Family care of people with severe mental disorders: an integrative review.

OBJECTIVE: to analyze the scientific literature on home-based family care of people with severe mental illness. METHOD: integrative review of 14 databases (CINALH, Cochrane Plus, Cuidatge, CUIDEN, Eric, IBECS, EMI, ISOC, JBI COnNECT, LILACS, PsycINFO, PubMed, SciELO, and Scopus) searched with the key words "family caregivers", "severe mental illness", and "home" between 2003 and 2013. RESULTS: of 787 articles retrieved, only 85 met the inclusion criteria. The articles appeared in 61 journals from different areas and disciplines, mainly from nursing (36%). The countries producing the most scientific literature on nursing were Brazil, the UK, and the US, and authorship predominantly belonged to university centers. A total of 54.12% of the studies presented quantitative designs, with descriptive ones standing out. Work overload, subjective perspectives, and resources were the main topics of these papers. CONCLUSIONS: the international scientific literature on home-based, informal family care of people with severe mental disorder is limited. Nursing research stands out in this field. The prevalent topics coincide with the evolution of the mental health system. The expansion of the scientific approach to family care is promoted to create evidence-based guidelines for family caregivers and for the clinical practice of professional caregivers.

Family care of people with severe mental disorders: an integrative review / Cuidado familiar de pessoas com doenças mentais graves: uma revisão integrativa / Cuidado familiar de la persona con trastorno mental grave: una revisión integradora

OBJECTIVE: to analyze the scientific literature on home-based family care of people with severe mental illness. METHOD: integrative review of 14 databases (CINALH, Cochrane Plus, Cuidatge, CUIDEN, Eric, IBECS, EMI, ISOC, JBI COnNECT, LILACS, PsycINFO, PubMed, SciELO, and Scopus) searched with the key words "family caregivers", "severe mental illness", and "home" between 2003 and 2013. RESULTS: of 787 articles retrieved, only 85 met the inclusion criteria. The articles appeared in 61 journals from different areas and disciplines, mainly from nursing (36%). The countries producing the most scientific literature on nursing were Brazil, the UK, and the US, and authorship predominantly belonged to university centers. A total of 54.12% of the studies presented quantitative designs, with descriptive ones standing out. Work overload, subjective perspectives, and resources were the main topics of these papers. CONCLUSIONS: the international scientific literature on home-based, informal family care of people with severe mental disorder is limited. Nursing research stands out in this field. The prevalent topics coincide with the evolution of the mental health system. The expansion of the scientific approach to family care is promoted to create evidence-based guidelines for family caregivers and for the clinical practice of professional caregivers. .

OBJETIVO: analisar a produção científica sobre o cuidado familiar de pessoas com transtorno mental grave em casa. MÉTODO: revisão integrativa de 14 bases de dados (CINALH, Cochrane Plus, Cuidatge, CUIDEN, Eric, IBECS, EMI, ISOC, JBI Connect, LILACS, PsycInfo e PubMed, SciELO, e Scopus), com as palavras-chave "cuidadores familiares", "TMG" (transtornos mentais graves ) e "casa", realizada entre 2003 e 2013. RESULTADOS: dos 787 artigos retornados, somente 85 atenderam os critérios de inclusão. Os artigos vieram de 61 periódicos de diferentes áreas e disciplinas, principalmente de enfermagem (36%). Os países com maior produção científica sobre enfermagem foram o Brasil, o Reino Unido e os Estados Unidos, e a autoria era predominantemente de centros universitários. Um total de 54,12% dos estudos apresentou delineamento quantitativo, e os descritivos se destacaram. Os principais temas desses trabalhos foram sobrecarga de trabalho, perspectivas subjetivas e recursos. CONCLUSÕES: a produção cientifica internacional sobre o cuidado familiar informal de pessoas com doenças mentais graves em casa é limitada. A pesquisa em enfermagem se destaca nesse campo. Os temas prevalentes coincidem com a evolução do sistema de saúde mental. Estimula-se a expansão da abordagem científica do cuidado familiar de modo a encontrar evidências para criar guias para cuidadores familiares e para a prática clínica de cuidadores profissionais. .

