Repercussões da COVID-19 no cuidado e comportamento de usuários de um Centro de Atenção Psicossocial infantojuvenil

Felicialle Pereira da Silva; Taysa do Nascimento Silva; Raphael Alves da Silva; Karina Ferreira da Silva; Ligia Maria de Almeida; Darine Marie Rodrigues da Silva; Jael Maria de Aquino

doi:10.15253/2175-6783.20232483042

Authors

Felicialle Pereira da Silva Universidade de Pernambuco https://orcid.org/0000-0002-2805-7506
Taysa do Nascimento Silva Universidade de Pernambuco https://orcid.org/0000-0001-8762-2117
Raphael Alves da Silva Universidade de Pernambuco https://orcid.org/0000-0003-2555-909X
Karina Ferreira da Silva Universidade de Pernambuco https://orcid.org/0000-0002-3747-3499
Ligia Maria de Almeida Universidade de Pernambuco https://orcid.org/0000-0001-9677-0429
Darine Marie Rodrigues da Silva Universidade de Pernambuco https://orcid.org/0000-0001-9111-6380
Jael Maria de Aquino Universidade de Pernambuco https://orcid.org/0000-0002-6949-7217

DOI:

https://doi.org/10.15253/2175-6783.20232483042

Keywords:

COVID-19; Caregivers; Pandemics; Nursing Theory; Mental Health Services.

Abstract

Objective: to analyze, in the light of Callista Roy’s model, the pandemic implications of COVID-19 on the behavior and care of users assisted at a Child and Adolescent Psychosocial Care Center. Methods: a qualitative study, in which 13 family caregivers of users assisted at a Child and Adolescent Psychosocial Care Center participated. Data collection occurred through semi-structured interviews. Data analysis was performed through content analysis. Results: three categories emerged: The impact of social distancing on the behavior of children/adolescents assisted at the Child and Adolescent Psychosocial Care Center; Difficulties experienced by family caregivers with children/adolescents during the COVID 19 pandemic; Welcoming and support for children/adolescents and family members linked to the Child and Adolescent Psychosocial Care Center during the COVID-19 pandemic. Conclusion: children’s and adolescents’ care and behavior have undergone changes resulting from changes in social interaction and care at the Child and Adolescent Psychosocial Care Center. This scenario required adaptation and, through Callista Roy’s model, it was possible to better understand this adaptive process. Contributions to practice: this study allows us to better understand the problem and, consequently, improve the care offered by the team considering the reality presented.

References

Cavalcante JR, Cardoso-dos-Santos AC, Bremm JM, Lobo AP, Macário EM, Oliveira WK, et al. COVID-19 in Brazil: evolution of the epidemic up until epidemiological week 20 of 2020. Epidemiol Serv Saúde. 2020;29(4):e2020376. doi: https://doi.org/10.5123/S1679-49742020000400010

Schmidt B, Crepaldi MA, Bolze SDA, Neiva-Silva L, Demeneck LM. Mental health and psychological interventions during the new coronavirus pandemic (COVID-19). Estud Psicol. 2020;37(1):e200063. doi: https://doi.org/10.1590/1982-0275202037

Samji H, Wu J, Ladak A, Vossen C, Stewart E, Dove N, et al. Mental health impacts of the COVID-19 pandemic on children and youth–a systematic review. Child Adolesc Ment Health. 2022;27(2):173-89. doi: https://doi.org/10.1111/camh.12501

Imran N, Zeshan M, Pervaiz Z. Mental health considerations for children & adolescents in COVID-19 Pandemic. Pak J Med Sci. 2020;36(COVID19-S4):67-72. doi: https://doi.org/10.12669%2Fpjms.36.COVID19-S4.2759

Faro KCA, Santos RB, Bosa CA, Wagner A, Silva SSC. Autismo e mães com e sem estresse: análise da sobrecarga materna e do suporte familiar. Psico. 2019;50(2):e30080. doi: https://doi.org/10.15448/1980-8623.2019.2.30080

Furtado RP, Azevedo MDC, Neves RLDR, Vieira, PS. O trabalho do professor de educação física nos Caps de Goiânia: identificando as oficinas terapêuticas. Rev Bras Ciênc Esporte. 2018;40(1):353-60. doi: https://doi.org/10.1016/j.rbce.2018.04.015

Rossi LM, Cid MFB. Adolescências, saúde mental e crise: a história contada por familiares. Cad Bras Ter Ocup. 2019;27(1):734-42. doi: https://doi.org/10.4322/2526-8910.ctoAO1811

Roy SC, Adrews HA. The Roy adaptation model: the definitive statement. Norwalk: Appleton & Lange; 1991.

Silva PDSD, Maciazeki-Gomes RDC, Couto MLDO, Paiva AMND, Gramajo CS, Kantorski LP. O cuidado em saúde mental: narrativas de familiares de ouvidores de vozes. Psicol USP. 2021;32:e210004. doi: https://doi.org/10.1590/0103-6564e210004

Bardin L. Análise de conteúdo. Lisboa: Edições 70; 2016.

