Cuidados de enfermería en la automutilación

Cristiane Salles Lisboa; Rozemere Cardoso de Souza; Thiago Nogueira Silva

Cristiane Salles Lisboa Instituto Federal de Bahía – IFBAIANO (Uruçuca, Bahia, Brasil). Máster Profesional en Enfermería (PPGENF), Universidad Estatal de Santa Cruz – UESC (Ilhéus, Bahia, Brasil) https://orcid.org/0000-0002-6331-3309
Rozemere Cardoso de Souza Máster Profesional en Enfermería (PPGENF), Curso de Enfermería del Departamento de Ciencias de la Salud, Universidad Estatal de Santa Cruz (Ilhéus, Bahia, Brasil) https://orcid.org/0000-0003-2705-1556
Thiago Nogueira Silva Doctorado Académico en Ciencias de la Salud (PACCS), Universidad Federal Fluminense (Brasil) https://orcid.org/0000-0002-8666-8698

Palabras clave: Automutilación, Adolescente, Cuidados de enfermería, Enfermería, Salud escolar

Key-words: Self-mutilation, Adolescent, Nursing care, Nursing, School health

Resumen

Justificación: La automutilación es un importante problema de salud pública, lo que demuestra la necesidad de reunir pruebas que ayuden a los profesionales de enfermería en la toma de decisiones. Objetivo principal: Identificar estrategias de cuidado de enfermería en la literatura para personas automutiladas. Metodología: Revisión sistemática a través de bases de datos Pubmed, Medline, Cinahl y Scopus (2011-2021). Se seleccionaron 9 estudios. Resultados principales: Las principales evidencias fueron: postura empática y comprometida del profesional, uso de enfoque no invasivo, creación de alternativas de comunicación para ayudar en tiempos de crisis, promoción de espacios de diálogo tanto en grupos como individualmente, cuidado físico de lesiones autoinfligidas y acciones integrales de promoción de la salud. Conclusión principal: A pesar de la evidencia enumerada y la relevancia del papel de la enfermera en el manejo de la persona que se automutila, se necesitan más estudios sobre el tema.

Abstract

Justification: Self-mutilation is an important public health problem, demonstrating the need to gather evidence to help nursing professionals in decision making. Objective: Identifying in the literature nursing care strategies for the self-mutilating person. Methods: Systematic review using Pubmed, Medline, Cinahl and Scopus databases (2011-2021). 9 studies were selected. Results: The main evidence was: the professional's empathic and committed posture, use of a non-invasive approach, creation of communication alternatives to help in times of crisis, promotion of spaces for dialogue in both groups and individuals, physical care of self-inflicted injuries and comprehensive actions of health promotion. Conclusions: Despite the evidence listed and the relevance of the nurse's role in managing the self-mutilating person, further studies on the subject are needed.

Bibliografía

1. Hicks, K. Madalyn; Hinck, Susan M. Best-practice intervention for care of clients who self-mutilate. Journal of the American Academy of Nurse Practitioners; 21:430-436. Disponível em https://doi.org/10.1111/j.1745-7599.2009.00426.x [acesso: 11/06/2021].
2. Askew, Mary; Byrne, Mary W. Biopsychosocial Approach to Treating Self-Injurious Behaviors: An Adolescent Case Study. Journal of Child and Adolescent Psychiatric Nursing 2009; 22 (3): 115-9. Disponível em https://doi.org/10.1111/j.1744-6171.2009.00186.x [acesso: 02/06/2021].
3. Evans, Rhiannon; Hurrell, Chloe. The role of schools in children and young people’s self-harm and suicide: systematic review and meta-ethnography of qualitative research. BMC Public Health 2016; 16:1-16. Disponível em https://doi.org/10.1186/s12889-016-3065-2 [acesso: 11/06/2021].
4. Clarke, Liam; Whittaker, Margareth. Self-mutilation: culture, contexts and nursing responses. Journal of Clinical Nursing 1998; 7 (2): 129-137 Disponível em https://onlinelibrary.wiley.com/doi/epdf/10.1046/j.1365-2702.1998.00120.x [acesso: 01/06/2021].
5. McDonald, Catherine. Self-Mutilation in Adolescents. The Journal of School Nursing 2006; 22 (4): 193-200. Disponível em https://doi.org/10.1177/10598405050220040201 [acesso: 02/06/2021].
6. Muehlenkamp, Jennifer J.; Claes, Laurence; Havertape, Lindsey; Plener, Paul L. International prevalence of adolescent non suicidal self-injury and deliberate self-h. Child and Adolescent Psychiatry and Mental Health 2012 ; 6 (10): 1-9. Disponível em: https://doi.org/10.1186/1753-2000-6-10 [acesso: 01/06/2021].
7. Swannell, Sarah V.; Martin, Graham E.; Page, Andrew; Hasking, Penelope; St John, Natan J. Prevalence of nonsuicidal self-injury in nonclinical samples: systematic review, meta-analysis and meta-regression. Suicide Life Threat Behav 2014; 44 (3): 273-303. Disponível em https://doi.org/10.1111/sltb.12070 [acesso: 23/08/2021].
8. Secretaria de Vigilância em Saúde. Ministério da Saúde. República Federativa do Brasil. Mortalidade por suicídio e notifi-cações de lesões autoprovocadas no Brasil. Boletim Epidemiológico 2021; 52 (33): 1-10. Disponível em https://www.gov.br/saude/pt-br/media/pdf/2021/setembro/20/boletim_epidemiologico_svs_33_final.pdf [acesso: 23/09/2021].
9. Secretaria de Vigilância em Saúde. Ministério da Saúde. República Federativa do Brasil. Sistema de Informação de Agravos de Notificação (SINAN). 2021. Disponível em: http://tabnet.datasus.gov.br/cgi/tabcgi.exe?sinannet/cnv/violebr.def [acesso: 10/06/2021].
10. Dirkes, Jessica; Hughes, Tonda; Ramirez-Valles, Jesus; Jonhson, Tim; Bostwick, Wendy. Sexual identity de-velopment: relationship with lifetime suicidal ideation in sexual minority women. Journal of Clinical Nursing 2016; 25: 3545-3556. Disponível em https://doi.org/10.1111/jocn.13313 [acesso: 25/06/2021].
11. Gatta, Michela; