Sandra Cristina Pillon

Objetivo: analisar as percepções de trabalhadores de um hospital psiquiátrico acerca dos fatores associados e das estratégias de enfrentamento do estresse ocupacional. Método: estudo qualitativo, exploratório-descritivo, realizado em hospital psiquiátrico público no Piauí, Brasil, com 33 trabalhadores de diferentes categorias profissionais. A coleta ocorreu por meio da plataforma Mentimeter®, após atividade educativa sobre Síndrome de Burnout. Os dados foram submetidos à Análise de Conteúdo de Bardin. Resultados: emergiram duas categorias temáticas: fatores associados ao estresse ocupacional e estratégias de enfrentamento do estresse ocupacional. Destacaram-se fragilidades na comunicação e nas relações interpessoais, dificuldades relacionadas à gestão, sobrecarga laboral, ausência de reconhecimento profissional e desafios assistenciais. Como estratégias de enfrentamento, os participantes apontaram práticas de autocuidado, apoio psicológico e fortalecimento do suporte institucional. Conclusão: o estresse ocupacional resulta de fatores organizacionais, relacionais e assistenciais interdependentes, evidenciando a necessidade de estratégias integradas de promoção da saúde mental no trabalho.

Introduction: Benzodiazepines (BZD) are widely used in Primary Health Care (PHC) and are considered safe when taken alone for up to 3 months. Concomitant use with alcohol can cause excessive sedation, cognitive impairment, increased risk of falls, and respiratory arrest. This study aimed to analyze alcohol consumption among individuals under prolonged BZD use in PHC in the city of Ribeirão Preto, Brazil. Methods: Alcohol consumption and associated factors were assessed among 144 BZD users in PHC in Ribeirão Preto (SP), who had been continuously using the medication for at least 3 months, four or more days per week. Data were collected in public pharmacies through interviews and the application of the Alcohol Use Disorders Identification Test questionnaire. Results: The mean age was 64.3 years; 68.1% were older adults, and 78.5% were women. Among participants, 43.7% reported alcohol consumption during treatment, and 13.9% reported concomitant use of BZD and alcohol on the same day. Men were 19 times more likely to engage in harmful alcohol use, while increasing age appeared as a protective factor. Only 56.9% reported receiving guidance on the risks of this combination. Conclusions: Promoting the rational use of BZD and reinforcing guidance on the risks of concomitant alcohol use are essential.

Introduction: The COVID-19 pandemic may have exacerbated preexisting mental health conditions or triggered new psychological symptoms, even among individuals with no prior history. University professors were particularly affected by new professional demands, facing significant challenges within theacademic context.Objective: To analyze factors associated with sympt oms of anxiety and depression among university professors during the COVID-19 pandemic.Method: This analytical cross-sectional study was conducted with 607 faculty members from public higher education institutions in the state of Mato Grosso, Brazil. Demographic, socioeconomic, lifestyle, professional, work-related organizational variables, and mental health symptoms were assessed through anonline questionnaire. Bivariate analysis used the Chi-square test, and multivariate analysis was performed using Poisson regression with robust variance.Results: The prevalence of self-reported anxiety symptoms was 83.2%, and of self-reported depression symptoms, 61.5%. Factors associated with both outcomes included working in the Biological Sciences field, stress, anger, and the perception that work negatively impacted mental health. Anxiety was associated with female gender, working in Exact and Earth Sciences, dissatisfaction with colleagues, and symptoms of mania. Depression was associated with working in Applied Social Sciences, dissatisfaction with students, lack of professional engagement, somatic symptoms, suicidal ideation, and impaired personality functioning. Being aged 50 to 59 years was identified as a protective factor.Conclusion: High prevalence rates of mental distress were observed among university professors, associated with work conditions and interpersonal relationships during the pandemic context.

Resumen Este estudio evaluó los factores asociados al consumo de alcohol entre estudiantes de posgrado brasileños. Se realizó una encuesta transversal con 5.112 estudiantes de posgrado de todo Brasil, entre mayo y julio de 2022, utilizando un formulario electrónico en la plataforma Research Electronic Data Capture (REDCap). Para el análisis, se empleó el modelo de regresión logística ordinal con logits acumulativos en el software R. Se observaron mayores probabilidades de consumo de alcohol entre los estudiantes de posgrado que enfrentaban dificultades significativas para acceder a internet (OR = 2,25; IC = 1,51-3,38; p = 0,001), aquellos que pasaban más de tres horas diarias en redes sociales (OR = 1,39; IC = 1,15-1,66; p = 0,005), que utilizaban diversos medicamentos (OR = 1,28; IC = 1,07-1,53; p = 0,008), incluidos medicamentos para la protección contra la COVID-19 (OR = 1,37; IC = 1,00-1,88; p = 0,05) y psicotrópicos sin prescripción médica (OR = 1,91; IC = 1,26-2,89; p = 0,0023), así como consumo de tabaco (OR = 2,93; IC = 2,28-3,77; p < 0,001), cocaína (OR = 4,29; IC = 2,46-7,48; p < 0,001) y cannabis (OR = 2,19; IC = 1,78-2,71; p < 0,001). Ser mujer (OR = 0,66; IC = 0,55-0,79; p < 0,001) y asistir a clases en línea equivalentes a las presenciales (OR = 0,66; IC = 0,54-0,81; p < 0,001) fueron factores protectores.

