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Item Qualidade de vida de vítimas de violência por projétil de arma de fogo(Universidade Federal de Goiás, 2009-05-19) SILVA, Ana Claudia de Carvalho Mello; BRASIL, Virginia Visconde; http://lattes.cnpq.br/1940761888797180Interpersonal violence by firearm projectile reaches young people around the world and this event may trigger physical and psychological trauma that can change in a negative way the quality of life in this population. This exploratory descriptive study aimed at evaluating the quality of life of victims of interpersonal violence by firearm projectile aged 18 to 39 years and interned at Hospital of Goiânia (HUGO) and identify the presence of symptoms for screening Disorder Post-Traumatic Stress (PTSD). We interviewed 95 victims of gun violence in HUGO interned with the aid of the WHOQOL-Bref and the PCL-PC. Data were subjected to descriptive statistical analysis with p <0.005. The majority (94.7%) were male, mean age 24.6 + / - 5.5 years, 58.9% are black or brown, 66.3% have no steady partner and 73.7% in income between one to two minimum wages. 89.5% of the violent events occurred between 20:07 hours, 52.6% on weekends and holidays, 48.4% of victims had drunk alcohol or drugs before the event and 78.9% had witnessed or were victims of violence before. 74.7% of them said that the violence caused physical and emotional changes (57.9%). the average value assigned in the self-assessment of quality of life was 3.03 and 2.72 for satisfaction with health. The dimensions obtained higher mean scores were the domain of social relationships (52.84) and psychological (50.98). The physical domain and the environment had an average 48.26 and 44.71 respectively. In the physical domain, the facets with an average of less than 3.0 were related to work (2.75), satisfaction with sleep (2.81), difficulties with mobility (2.86), pain (2.89) and dependence on medical treatment (2.94). The environmental domain had scores below 3.0 on the facets related to the feeling of safety (2.27), money (2.76), satisfaction with transportation (2.61), leisure opportunities (2.85) satisfaction with living quarters (2.87). It was observed that the perceptions of individuals frenteaos aspects analyzed in each dimension of WHOQOL-bref, is fairly homogeneous. 60% of the victims showed symptoms and screening for vulnerability to PTSD. It is concluded that the victim of armed violence undergoes changes in their quality of life evidenced by the low values assigned to all dimensions, especially those related to the physical realm and environment that can guide the professional actions and policies for this population. The vulnerability for developing PTSD may have influenced the assessment of quality of life and indicates the need of immediate professional intervention in order to help victims return to their daily activities.Item Panorama dos serviços de saúde mental do interior do estado de Goiás(Universidade Federal de Goiás, 2012-03-21) SILVA, Nathália dos Santos; CARDOZO, Elizabeth Esperidião; http://lattes.cnpq.br/1143743711641872INTRODUCTION: Psychiatric Reform is being built in Brazil for over 20 years and is one of its main pillars deinstitutionalization. In the country, the National Mental Health (PNSM) follows a global trend the organization of community practices and home care in place procedures institutionalized for treatment. The mental health work represents great challenges because of its complexity, which are in the restructuring of the quality of care, through the labor relations and the adoption of new technologies, knowledge and work practices. This research is part of a multicenter project coordinated by the School of Nursing of Ribeirão Preto, University of Sao Paulo in partnership with the School of Nursing, Federal University of Goiás, which proposes to perform diagnostic studies on mental health care in Brazil. GENERAL PURPOSE: To present an overview of mental health services in the state of Goias METHODOLOGY: This is a descriptive-exploratory quantitative and qualitative approach, carried out in all municipalities in the state of Goias who provide public mental health, totaling 19 municipalities and 22 services. The subjects were professionals who have higher education level, as well as those who act as coordinators in services. Data were collected through the use of self-administered forms and screenplay for oral interview. For quantitative analysis were used relative and absolute frequencies in order to characterize the profiles of professionals, nurses and coordinators of Mental Health services. The data obtained through the interviews were submitted to thematic content analysis as proposed by Bardin, with the help of ATLAS.ti. RESULTS: The general practitioners, nurses and coordinators of Mental Health services within the State of Goiás have a multidisciplinary character, the majority are young, with little time for completion of graduation and have limited experience in Mental Health, with rare exceptions. Few have expertise in the area, employment relationships are precarious and wages are low. As for nurses, most of the actions that they develop the services are predominantly focused on general nursing duties, with little contribution to the therapeutic actions proposed by the model of psychosocial care. The coordinators of services have an understanding consistent with the PNSM, although there is still some conflicts regarding the real meaning of deinstitutionalization. The main challenges posed by them are related to the interest of municipal management by mental health services to the structure, to overcome the prejudice, the need for construction and expansion of a network of social services and resources, and the basic preparation and qualification. CONCLUSION: The interior of Goiás State does not have a network of psychosocial care services because they lack the articulation between existing ones are insufficient. Professionals and engineers who work in services still lack adequate training to work in mental health. Engineers pointed challenges to implementation of PNSM corroborate the national scene.