Apoio matricial em sa??de mental na aten????o prim??ria - da concep????o aos desafios: revis??o integrativa da literatura

Submitted by Jos?? Oliveira (jose_suwa@hotmail.com) on 2021-08-06T18:57:36Z No. of bitstreams: 3 Disserta????o Jos?? Suwa FINALIZADO.pdf: 1161999 bytes, checksum: 2153a251e706a21d762348c9e331f6e8 (MD5) CartaEncaminhamentoAutodep??sito.doc: 203264 bytes, checksum: e382df2f77ed2bd070a9f8cc686e610c (MD5) Ata Defesa Disserta????o Jos?? Suwa.pdf: 1428006 bytes, checksum: 89332087cfedf4e5f72389ddc063d6cc (MD5) Rejected by PPGCS Ci??ncias da Sa??de (ppgmcsaude@ufam.edu.br), reason: A carta encaminhamento n??o est?? em PDF e a com uma assinatura adequada. Atenciosamente, on 2021-08-06T21:37:38Z (GMT) Submitted by Jos?? Oliveira (jose_suwa@hotmail.com) on 2021-08-13T18:45:04Z No. of bitstreams: 3 Disserta????o Jos?? Suwa FINALIZADO.pdf: 1161999 bytes, checksum: 2153a251e706a21d762348c9e331f6e8 (MD5) Ata Defesa Disserta????o Jos?? Suwa.pdf: 1428006 bytes, checksum: 89332087cfedf4e5f72389ddc063d6cc (MD5) EncaminhamentoAutoDeposito.pdf: 1065638 bytes, checksum: dcb23ee50e7036f2044fa51d26dd9feb (MD5) Approved for entry into archive by PPGCS Ci??ncias da Sa??de (ppgmcsaude@ufam.edu.br) on 2021-08-13T19:20:55Z (GMT) No. of bitstreams: 3 Disserta????o Jos?? Suwa FINALIZADO.pdf: 1161999 bytes, checksum: 2153a251e706a21d762348c9e331f6e8 (MD5) Ata Defesa Disserta????o Jos?? Suwa.pdf: 1428006 bytes, checksum: 89332087cfedf4e5f72389ddc063d6cc (MD5) EncaminhamentoAutoDeposito.pdf: 1065638 bytes, checksum: dcb23ee50e7036f2044fa51d26dd9feb (MD5) Rejected by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br), reason: A ficha catalogr??fica est?? em desconformidade com o padr??o exigido (os espa??amentos e alinhamentos n??o foram respeitados), para emiti-la corretamente, acesse: http://fichacatalografica.ufam.edu.br/ficha/create on 2021-08-13T21:07:36Z (GMT) Submitted by Jos?? Oliveira (jose_suwa@hotmail.com) on 2021-08-26T18:52:16Z No. of bitstreams: 3 Disserta????o Jos?? Suwa FINALIZADO.pdf: 1161999 bytes, checksum: 2153a251e706a21d762348c9e331f6e8 (MD5) Ata Defesa Disserta????o Jos?? Suwa.pdf: 1428006 bytes, checksum: 89332087cfedf4e5f72389ddc063d6cc (MD5) EncaminhamentoAutoDeposito.pdf: 1065638 bytes, checksum: dcb23ee50e7036f2044fa51d26dd9feb (MD5) Approved for entry into archive by PPGCS Ci??ncias da Sa??de (ppgmcsaude@ufam.edu.br) on 2021-08-26T19:30:47Z (GMT) No. of bitstreams: 3 Disserta????o Jos?? Suwa FINALIZADO.pdf: 1161999 bytes, checksum: 2153a251e706a21d762348c9e331f6e8 (MD5) Ata Defesa Disserta????o Jos?? Suwa.pdf: 1428006 bytes, checksum: 89332087cfedf4e5f72389ddc063d6cc (MD5) EncaminhamentoAutoDeposito.pdf: 1065638 bytes, checksum: dcb23ee50e7036f2044fa51d26dd9feb (MD5) Approved for entry into archive by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2021-08-27T17:24:55Z (GMT) No. of bitstreams: 3 Disserta????o Jos?? Suwa FINALIZADO.pdf: 1161999 bytes, checksum: 2153a251e706a21d762348c9e331f6e8 (MD5) Ata Defesa Disserta????o Jos?? Suwa.pdf: 1428006 bytes, checksum: 89332087cfedf4e5f72389ddc063d6cc (MD5) EncaminhamentoAutoDeposito.pdf: 1065638 bytes, checksum: dcb23ee50e7036f2044fa51d26dd9feb (MD5) Made available in DSpace on 2021-08-27T17:24:55Z (GMT). No. of bitstreams: 3 Disserta????o Jos?? Suwa FINALIZADO.pdf: 1161999 bytes, checksum: 2153a251e706a21d762348c9e331f6e8 (MD5) Ata Defesa Disserta????o Jos?? Suwa.pdf: 1428006 bytes, checksum: 89332087cfedf4e5f72389ddc063d6cc (MD5) EncaminhamentoAutoDeposito.pdf: 1065638 bytes, checksum: dcb23ee50e7036f2044fa51d26dd9feb (MD5) Previous issue date: 2021-07-28 INTRODUCTION: Matrixing or matrix support is a way of producing health in which two or more teams, in a process of shared construction, create a proposal for pedagogical-therapeutic intervention in the field of mental health. OBJECTIVE: To synthesize results obtained in research on the practice of matriculation in mental health in primary care, based on the guidelines of the Practical Guide to Matrixing in Mental Health of the Ministry of Health. METHOD: Integrative literature review, considering publications from the period 2011- 2020, elaborated in six stages: identification of the theme and formulation of the research question to prepare the review; sampling and establishment of inclusion and exclusion criteria for the researched articles; extraction of data from primary studies; evaluation of the articles included in the review; analysis and synthesis of the results of the review and; presentation of the results of the integrative review. LILACS, BDENF, Index Psi IBECS databases were used as information sources. The controlled descriptors "health personnel", "mental health", "primary health care" and the keyword "matrix support" were used in Portuguese, English and Spanish. RESULTS: Five articles were selected that met the inclusion criteria, classified by virtue of scientific evidence and arranged in a summary table for descriptive analysis. Of these, in the databases: 50% LILACS, 25% BDENF, 12.5% INDEX PSI and 12.5% MEDLINE. Of those eligible, 100% are from