Relações interpessoais entre profissionais de saúde e usuários de substâncias psicoativas: uma revisão integrativa

Autores

DOI:

https://doi.org/10.11606/issn.1806-6976.smad.2024.212178

Palavras-chave:

Transtornos relacionados ao uso de substâncias, Psicotrópicos, Pessoal de saúde, Estigma social, Humanização da assistência

Resumo

Objetivo: analisar a relação interpessoal entre profissionais de saúde e usuários de substâncias psicoativas no cuidado em saúde. Metodologia: trata-se de uma revisão integrativa nas bases de dados Medical Literature Analysis and Retrieval System Online e Literatura Latino-Americana e do Caribe em Ciências da Saúde. Os resultados foram apresentados por meio da caracterização dos estudos e agrupados em categorias temáticas conforme similaridade semântica dos conteúdos. Resultados: foram selecionados 15 artigos, organizados em três categorias: estigma; despreparo profissional; e encontros e desencontros nas relações. Atualmente, no cuidado em saúde, ainda se evidencia uma relação entre profissionais de saúde e usuários de substâncias psicoativas, prejudicada pela interface moral e cultural. Conclusão: relacionamentos interpessoais pautados no estigma, no preconceito, na hostilidade, na violência, na punição, no desrespeito e no constrangimento devem ser substituídos por um relacionamento empático, acolhedor, seguro, de confiança e vínculo para diminuir barreiras de acesso aos serviços.

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Referências

American Psychiatric Association. DSM-5: Diagnostic and Statistical Manual of Mental Disorders. Porto Alegre: Artmed; 2014.

World Health Organization; United Nations Office on Drugs and Crime. International standards for the treatment of drug use disorders: revised edition incorporating results of field-testing [Internet]. Geneva: WHO; 2020 [cited 2022 Nov 27]. Available from: https://apps.who.int/iris/handle/10665/331635

Slomski A. The Lingua Franca of Addiction-Stigmatizing Words That Wound. JAMA [Internet]. 2021 Oct 19 [cited 2022 Nov 27];326(15):1468. Available from: https://jamanetwork.com/journals/jama/fullarticle/2784804

Amarante P, Torre EHG. “Back to the city, Mr. citizen!” — psychiatric reform and social participation: from institutional isolation to the anti-asylum movement. Rev Adm Pública [Internet]. 2018 [cited 2022 Nov 27];52(6):1090-107. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-76122018000601090&lng=pt&tlng=pt

Cardoso AJC, Silva GA, Antunes RLM, Santos JL, Silva DV, Branco SMJ, et al. Institutional violence and mental illness: narratives on people who left a Brazilian psychiatric hospital. Saúde Debate [Internet]. 2020 [cited 2022 Nov 27];44(127):1105-19. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-11042020000401105&tlng=pt

Brasil. Lei no 10.216 de 6 de abril de 2001. Dispõe sobre a proteção e os direitos das pessoas portadoras de transtornos mentais e redireciona o modelo assistencial em saúde mental. Diário Oficial da União. 2001 Apr 9; seção 1:2. Available from: https://www.planalto.gov.br/ccivil_03/leis/leis_2001/l10216.htm

Ministério da Saúde (BR). A política do Ministério da Saúde para a atenção integral a usuários de álcool e outras drogas [Internet]. Brasília: MS; 2003 [cited 2022 Nov 27]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/politica_atencao_alcool_drogas.pdf

Ministério da Saúde (BR). Nota Técnica no 11/2019. Esclarecimentos sobre as mudanças na Política Nacional de Saúde Mental e nas Diretrizes da Política Nacional sobre Drogas [Internet]. Brasília: MS; 2019 [cited 2022 Nov 27]. Available from: https://pbpd.org.br/wp-content/uploads/2019/02/0656ad6e.pdf