OBJETIVO: analizar la producción científica sobre el cuidado familiar de la persona con trastorno mental grave en el hogar familiar. MÉTODO: revisión integradora en 14 bases de datos (CINALH, Cochrane Plus, Cuidatge, CUIDEN, Eric, IBECS, IME, ISOC, JBI ConNECT, LILACS, PsycInfo, PubMed, SciELO y Scopus), con las palabras clave "cuidadores familiares", "TMG" y "hogar"; realizada entre 2003 y 2013. RESULTADOS: de 787 artículos recuperados, sólo 85 cumplieron con los criterios de inclusión. Los artículos procedieron de 61 revistas de diferentes áreas y disciplinas destacando la disciplina de enfermería (36%). Los países con mayor producción científica sobre enfermería fueron Brasil, Reino Unido y EEUU. En la autoría predominaron los centros universitarios. El 54,12% de los estudios presentó diseño cuantitativo, sobresaliendo los descriptivos. Las temáticas destacadas fueron sobrecarga, perspectivas subjetivas y recursos. CONCLUSIONES: la producción científica internacional sobre el cuidado informal familiar de la persona con trastorno mental grave, en el contexto del hogar familiar, es limitada. En este campo, destaca la investigación de enfermería. Las temáticas prevalentes coinciden con la evolución del sistema de salud mental. Se estimula la ampliación del abordaje científico del cuidado familiar con el fin de encontrar evidencias para la elaboración de guías de cuidadores familiares y para la práctica clínica de cuidadores profesionales. .

Unidad Hospitalaria de Patología Dual Grave: un año de experiencia / No disponible

Se trata de un estudio observacional, descriptivo, transversal en el que se incluyeron los pacientes ingresados en la Unidad de Hospitalización del Programa de Patología Dual Grave (UHPPDG) durante un año. Los datos sociodemográficos, clínicos yfarmacológicos se obtuvieron mediante hojas de recogida de datos diseñadas al efecto. El total de pacientes ingresados fue de 82 en cuyo perfil prevalecen los varones con una edad media de 36,7 años, derivados del subprograma ambulatorio del propio Programa de Patología Dual Grave (PPDG) y con ingreso de tipo involuntario. El diagnóstico psiquiátrico más frecuente fue el trastorno psicótico, especialmente laEsquizofrenia Paranoide. Las sustancias tóxicas más consumidas fueron: alcohol (33 %), cocaína (26 %) y el cannabis (20 %). Dentro de las técnicas psicoterápicas destaca la Terapia Psicoeducativa Motivacional Breve-Dual (TPMB-D), de formato grupal, en la que participaron alrededor de 2/3 de los pacientes. El grupo de fármacos más utilizados fueron los antipsicóticos (quetiapina [60%] y la risperidona inyectable de larga duración (RILD). En el grupo de pacientes con Dependencia/Abuso de Alcohol, los antipsicóticos más utilizados fueron la quetiapina y la tiaprida (43%). Los antidepresivos se utilizaron en el 37% de los casos, especialmente la duloxetina. En el grupo con Dependencia/ Abuso de Cocaína, la Esquizofrenia es el trastorno comórbido más prevalente (75%), y los antipsicóticos el grupo farmacológico más prescrito, en especial la RILD (91%). Entre los pacientes multi-dependientes la asociación más frecuente fue la Dependencia de Opiáceos y Cocaína (56%). El diagnóstico comórbido más frecuente en este grupo fue la Esquizofrenia

This is an observational, descriptive, cross-sectional study on patients admitted for one year to the inpatient unit of a Severe Dual Diagnosis Program (SDDP). Sociodemographic, clinical and pharmacological information was obtained using data collection forms designed for this purpose. The sample size was of 82 inpatients, whose profile was that of males with a mean age of 36.7 years, referred from the outpatient clinic of the SDDP. Admission was mainly involuntary. The main psychiatric diagnosis was psychotic disorder, especially paranoid schizophrenia, and the most prevalent substances consumed were alcohol (33%), cocaine (26%) and cannabis (20%). Among the psychotherapeutic techniques worthy of mention, there was a Brief Motivational Psycho-educational Therapy-Dual (BMPT-D) with a group format, in which around two thirds of the patients participated.The most widely-used group of drugs was antipsychotics, specifically quetiapine [60%] and the long-term action injectable risperidone (LAIR, 51%). In the group of patients with alcohol abuse or dependence, the most commonly prescribed antipsychotics were quetiapine and tiapride (both 43%). Antidepressants were used in 37% of cases, especially duloxetine. In the group with cocaine abuse or dependence, schizophrenia was themost prevalent co-morbid disorder (75%) and the most widely-prescribed drugs were antipsychotics, especially LAIR (91%). Opioid and cocaine dependence was the most common association within the multi-dependent patients (56%) and schizophrenia the most frequent co-morbid diagnosis in this group

Descripción de las comunicaciones orales del XXVI Congreso Nacional de Enfermería Salud Mental / An analysis of the oral presentations in the xxv1 national conference of mental health nursing

Objetivo Analizar las comunicaciones orales presentadas al XXVI Congreso de Enfermería de Salud Mental. Método Estudio descriptivo observacional transversal. Población: las 117 comunicaciones orales publicadas en el libro del congreso, celebrado en Valencia en el año 2009. Se excluyeron las ponencias presentadas en sesiones plenarias y comunicaciones en formato póster. Se estudiaron 17 variables: una sobre contenido temático; 4 referidas a autoría (categoría laboral, número autores, lugar de trabajo y provincia); 8 referidas a la metodología (población estudiada, ámbito de estudio, diseño, técnicas recogida de datos, análisis de datos, uso de soporte informático, resultados, y uso de gráficos y tablas); una sobre uso de terminología enfermera; 2 referidas a bibliografía y una referida a financiación. Procedimiento: revisión por pares e independiente. Análisis estadístico de tipo descriptivo. Resultados La temática más investigada es la asistencial 68 (58,1%), cuyos autores trabajaban en el ámbito hospitalario 55 (47,0%). La población más investigada es el paciente 78 (66,7%), en el contexto hospitalario 46 (39,3%). Sobre el diseño no informaban 66 (56,4%), siendo descriptivos 36 (30,8%), que recogían datos mediante escalas y cuestionarios 29 (24,8%). No presentaban análisis de datos 76 (65,0%); informando del uso de soporte informático 14 (12%). Citaban la bibliografía ajustada a la normativa del congreso 18 (18%).Conclusiones Las comunicaciones orales presentadas en el congreso pueden mejorarse a nivel metodológico ya que más de la mitad no informaban del diseño utilizado ni presentaban análisis de los datos. Se precisa mejorar el uso del formato metodológico estipulado en las normas de presentación de comunicaciones para divulgar la investigación enfermera y aumentar el conocimiento científico (AU)

Objective To analyse the oral presentations given at the XXVI Conference of Mental Health Nursing, Valencia 2009.MethodA descriptive, observational cross-sectional study. Population: all oral presentation published in the Conference book: 117(100%). Exclusion criteria: papers presented at plenary sessions and poster format communications. Seventeen variables were studied: one on thematic content, four related to authorship (job category, number, workplace and province), eight related to the methodology (population studied, area of study, design, data collection techniques, data analysis, use of computer support, results, and use of graphics and charts), one on the use of nurse terminology, two relating to literature and one related to funding. Procedure: peer and independent review. Descriptive statistical analysis. Results The most researched topic was healthcare 68 (58.1%), and 55 (47.0%) of the authors work in a hospital. The most investigated population was the patient 78 (66.7%), 46 (39.3%) in the hospital setting. A total of 66 (56.4%) did not mention the design, 36 (30.8%) were descriptive, and 29 (24.8%) collected data using scales and questionnaires. A substantial majority, 76 (65.0%) did not present any analyses of data and 41 (35.0%) did. 14(12%) reported the use of computer support was mentioned by 14 (12%, and only 18(18%) presented the references in accordance with regulations. Conclusions Oral presentation at the conference can be improved as far as methodology is concerned, as more than half of them do not report on the design used or present a data analysis. There is a need to improve the use of the methodological format, as stipulated by the rules of article submission, in order to disseminate nursing research and increase scientific knowledge (AU)

[An analysis of the oral presentations in the XXVI National Conference of Mental Health Nursing]. / Descripción de las comunicaciones orales del XXVI Congreso Nacional de Enfermería Salud Mental.

OBJECTIVE: To analyse the oral presentations given at the XXVI Conference of Mental Health Nursing, Valencia 2009. METHOD: A descriptive, observational cross-sectional study. POPULATION: all oral presentation published in the Conference book: 117(100%). EXCLUSION CRITERIA: papers presented at plenary sessions and poster format communications. Seventeen variables were studied: one on thematic content, four related to authorship (job category, number, workplace and province), eight related to the methodology (population studied, area of study, design, data collection techniques, data analysis, use of computer support, results, and use of graphics and charts), one on the use of nurse terminology, two relating to literature and one related to funding. PROCEDURE: peer and independent review. Descriptive statistical analysis. RESULTS: The most researched topic was healthcare 68 (58.1%), and 55 (47.0%) of the authors work in a hospital. The most investigated population was the patient 78 (66.7%), 46 (39.3%) in the hospital setting. A total of 66 (56.4%) did not mention the design, 36 (30.8%) were descriptive, and 29 (24.8%) collected data using scales and questionnaires. A substantial majority, 76 (65.0%) did not present any analyses of data and 41 (35.0%) did. 14(12%) reported the use of computer support was mentioned by 14 (12%, and only 18(18%) presented the references in accordance with regulations. CONCLUSIONS: Oral presentation at the conference can be improved as far as methodology is concerned, as more than half of them do not report on the design used or present a data analysis. There is a need to improve the use of the methodological format, as stipulated by the rules of article submission, in order to disseminate nursing research and increase scientific knowledge.