Study of the mental health of public employees in two Primary Health Care Units in the city of Cascavel - Parana, during the pandemic period of COVID-19
DOI:
https://doi.org/10.33448/rsd-v11i17.39308Keywords:
Depression; COVID-19; Pandemic; Basic Health Unit; Health professionals.Abstract
Mental health is an essential part of human life. Having a satisfactory mental health is fundamental for a quality health as a whole. With the pandemic of COVID-19 and the consequent restriction of usual activities, several problems were perceived, such as: anxiety, depression, panic attacks, and stress. When we talk about the professionals who act in the front line of the pandemic, it is believed that the incidence is even higher due to the responsibility of treating the contaminated patients, especially that in the beginning, because there were no studies, treatment options, vaccines, conducts and protocols to be used. Depression, although underdiagnosed, is an incapacitating disease and, when it affects public employees who work in primary health care units, it makes their work even more exhausting, leading to a possible prejudice to the conduct and management of the cases, being a problem for public health. In this present study, a survey was carried out using a validated questionnaire (PQH-9) to verify the percentage of public health workers who have depression in their various degrees, and of these, more than half of the interviewees (54%) have some degree of depressive disorder, with the objective of the data collected serving to draw the attention of professionals and managers to the subject, since depression is a highly prevalent and underdiagnosed disease, especially when it requires proper care.
References
Appel, A. P., Carvalho, A. R. da S., & Santos, R. P. Dos. (2021). Prevalência e fatores associados à ansiedade, depressão e estresse numa equipe de enfermagem COVID-19. Revista Gaucha de Enfermagem, 42(spe), e20200403. https://preprints.scielo.org/index.php/scielo/preprint/view/2199
Arroll, B., Goodyear-Smith, F., Crengle, S., Gunn, J., Kerse, N., Fishman, T., Falloon, K., & Hatcher, S. (2010). Validation of PHQ-2 and PHQ-9 to screen for major depression in the primary care population. Annals of Family Medicine, 8(4), 348–353. https://doi.org/10.1370/afm.1139
Barbosa, L. N. F., de Melo, M. C. B., da Cunha, M. D. C. V., Albuquerque, E. N., Costa, J. M., & da Silva, E. F. F. (2021). Brazilian’s frequency of anxiety, depression and stress symptoms in the covid-19 pandemic. Revista Brasileira de Saude Materno Infantil, 21, S413–S419. https://doi.org/10.1590/1806-9304202100S200005
Barros, M. B. de A., Lima, M. G., Malta, D. C., Szwarcwald, C. L., Azevedo, R. C. S. de, Romero, D., Souza Júnior, P. R. B. de, Azevedo, L. O., Machado, Í. E., Damacena, G. N., Gomes, C. S., Werneck, A. de O., Silva, D. R. P. da, Pina, M. de F. de, & Gracie, R. (2020). Relato de tristeza/depressão, nervosismo/ansiedade e problemas de sono na população adulta brasileira durante a pandemia de COVID-19. Epidemiologia e Servicos de Saude : Revista Do Sistema Unico de Saude Do Brasil, 29(4), e2020427. https://doi.org/10.1590/s1679-49742020000400018
Botti, N. C. L., & Andrade, W. V. (2008). a Saúde Mental Na Atenção Básica - Articulação Entre Os Princípios Do Sus E Da Reforma Psiquiátrica. Cogitare Enfermagem, 13(3). https://doi.org/10.5380/ce.v13i3.12991
Brasil, C. N. de S. de S. (2003). Legislação do SUS. In Ministério da Saúde (Vol. 20ed). http://bvsms.saude.gov.br/bvs/publicacoes/progestores/leg_sus.pdf
Cardoso, L. R. D. (2017). Psicoterapias comportamentais no tratamento da depressão. Psicologia Argumento, 29(67), 479–489. https://doi.org/10.7213/psicolargum.v29i67.20359
Chiapinotto, L., Fait, C. S., & Mayer Júnior, M. (2007). O modo de fazer saúde: reflexões sobre o cotidiano de uma unidade básica de saúde de Porto Alegre - RS TT - The mode of health care: reflections on the daily practice of a primary health unit Porto Alegre - RS. Saúde e Sociedade, 16(1), 155–164. http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-12902007000100014&lang=en%0Ahttp://www.scielo.br/pdf/sausoc/v16n1/14.pdf
Duailibi, K., Da Silva, A. S. M., & Bonifácio Jubara, C. F. (2015). Depressão. Revista Brasileira de Medicina, 72(12), 40–44. https://doi.org/10.22289/v3s1a22
Epidemiologia, P. (1998). Epidemia, Endemia, Pandemia. Epidemiologia. Revista de Patologia Tropical / Journal of Tropical Pathology, 27(1), 14–15. https://doi.org/10.5216/rpt.v27i1.17199
Fleck, M. P. de A., Lafer, B., Sougey, E. B., Del Porto, J. A., Brasil, M. A., & Juruena, M. F. (2003). Diretrizes da Associação Médica Brasileira para o tratamento da depressão (versão integral). Revista Brasileira de Psiquiatria, 25(2), 114–122. https://doi.org/10.1590/s1516-44462003000200013
Gongora, M. A. N. (1981). Conceitos de depressão. In Semina (Vol. 7, Issue 2, pp. 115–120).