Brazilian publications. It is noteworthy that 02 (40%) journals were in the area of Collective Health. As for the years of publication, the greatest occurrences were between the years 2014 and 2020. Regarding the training of the main authors, 60% nurses, 20% doctors and 20% psychologists. The highest concentration of publication of published articles was in Brazil (100%) and the southern region (60%). As for the study design, there was a predominance of qualitative studies (100%). The population investigated in the manuscripts was mostly health professionals who worked in primary health care, notably in the family health strategy. Based on the AHRQ, 100% of the articles were classified as level of evidence VI (evidence based on descriptive and qualitative studies). Regarding the thematic categories formulated based on the Ministry of Health's practical mental health guide, 60% evidenced the importance of matrix support in mental health, 80% contemplate therapeutic instruments and interventions, 100% experience the most common mental health situations and 100% highlighted the difficulties in understanding what matrix support is and the excessive demands for the FHS as the main challenges for the practice of matrix support in primary care. CONCLUSION: The conclusions of all articles, point out that the conception of primary health care professionals about matriculation in mental health is still not clear and there are many uncertainties and mistaken expectations on the part of these professionals. The scarce definitions have identified the relevance of matrix support as a strategy of decentralization and de-responsibility of specialized services in mental health care. INTRODU????O: O matriciamento ou apoio matricial ?? um modo de produzir sa??de em que duas ou mais equipes, num processo de constru????o compartilhada, criam uma proposta de interven????o pedag??gico-terap??utica no campo da sa??de mental. OBJETIVO: Sintetizar resultados obtidos em pesquisas sobre a pr??tica de matriciamento em sa??de mental na aten????o prim??ria, com base nas diretrizes do Guia Pr??tico de Matriciamento em Sa??de Mental do Minist??rio da Sa??de. M??TODO: Revis??o integrativa da literatura, considerando publica????es do per??odo de 2011-2020, elaborada em seis etapas: identifica????o do tema e formula????o da pergunta de pesquisa para elabora????o da revis??o; amostragem e estabelecimento de crit??rios de inclus??o e exclus??o dos artigos pesquisados; extra????o de dados dos estudos prim??rios; avalia????o dos artigos inclu??dos na revis??o; an??lise e s??ntese dos resultados da revis??o e; apresenta????o dos resultados da revis??o integrativa. Foram utilizadas como fontes de informa????es as bases de dados LILACS, BDENF, Index Psi, IBECS e MEDLINE. Usou-se os descritores controlados ???pessoal da sa??de???, ???sa??de mental???, ???aten????o prim??ria ?? sa??de??? e a palavra-chave ???apoio matricial???, nos idiomas portugu??s, ingl??s e espanhol. RESULTADOS: Foram selecionados 05 artigos que atenderam aos crit??rios de inclus??o, classificados por for??a de evid??ncia cient??fica e dispostos em um quadro-s??ntese para an??lise descritiva. Destes, nas bases de dados: 50% LILACS, 25% BDENF, 12,5% INDEX PSI e 12,5% MEDLINE. Dos eleg??veis, 100% s??o de publica????es brasileiras. Destaca-se que 02 (40%) peri??dicos eram da ??rea de Sa??de Coletiva. Quanto aos anos de publica????o, as maiores ocorr??ncias foram entre os anos de 2014 e 2020. Em rela????o ?? forma????o dos autores principais, 60% enfermeiros, 20% m??dicos e 20% psic??logos. A maior concentra????o de publica????o de artigos publicados foi no Brasil (100%) e da regi??o sul (60%). Quanto ao desenho de estudo, houve predomin??ncia de estudos qualitativos (100%). A popula????o investigada nos manuscritos foi majoritariamente de profissionais da sa??de que atuavam na aten????o prim??ria ?? sa??de, notadamente, na estrat??gia sa??de da fam??lia. Com base na AHRQ, 100% dos artigos foram classificados como n??vel de evid??ncia VI (evid??ncias baseadas em estudos descritivos e qualitativos). Em rela????o ??s categorias tem??ticas formuladas com base no guia pr??tico de sa??de mental do Minist??rio da Sa??de, 60% evidenciaram a import??ncia do matriciamento em sa??de mental, 80% contemplam os instrumentos terap??uticos e interven????es, 100% vivenciam as situa????es mais comuns da sa??de mental na APS e 100% destacaram as dificuldades das equipes da APS em entenderem o que ?? matriciamento e o excesso de demandas para a ESF como os principais desafios para a pr??tica do matriciamento na aten????o prim??ria. CONCLUS??O: As conclus??es de todos os artigos apontam que a concep????o dos profissionais da aten????o prim??ria ?? sa??de sobre matriciamento em sa??de mental ainda n??o est?? clara e h?? muitas incertezas e expectativas equivocadas por parte desses profissionais. As escassas defini????es identificaram a relev??ncia do apoio matricial como uma estrat??gia de descentraliza????o e desresponsabiliza????o dos servi??os especializados no atendimento em sa??de mental.