Physiotherapists and psychiatric hospitalization in general hospitals: care and professional training
DOI:
https://doi.org/10.4025/ciencuidsaude.v20i0.53494Keywords:
Physical Therapy Specialty, Hospitals, Psychiatry, Delivery of health careAbstract
Objective: to describe the care provided by physiotherapists to people admitted to psychiatric beds in a general hospital, as well as the training of these professionals to offer this care. Method: descriptive-exploratory research, with a qualitative approach, conducted with six physiotherapists who work in a university hospital. From August to September 2017, data were collected using the semi-structured interview. After transcription, the data were analyzed using Bardin’s Thematic Content Analysis. Results: the following categories were raised: “The care offered by the physiotherapist to people in psychiatric beds in a general hospital” and “(Un) preparation of the physiotherapist to care for the hospitalized individual with mental disorder”. We found that professionals manifest the need for a biopsychosocial look, but prioritize only muscle strengthening and stretching in the provision of care. We also found that the lack of access to contents that address Psychiatry during the undergraduate degree may justify the lack of preparation for integral care. Conclusion: the care centered on kinesiotherapy and the unpreparedness of the professionals participating in the study for assistance in psychiatry seem to result from the shortage of knowledge centered on psychosocial rehabilitation.
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References
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22. Organização Pan-Americana da Saúde Brasil, Organização Mundial de Saúde. OPAS/OMS apoiam governos no objetivo de fortalecer e promover a saúde mental da população [Internet]. Brasília: OPAS Brasil/OMS; 2016 [cited 2019 Dec 15]. Available from: https://www.paho.org/bra/index.php?option=com_content&view=article&id=5263:opas-oms-apoia-governos-no-objetivo-de-fortalecer-e-promover-a-saude-mental-da-populacao&Itemid=839
23. Lee S, Waters F, Briffa K, Fary RE. Limited interface between physiotherapy primary care and people with severe mental illness: a qualitative study. J Physiother. 2017 Jul; 63(3):168-74. Doi: 10.1016/j.jphys.2017.05.014
24. Vancampfort D, Stubbs B, Probst M, Mugisha J. Physiotherapy for people with mental health problems in Sub-Saharan African countries: a systematic review. Arch Physiother. 2018; 8:2. Doi: doi.org/10.1186/s40945-018-0043-2
25. Buriola AA, Silva AST, Ribeiro JEF, Possa J, Gillingovschi GL, Gregolin MAZA, et al. Perception of family members about the psychiatric hospitalization unit in a general hospital Ciênc Cuid Saúde. 2021; 20: e53197. Doi: 10.4025/cienccuidsaude.v20i0.53197
2. Lopes CS, Abreu GA, Santos DF, Menezes PR, Carvalho KMB, Cunha CF, et al. ERICA: prevalence of common mental disorders in Brazilian adolescents. Rev Saúde Pública. 2016; 50(Suppl 1):14s. Doi: 10.1590/s01518-8787.2016050006690
3. Read UM, Sakyi L, Abbey W. Exploring the potential of a rights-based approach to work and social inclusion for people with lived experience of mental illness in Ghana. Health and human rights [Internet]. 2020 [cited 2020 Dec 12]; 22(1):91-104. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7348440/pdf/hhr-22-01-091.pdf
4. Portaria nº 3.588, de 21 de dezembro de 2017 (BR). Altera as Portarias de Consolidação no 3 e nº 6, de 28 de setembro de 2017, para dispor sobre a Rede de Atenção Psicossocial, e dá outras providências. [Internet]. Brasília: Ministério da Saúde; 2017 [cited 2020 Jan 22 ]. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2017/prt3588_22_12_2017.html
5. Andrew E, Briffa K, Waters F, Lee S, Fary R. Physiotherapists’ views about providing physiotherapy services to people with severe and persistent mental illness: a mixed methods study. J Physiother. 2019 Oct; 65(4):222-9. Doi: 10.1016/j.jphys.2019.08.001.
6. Conselho Federal de Fisioterapia e Terapia Ocupacional. Resolução nº 80, de 9 de maio de 1987. Brasília: CREFITO, 1987.
7. Vinha ECM, Vinha RM. Atuação do fisioterapeuta na saúde mental: uma necessidade tangível, abrangente e contemporânea. Altus Ciência [Internet]. 2018 Jan/Dec [cited 2021 Jan 21]; 6(7):57-74. Available from: https://fcjp.edu.br/pdf/Altus/ed7.pdf
8. Vancampfort D, Stubbs B, Probst M, Mugisha J. Physiotherapy for people with mental health problems in Sub-Saharan African countries: a systematic review. Arch Physiother. 2018 Dec; 8(1):2. Doi: 10.1186/s40945-018-0043-2.