Formozo GA, Oliveira DC, Costa TL, Gomes AMT. As relações interpessoais no cuidado em saúde: uma aproximação ao problema. Rev Enferm UERJ [Internet]. 2012 [cited 2023 Oct 30];20(1):124-7. Available from: https://www.e-publicacoes.uerj.br/index.php/enfermagemuerj/article/view/4006

Wogen J, Restrepo MT. Human Rights, Stigma, and Substance Use. Health Hum Rights [Internet]. 2020 [cited 2022 Nov 27];22(1):51-60. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7348456/

Farias L, Bernardino IM, Madruga RCR, d’Avila S, Lucas RSCC. Attitudes and practices of professionals who working in the Family Health Strategy regarding the approach to drug users in the municipality of Campina Grande. Paraíba. Brazil. Cien Saude Colet [Internet]. 2019 [cited 2022 Nov 27];24(10):3867-78. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232019001003867&tlng=pt

Cooper HM. Integrating research: a guide for literature reviews. 2. ed. Newbury Park, CA: Sage Publications; 1989. 157 p.

Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol [Internet]. 2005 [cited 2022 Nov 27];8(1):19-32. Available from: http://www.tandfonline.com/doi/abs/10.1080/1364557032000119616

Otiashvili D, Kirtadze I, O’Grady KE, Zule W, Krupitsky E, Wechsberg WM, et al. Access to treatment for substance-using women in the Republic of Georgia: Socio-cultural and structural barriers. Int J Drug Policy [Internet]. 2013 [cited 2022 Nov 27];24(6):566-72. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0955395913000789

Chakrapani V, Velayudham J, Shunmugam M, Newman PA, Dubrow R. Barriers to antiretroviral treatment access for injecting drug users living with HIV in Chennai, South India. AIDS Care [Internet]. 2014 [cited 2022 Nov 27];26(7):835-41. Available from: http://www.tandfonline.com/doi/abs/10.1080/09540121.2013.861573

Staton CA, Vissoci JRN, Wojcik R, Hirshon JM, Mvungi M, Mmbaga BT, et al. Perceived barriers by health care providers for screening and management of excessive alcohol use in an emergency department of a low-income country. Alcohol [Internet]. 2018 [cited 2022 Nov 27];71:65-73. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0741832917308315

Li L, Lin C, Liang LJ, Chen J, Feng N, Nguyen AT. HIV- and Drug Use–Related Stigma and Service Provision Among Community Health Workers in Vietnam. AIDS Educ Prev [Internet]. 2020 [cited 2022 Nov 27];32(2):169-79. Available from: https://guilfordjournals.com/doi/10.1521/aeap.2020.32.2.169

Biancarelli DL, Biello KB, Childs E, Drainoni M, Salhaney P, Edeza A, et al. Strategies used by people who inject drugs to avoid stigma in healthcare settings. Drug Alcohol Depend [Internet]. 2019 [cited 2022 Nov 27];198:80-6. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0376871619300699

Kruk E, Sandberg K. A home for body and soul: Substance using women in recovery. Harm Reduct J [Internet]. 2013 [cited 2022 Nov 27];10(1):39. Available from: http://harmreductionjournal.biomedcentral.com/articles/10.1186/1477-7517-10-39

Bittencourt MN, Pantoja PVN, Silva PCB Júnior, Pena JLC, Nemer CRB, Moreira RP. Street clinic: the care practices with users of alcohol and other drugs in Macapá. Esc Anna Nery [Internet]. 2019 [cited 2022 Nov 27];23(1). Available from: https://doi.org/10.1590/2177-9465-EAN-2018-0261

Urbanoski K, Pauly B, Inglis D, Cameron F, Haddad T, Phillips J, et al. Defining culturally safe primary care for people who use substances: a participatory concept mapping study. BMC Health Serv Res [Internet]. 2020 [cited 2022 Nov 27];20(1):1060. Available from: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-020-05915-x

Silveira PS, Soares RG, Gomide HP, Ferreira GCL, Casela ALM, Martins LF, et al. Social distance toward people with substance dependence: a survey among health professionals. Psicol Pesqui [Internet]. 2015 [cited 2022 Nov 27];9(2):170-6. Available from: https://psicologiaempesquisa.ufjf.emnuvens.com.br/psicologiaempesquisa/article/view/13