Souza TCF, Correa Jr AJS, Santana ME, Pimentel IMS, Carvalho JN. Experiences of family members of children with cystic fibrosis under the light of Callista Roy. Rev Bras Enferm. 2020;73(4):e20190662. doi: https://dx.doi.org/10.1590/0034-7167-2019-0662

Taush A, Souza RO, Viciana CM, Cayetano C, Barbosa J, Hennis AJM. Strengthening mental health responses to COVID-19 in the Americas: a health policy analysis and recommendations. Lancet Reg Health Eur. 2022;5:100118. doi: https://doi.org/10.1016/j.lana.2021.100118

West MGLN, Vasconcelos MGL, Coriolano-Marinus MWL, Araújo EC. Care demands experienced by family caregivers of children with Primary Immunodeficiency. Rev Bras Enferm. 2020;73(4):e20180795. doi: http://doi.org/10.1590/0034-7167-2018-0795

Paiva ED, Silva LR, Machado MED, Aguiar RCB, Garcia KRS, Acioly PGM. Child behavior during the social distancing in the COVID-19 pandemic. Rev Bras Enferm. 2021;74(1):e20200762. doi: http://dx.doi.org/10.1590/0034-7167-2020-0762

Duan L, Shao X, Wang Y, Huang Y, Miao J, Yang X. An investigation of mental health status of children and adolescents in china during the outbreak of COVID-19. J Affect Disord. 2020;1(275):112-8. doi: http://dx.doi.org/10.1016/j.jad.2020.06.029

Almeida ILL, Rego JF, Teixeira ACG, Moreira MR. Isolamento social e seu impacto no desenvolvimento de crianças e adolescentes: uma revisão sistemática. Rev Paul Pediatr. 2022;40:e2020385. doi:https://dx.doi.org/10.1590/1984-0462/2022/40/2020385

Almeida IJS, Lúcio PS, Nascimento MF, Coura AS. Coronavirus pandemic in light of nursing theories. Rev Bras Enferm. 2020;73(2):e20200538. doi: http://dx.doi.org/10.1590/0034-7167-2020-0538

Coelho-Medeiros ME, Gálvez AP, Núnez A, Roy CL, Riquelme A, López-Espejo M. Impacto del confinamiento en pandemia COVID-19 en la conducta de niños, niñas y adolescentes con trastorno del espectro autista. Andes Pediatr. 2022;93(6):832-40. doi: https://doi.org/10.32641/andespediatr.v93i6.4095

Cárdenas-Martínez FJ, Gómez-Ortega OR. Nursing situation analysis: caring for families from the Roy adaptation model. Rev Cuid. 2019;10(1):e601. doi: http://dx.doi.org/10.15649/cuidarte.v10i1.601

Pires SMB, Lopata C, Bastos CRB, Torres FBG, Gomes DC, Cubas MR. Teoria de Callista Roy em pesquisas na Pós-Graduação brasileira. Enferm Foco. 2022;13:e-202233ESP1. doi: https://doi.org/10.21675/2357-707X.2022.v13.e-202233ESP1

Kalb LG, Badillo-Goicoechea E, Holingue C, Riehm KE, Thrul J, Stuart EA, et al. Psychological distress among caregivers raising a child with autism spectrum disorder during the COVID-19 pandemic. Autism Res. 2021;14(1):2183-8. doi: https://doi.org/10.1002/aur.2589

Neece C, Mcintyre LL, Fenning R. Examining the impact of COVID‐19 in ethnically diverse families with young children with intellectual and developmental disabilities. J Intellect Dis Res. 2020;64(10):739-49. doi: https://dx.doi.org/10.1111/jir.12769

Eshraghi AA, Li C, Alessandri M, Messinger DS, Eshraghi RS, Mittal R, et al. COVID-19: overcoming the challenges faced by individuals with autism and their families. Lancet Psychiatry. 2020;7(6):481-3. doi: https://doi.org/10.1016/S2215-0366(20)30197-8

Veiga NH, Ten YZLF, Machado VP, Faria MGA, Oliveira Neto M, David HMSL. Theory of adaptation and worker’s health in home office in the COVID-19 pandemic. Rev Baiana Enferm. 2021;35:e37636. doi: http://dx.doi.org/10.18471/rbe.v35.37636

Silva JPF, Castro MC, Aquino CM, Souza CRB, Rocha HAL, Correia LL, et al. Implicações da covid-19 no cotidiano das famílias nordestinas e no cuidado infantil. Saúde Soc. 2022;31(1):e210287. doi: http://doi.org/10.1590/S0104-12902022210287

Sato A, Almeida GS, Magistre LA, Oliveira RR, Cruz TMB, Florentino TC, et al. Pandemia da Covid- 19 e Autismo: o relato dos pais sobre o envelhecimento e a experiência dos filhos em relação ao distanciamento social e as aulas on-line. Rev Kairós-Gerontol. 2020;24(30):195-215. doi: https://dx.doi.org/10.23925/2176-901X.2021v24iEspecial30p195-215

Salum GA, Remenklau JF, Csordas MC, Pereira FP, Castan JU, Ferreira AB. Supporting people with severe mental health conditions during the COVID-19 pandemic: considerations for low- and middle-income countries using telehealth case management. Braz J Psychiatry. 2020;42(4):451-2. doi: http://doi.org/10.1590/1516-4446-2020-1078

Bissa CAA, Uchôa-Figueiredo LR. Uma equipe colaborativa enfrentando a pandemia: a perspectiva de uma terapeuta ocupacional em um serviço de saúde mental infantil. Rev Interinst Bras Ter Ocup. 2021;5(4):656-65. doi: https://dx.doi.org/10.47222/2526-3544.rbto41840

Rodrigues MA, Hercules ABS, Gnatta JR, Coelho JC, Mota ANB, Pierin AMG, et al. Teleconsultation as an advanced practice nursing during the COVID-19 pandemic based on Roy and Chick-Meleis. Rev Esc Enferm USP. 2022;56(spe):e20210438. doi: https://doi.org/10.1590/1980-220X-REEUSP-2021-0438en