9. Boehlen FH, Herzog W, Maatouk I, Saum U, Brenner H, Wild B. Behandlungswünsche von älteren Menschen mit psychischen Erkrankungen. Z Gerontol Geriatr. 2016 Feb; 49(2):120-5.
10. Bardin, L. Análise de Conteúdo. Lisboa: Edições 70; 2016.
11. Organização Mundial de Saúde, Organização Pan-Americana de Saúde. Relatório mundial da saúde: saúde mental: nova concepção, nova esperança [Internet]. Genebra: OMS; 2002 [cited 2019 Dec 01]. Available from: https://www.who.int/whr/2001/en/whr01_djmessage_po.pdf
12. Santana VS. Gondim SMG. Regulação emocional, bem-estar psicológico e bem-estar subjetivo. Estud Psicol. 2016; 21(1):58-68. Doi: 10.5935/1678-4669.20160007
13. World Health Organization. Basic documents [Internet]. 49th ed. Geneva: WHO; 2020 [cited 2021 Jan 23]. Available from: https://apps.who.int/gb/bd/pdf_files/BD_49th-en.pdf#page=7.
14. World Health Organization. Mental health action plan 2013-2020 [Internet]. Geneva: WHO; 2013 [cited 2021 Jan 23]. Available from: https://www.who.int/publications/i/item/9789241506021
15. Silva SB, Pedrão LJ, Miasso AI. O impacto da fisioterapia na reabilitação psicossocial de portadores de transtornos mentais. SMAD Rev Eletrônica Saúde Mental Ãlcool Drog [Internet]. 2012 Jan/Apr; 8(1):34-40 [cited 2019 Dec 17]. Available from: http://pepsic.bvsalud.org/pdf/smad/v8n1/06.pdf
16. Nuño L, Barrios M, Vancampfort D, Rojo E, Gómez-Benito, Guilera G. Functioning in schizophrenia: a Delphi study covering the perspective of physiotherapists. Disabil Rehabil. 2020 Apr; 14: 1–8. Doi: 10.1080/09638288.2020.1748729
17. Goulardins JB, Canales JZ, Oda C. Perspectivas sobre a atuação da Fisioterapia na Saúde Mental. Rev Pesqui Fisioter. 2019; 9(2):155-8. Doi: 10.17267/2238-2704rpf.v9i2.2311
18. Hemmings L, Soundy A. Experiences of physiotherapy in mental health: an interpretative phenomenological analysis of barriers and facilitators to care. Physiotherapy. 2020 Dec; 109: 94-101. Doi: 10.1016/j.physio.2020.01.001
19. Andrew E, Briffa K, Waters F, Lee S, Fary R. Physiotherapists’ views about providing physiotherapy services to people with severe and persistent mental illness: a mixed methods study. J Physiother. 2019 Oct; 65(4):222-9. Doi: 10.1016/j.jphys.2019.08.001
20. Hooblaul M, Cobbing S, Daniels KJ. The knowledge, attitudes and perceptions of physiotherapists in KwaZulu-Natal, South Africa, towards mental health. South African J Physiother. 2020 Oct; 76(1):1-7. Doi: 10.4102/sajp.v76i1.1483
21. Magalhães MN, Ribeiro MC. Perception of physiotherapy students about their academic formation in mental health. Rev Docência Ens Sup. 2020; 10: e014800. Doi: 10.35699/2237-5864.2020.14800
22. Organização Pan-Americana da Saúde Brasil, Organização Mundial de Saúde. OPAS/OMS apoiam governos no objetivo de fortalecer e promover a saúde mental da população [Internet]. Brasília: OPAS Brasil/OMS; 2016 [cited 2019 Dec 15]. Available from: https://www.paho.org/bra/index.php?option=com_content&view=article&id=5263:opas-oms-apoia-governos-no-objetivo-de-fortalecer-e-promover-a-saude-mental-da-populacao&Itemid=839
23. Lee S, Waters F, Briffa K, Fary RE. Limited interface between physiotherapy primary care and people with severe mental illness: a qualitative study. J Physiother. 2017 Jul; 63(3):168-74. Doi: 10.1016/j.jphys.2017.05.014
24. Vancampfort D, Stubbs B, Probst M, Mugisha J. Physiotherapy for people with mental health problems in Sub-Saharan African countries: a systematic review. Arch Physiother. 2018; 8:2. Doi: doi.org/10.1186/s40945-018-0043-2
25. Buriola AA, Silva AST, Ribeiro JEF, Possa J, Gillingovschi GL, Gregolin MAZA, et al. Perception of family members about the psychiatric hospitalization unit in a general hospital Ciênc Cuid Saúde. 2021; 20: e53197. Doi: 10.4025/cienccuidsaude.v20i0.53197
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Published
2021-03-22
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Physiotherapists and psychiatric hospitalization in general hospitals: care and professional training. (2021). Ciência, Cuidado E Saúde, 20. https://doi.org/10.4025/ciencuidsaude.v20i0.53494