Murney MA, Sapag JC, Bobbili SJ, Khenti A. Stigma and discrimination related to mental health and substance use issues in primary health care in Toronto, Canada: a qualitative study. Int J Qual Stud Health Well-Being [Internet]. 2020 [cited 2022 Nov 27];15(1):1744926. Available from: https://www.tandfonline.com/doi/full/10.1080/17482631.2020.1744926

Garpenhag L, Dahlman D. Perceived healthcare stigma among patients in opioid substitution treatment: a qualitative study. Subst Abuse Treat Prev Policy [Internet]. 2021 [cited 2022 Nov 27];16(1):81. Available from: https://substanceabusepolicy.biomedcentral.com/articles/10.1186/s13011-021-00417-3

Otálvaro AFT, Vallejo GAC, Escobar SMR, Gallón VV, Giraldo ICO. Social stigma from health professionals towards people who use drugs. Psicol Pesqui. [Internet]. 2019 [cited 2022 Nov 27];1:22-32. Available from: http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1982-12472019000100003&lng=pt&nrm=iso

Ferguson N, Savic M, McCann TV, Emond K, Sandral E, Smith K, et al. “I was worried if I don’t have a broken leg they might not take it seriously”: Experiences of men accessing ambulance services for mental health and/or alcohol and other drug problems. Health Expect [Internet]. 2019 [cited 2022 Nov 27];22(3):565-74. Available from: https://onlinelibrary.wiley.com/doi/10.1111/hex.12886

Fong C, Mateu-Gelabert P, Ciervo C, Eckhardt B, Aponte-Melendez Y, Kapadia S, et al. Medical provider stigma experienced by people who use drugs (MPS-PWUD): Development and validation of a scale among people who currently inject drugs in New York City. Drug Alcohol Depend [Internet]. 2021 [cited 2022 Nov 27];221:108589. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0376871621000843

Maciel L, Schneider JA, Chambart D, Grassi-Oliveira R, Habigzang LF. Perceptions of Professionals about Health Care for Women Crack Users. Psicol Cienc Prof [Internet]. 2020 [cited 2022 Nov 27];40:e192955. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-98932020000100130&tlng=pt

Medeiros KT, Barros MMM, Maciel SC. Social representation of woman and female drug user. Arq Bras Psicol [Internet]. 2020 [cited 2022 Nov 27];3:19-34. Available from: http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1809-52672020000400003&lng=pt&nrm=iso

Borges CD, Lima A, Thurow CF, Torres PT, Lewy VLS. Training in community psychology action in the context of drugs: an analysis of curricular matrices. Psicol Argum. 2021;105:359-89. https://doi.org/10.7213/psicolargum39.105.AO01

Figueiredo CV, Moura HM, Rezende AT, Moizéis HBC, Guedes IO, Curvello RP. How are Positive Psychology and Health Psychology articulated? RSD [Internet]. 2021 [cited 2022 Nov 27];10(2):e16510212288. Available from: https://rsdjournal.org/index.php/rsd/article/view/12288

Zwick J, Appleseth H, Arndt S. Stigma: how it affects the substance use disorder patient. Subst Abuse Treat Prev Policy [Internet]. 2020 [cited 2022 Nov 27];15(1):50,s13011-020-00288-0. Available from: https://substanceabusepolicy.biomedcentral.com/articles/10.1186/s13011-020-00288-0

Publicado

2024-01-28

Como Citar

Jaeger, V. S., Camatta, M. W., & Calixto , A. M. (2024). Relações interpessoais entre profissionais de saúde e usuários de substâncias psicoativas: uma revisão integrativa. SMAD, Revista Eletrônica Saúde Mental Álcool E Drogas (Edição Em Português), 20, e-212178. https://doi.org/10.11606/issn.1806-6976.smad.2024.212178