Paulo.
Resultados:
63 (52.1%) interruptions were observed. In each round, the number of interruptions that happened ranged from 1-7, for 127 in total; these occurred mainly during the preparation phase, 97 (76.4%). The main interruption sources were: nursing staff – 48 (37.8%) − and self-interruptions – 29 (22.8%). The main causes were: information exchanges – 54 (42.5%) − and parallel conversations – 28 (22%). The increase in the mean time ranged from 53.7 to 64.3% (preparation) and from 18.3 to 19.2% (administration) – p≤0.05.
Conclusão:
Interruptions in the medication process are frequent, interfere in the workload of the nursing team and may reflect on the safety of care.
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ORIGINAL ARTICLE06-29-2020
Personal Protective Equipment in the coronavirus pandemic: training with Rapid Cycle Deliberate Practice
Revista Brasileira de Enfermagem. 2020;73:e20200303
Abstract
ORIGINAL ARTICLEPersonal Protective Equipment in the coronavirus pandemic: training with Rapid Cycle Deliberate Practice
Revista Brasileira de Enfermagem. 2020;73:e20200303
DOI 10.1590/0034-7167-2020-0303
Views0See moreABSTRACT
Objective:
to discuss the application of Rapid Cycle Deliberate Practice for attire and unattire training in the context of COVID-19 and structure a practical guide to the application at this juncture.
Methods:
this methodological study described theoretical and practical aspects of the application of a simulation strategy as a technological training tool. An application guide was constructed from the search for evidence from the main health authority bodies in Brazil.
Results:
maximizing time in Deliberate Practice, feedback with evidence and psychological security are the principles of this strategy. The dynamic involves repetition and feedback. The application guide presents the sequence of actions for attire and unattire.
Final considerations:
coping with this pandemic requires appropriate use of personal protective equipment. The authors suggest the Rapid Cycle Deliberate Practice as a technological educational tool for attire/unattire, since it encourages mastery performance.
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REVIEW06-11-2021
Mental health interventions implemented in the COVID-19 pandemic: what is the evidence?
- Wanderson Carneiro Moreira ,
- Kayo Henrique Jardel Feitosa Sousa ,
- Anderson Reis de Sousa ,
- Thiago da Silva Santana ,
- Regina Célia Gollner Zeitoune , [ … ],
- Maria do Perpétuo Socorro de Sousa Nóbrega
Abstract
REVIEWMental health interventions implemented in the COVID-19 pandemic: what is the evidence?
Revista Brasileira de Enfermagem. 2021;74:e20200635
DOI 10.1590/0034-7167-2020-0635
- Wanderson Carneiro Moreira ,
- Kayo Henrique Jardel Feitosa Sousa ,
- Anderson Reis de Sousa ,
- Thiago da Silva Santana ,
- Regina Célia Gollner Zeitoune ,
- Maria do Perpétuo Socorro de Sousa Nóbrega
Views0See moreABSTRACT
Objective:
to map the evidence on mental health interventions implemented during the COVID-19 pandemic.
Method:
this scoping review was carried out in the MEDLINE/PubMed, SCOPUS, Web of Science, PsycINFO, and Science Direct databases and in the medRxiv, bioRxiv, and PsyArXiv preprints servers using the descriptors “Covid-19”, “coronavirus infection”, “coronavirus”, “2019-nCoV”, “2019 novel coronavirus disease”, “SARS-CoV-2”, “health personnel”, “general public”, and “mental health”.
Results:
eight articles were selected and categorized into mental health interventions for the population, among which mental health interventions were for people diagnosed with suspicion/confirmed COVID-19 and mental health interventions for health professionals.
Conclusion:
telemonitoring, virtual games and strategies focused on social support and muscle relaxation techniques, characterized as non-pharmacological and low-cost, were shown as interventions, which, since they are effective, need to be encouraged and included in mental health care practices.
- Wanderson Carneiro Moreira
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