The knowledge of primary health care professionals regarding mental health: diagnosis by mhGAP.

IF 2.1 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Revista de saude publica Pub Date : 2024-04-15 eCollection Date: 2024-01-01 DOI:10.11606/s1518-8787.2023057005272
Joana Moscoso Teixeira de Mendonça, Ilana Eshriqui, Leticia Yamawaka de Almeida, Valmir Vanderlei Gomes Filho, Lívia Schunk, Ana Alice Freire de Sousa, Larissa Karollyne de Oliveira Santos, Sandra Fortes
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Abstract

Objective: To analyze knowledge about priority topics in mental health care of strategic actors who work in regions where the Health Care Planning (PAS) methodology is used.

Methods: This is a quantitative, descriptive, cross-sectional, and observational study carried out with professionals from six health regions, distributed in three Brazilian states (Goiás, Rondônia and Maranhão) and linked to the project "Saúde mental na APS" (Mental health in PHC) of the Programa de Apoio ao Desenvolvimento Institucional do Sistema Único de Saúde (Proadi-SUS - Institutional Development Support Program of the Brazilian Unified Health System). The sample was made up of professionals who participated in the intervention guide multiplier training stage for mental, neurological and alcohol and other drug use disorders in the primary health care network, from July to September 2022. Data collection was through a self-administered instrument, in electronic format, consisting of a block with socioeconomic items and a structured questionnaire to assess participants' knowledge about priority topics in mental health. Descriptive analyses and comparison of proportions were conducted to analyze the data.

Results: A total of 354 health professionals participated in the study. Regarding the percentage of correct answers in the questionnaire on priority topics in mental health, the highest medians were identified in the "Depression" module. On the other hand, the content referring to the modules "Essential care and practices" and "Other important complaints" presented the lowest values. Furthermore, some participant characteristics were found to be associated with the percentage of correct answers in the questionnaire modules.

Conclusions: The findings reveal opportunities for improvement, mainly in knowledge related to communication skills and the approach to emotional and physical distress without diagnostic criteria for a specific disease, offering support for planning actions aimed at intensifying the consideration of these themes during the operational stages of PAS.

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初级卫生保健专业人员对精神健康的了解:通过 mhGAP 进行诊断。
目的分析在使用医疗保健规划(PAS)方法的地区工作的战略参与者对心理保健优先主题的了解:这是一项定量、描述性、横断面和观察性研究,研究对象是来自巴西三个州(戈亚斯州、朗多尼亚州和马拉尼昂州)六个卫生保健地区的专业人员,他们都参与了巴西统一卫生系统机构发展支持计划(Proadi-SUS--巴西统一卫生系统机构发展支持计划)的 "APS 中的精神卫生 "项目。样本由参加过 2022 年 7 月至 9 月初级卫生保健网络精神、神经、酒精和其他药物使用障碍干预指南倍增培训阶段的专业人员组成。数据收集采用电子版自填式工具,包括社会经济项目模块和结构化问卷,以评估参与者对精神健康优先主题的了解程度。对数据进行了描述性分析和比例比较:共有 354 名卫生专业人员参与了研究。关于心理健康重点话题问卷的正确答案百分比,"抑郁症 "模块的中位数最高。另一方面,"基本护理和实践 "模块和 "其他重要主诉 "模块的答题正确率最低。此外,还发现一些参与者的特征与问卷模块中的正确答案百分比有关:调查结果揭示了需要改进的地方,主要是与沟通技巧有关的知识以及在没有特定疾病诊断标准的情况下处理情绪和身体困扰的方法,这为规划行动提供了支持,以便在 PAS 的操作阶段加强对这些主题的考虑。
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来源期刊
Revista de saude publica
Revista de saude publica PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.60
自引率
3.60%
发文量
93
审稿时长
4-8 weeks
期刊介绍: The Revista de Saúde Pública has the purpose of publishing original scientific contributions on topics of relevance to public health in general.
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