This study assessed the factors associated with the use of alcohol among Brazilian graduate students. A cross-sectional survey was conducted with 5,112 graduate students across Brazil between May and July 2022, using an electronic form on the Research Electronic Data Capture (REDCap) platform. The ordinal logistic regression model with cumulative logits was used for the analysis in the R software. There were higher odds of alcohol use among graduate students facing significant difficulties in accessing the internet (OR = 2.25; CI = 1.51-3.38; p = 0.001), those spending more than three hours daily on social media (OR = 1.39; CI = 1.15-1.66; p = 0.005), using various medications (OR = 1.28; CI = 1.07-1.53; p = 0.008) including those for COVID-19 protection (OR = 1.37; CI = 1.00-1.88; p = 0.05) and psychotropic drugs without prescription (OR = 1.91; CI = 1.26-2.89; p = 0.0023), as well as tobacco (OR = 2.93; CI = 2.28-3.77; p < 0,001), cocaine (OR = 4.29; CI = 2.46-7.48; p < 0.001), and cannabis (OR = 2.19; CI = 1.78-2.71; p < 0,001). Being female (OR = 0.66; CI = 0.55-0.79; p < 0.001) and attending online classes equivalent to in-person ones (OR = 0.66; CI = 0.54-0.81; p < 0.001) were protective factors.

Objective: to analyze the association between alcohol and/or other drug use, mental distress, and violence among homeless people. Method: an analytical cross-sectional study was conducted in a capital city in Northeast Brazil with 127 homeless people. Data were collected using a questionnaire to characterize sociodemographic, economic, and living conditions and violence, the Alcohol, Smoking and Substance Involvement Screening Test, and the Self-Reporting Questionnaire between October 2019 and March 2020. The Chi-squared and Fisher’s exact tests of association were performed in the inferential analysis, considering p<0.05 as significant. Results: the majority reported that living on the street is a predisposing factor for the use of psychoactive substances (69.3 %). The prevalence of mental distress among homeless people was 63 %. Among the types of violence, 36.3 % self-reported having suffered psychological violence, 32.7 % physical violence, 20.2 % property violence, and 5.4 % sexual violence or other types of violence. There was a significant association between sexual violence and mental distress (p=0.02), problematic tobacco use and other violence (p=0.01), problematic alcohol use and physical violence (p=0.04) and property violence (p=0.005), as well as problematic marijuana use with other violence (p=0.01). Self-directed violence also showed an association with physical violence (p=0.048), sexual violence (p=0.033), and mental distress (p=0.017). Conclusion: violence had implications for mental distress, problematic use of psychoactive substances, and self-directed violence among homeless people.

Objetivo: analisar a associação entre o uso de álcool e/ou outras drogas, o sofrimento mental e a violência entre Pessoas em Situação de Rua.

Resumo Objetivo Construir e validar um cenário de simulação clínica sobre a assistência de enfermagem à pessoa em síndrome de abstinência alcoólica (SAA). Métodos Estudo metodológico de construção e validação de roteiro que teve por base as recomendações científicas sobre SAA e ensino baseado em simulação. O cenário foi submetido à validação realizada por especialistas mediante autoaplicação de instrumentos. Na análise de dados, foram empregados o Índice de Validade de Conteúdo (IVC) e o coeficiente de concordância de Gwet: First-order Agreement Coefficient. Foi adotada para a concordância mínima de 0,80. Resultados O cenário proposto de simulação em SAA foi elaborado para validação do roteiro de simulação clínica e do guia Exame Clínico Objetivo Estruturado (ECOE), sob avaliação de sete especialistas das áreas da dependência química, simulação clínica, e urgência e emergência. O roteiro de cenário e o Guia ECOE apresentaram valores altos de IVC na maioria dos itens, provando-se adequados em propiciar as condições necessárias para cumprimento dos objetivos de aprendizagem, obtendo valor geral de IVC=0,98. Além disso, apresentou alto coeficiente de concordância entre os especialistas (0,95). Conclusão O presente estudo disponibiliza um roteiro validado e gratuito para ensino de habilidades, atitudes e competências na assistência de enfermagem à pessoas em SAA que pode ser utilizado como estratégia pedagógica no ensino da graduação, pós-graduação e educação permanente.

Objective To construct and validate a clinical simulation scenario on nursing care for individuals experiencing alcohol withdrawal syndrome (AWS). Methods This was a methodological study on the construction and validity of a script based on scientific recommendations regarding advanced life support and simulation-based teaching. The scenario was submitted to validity by specialists through self-administered instruments. In data analysis, the Content Validity Index (CVI) and Gwet’s first-order agreement coefficient were used. A minimum agreement of 0.80 was adopted. Results The proposed simulation scenario in AWS was developed to validate the clinical simulation script and the Objective Structured Clinical Examination (OSCE) guide, under assessment by seven specialists in chemical dependency, clinical simulation, and emergency medicine. The scenario script and the OSCE showed high CVI values in most items, proving to be adequate in providing the necessary conditions for fulfilling the learning objectives, obtaining an overall CVI value of 0.98. Furthermore, it showed a high coefficient of agreement among specialists (0.95). Conclusion This study provides a validated and free guide for teaching skills, attitudes, and competencies in nursing care for people with AWS, which can be used as a pedagogical strategy in undergraduate, graduate, and continuing education.