Grandes, G., Montoya, I., Arietaleanizbeaskoa, M. S., Arce, V., & Sanchez, A. (2011). The burden of mental disorders in primary care. European Psychiatry, 26(7), 428–435. https://doi.org/10.1016/j.eurpsy.2010.11.002
Humerez, D. C. de, Ohl, R. I. B., & Silva, M. C. N. da. (2020). Saúde Mental Dos Profissionais De Enfermagem Do Brasil No Contexto Da Pandemia Covid-19: Ação Do Conselho Federal De Enfermagem. Cogitare Enfermagem, 25. https://doi.org/10.5380/ce.v25i0.74115
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9.pdf. Journal of General Internal Medicine, 16, 606–613.
Lei, L., Huang, X., Zhang, S., Yang, J., Yang, L., & Xu, M. (2020). Comparison of Prevalence and Associated Factors of Anxiety and Depression among People Affected by versus People Unaffected by Quarantine during the COVID-19 Epidemic in Southwestern China. Medical Science Monitor, 26, 1–12. https://doi.org/10.12659/MSM.924609
Liu, X., Kakade, M., Fuller, C. J., Fan, B., Fang, Y., Kong, J., Guan, Z., & Wu, P. (2012). Depression after exposure to stressful events: Lessons learned from the severe acute respiratory syndrome epidemic. Comprehensive Psychiatry, 53(1), 15–23. https://doi.org/10.1016/j.comppsych.2011.02.003
Maia, B. R., & Dias, P. C. (2020). Anxiety, depression and stress in university students: The impact of COVID-19. Estudos de Psicologia (Campinas), 37, 1–8. https://doi.org/10.1590/1982-0275202037e200067
Marconi, M., & Lakatos, E. (2003). Fundamentos de metodologia científica. Editora Atlas S. A., 310. https://doi.org/10.1590/S1517-97022003000100005
Mentais, T. (2014). Manual Diagnóstico DSM-5.
Molina, M. R. A. L., Wiener, C. D., Branco, J. C., Jansen, K., de Souza, L. D. M., Tomasi, E., da Silva, R. A., & Pinheiro, R. T. (2012). Prevalência de depressão em usuários de unidades de atenção primária. Revista de Psiquiatria Clinica, 39(6), 194–197. https://doi.org/10.1590/S0101-60832012000600003
Moura, A., Lunardi, R., Volpato, R., Nascimento, V., Bassos, T., & Lemes, A. (2018). Fatores Associados À Ansiedade Entre Profissionais Da Atenção Básica. Revista Portuguesa de Enfermagem de Saúde Mental, 19. https://doi.org/10.19131/rpesm.0198
Objetivo, R., & Scale, H. A. (2022). A idade como preditora de ansiedade e depressão de adultos brasileiros durante a pandemia da covid-19 age as a predictor of anxiety and depression among brazilian adults during the covid-19 PANDEMIC Introdução A pandemia da Covid-19 pelo novo coronavírus . 21(1), 1–12.
OPAS, O. P. de S. (2021). Histórico da pandemia de COVID-19. Folha Informativa Sobre COVID-19. https://www.paho.org/pt/covid19/historico-da-pandemia-covid-19
Porto, 7graus. (n.d.). Dicionário Online de Português: Pandemia. https://www.dicio.com.br/pandemia/
Porto, J. A. Del. (2002). Conceito e Diagnóstico Depressão. Revista Brasileira de Psiquiatria, 21, 30–43.
Que, J., Shi, L., Deng, J., Liu, J., Zhang, L., Wu, S., Gong, Y., Huang, W., Yuan, K., Yan, W., Sun, Y., Ran, M., Bao, Y., & Lu, L. (2020). Psychological impact of the covid-19 pandemic on healthcare workers: A cross-sectional study in China. General Psychiatry, 33(3), 1–12. https://doi.org/10.1136/gpsych-2020-100259
Santos, K. M. R. dos, Galvão, M. H. R., Gomes, S. M., Souza, T. A. de, Medeiros, A. de A., & Barbosa, I. R. (2021). Depressão e ansiedade em profissionais de enfermagem durante a pandemia da covid-19. Escola Anna Nery, 25(spe), 1–15. https://doi.org/10.1590/2177-9465-ean-2020-0370
Santos, I. S., Tavares, B. F., Munhoz, T. N., de Almeida, L. S. P., da Silva, N. T. B., Tams, B. D., Patella, A. M., & Matijasevich, A. (2013). Sensibilidade e especificidade do Patient Health Questionnaire-9 (PHQ-9) entre adultos da população geral. Cadernos de Saude Publica, 29(8), 1533–1543. https://doi.org/10.1590/0102-311X00144612
Souza, R. de, Feitosa, F. B., Rodríguez, T. D. M., & Missiatto, L. A. F. (2021). Rastreamento de sintomas de depressão em policiais penais: estudo de validação do PHQ-9. Revista Brasileira Multidisciplinar, 24(2), 180–190. https://doi.org/10.25061/2527-2675/rebram/2021.v24i2.980
Souza, F. G. de M. e. (1999). Tratamento da depressão. Revista Brasileira de Psiquiatria, 21(suppl 1), 18–23. https://doi.org/10.1590/s1516-44461999000500005
Velavan, T. P., & Meyer, C. G. (2020). The COVID-19 epidemic. Tropical Medicine and International Health, 25(3), 278–280. https://doi.org/10.1111/tmi.13383
Villano, L. A. B., & Abdon, L. G. N. (2011). Depressão: Epidemiologia e Abordagem em Cuidados Primários de Saúde. Revista Hospital Universitário Pedro Hernesto, 10(2), 10–21.
Williams, N. (2014). Phq-9. Occupational Medicine, 64(2), 139–140. https://doi.org/10.1093/occmed/kqt154
World Health Organization (WHO). (2021). WHO Coronavirus (COVID-19) Dashboard. World Health Organization (WHO). https://covid19.who.int/table
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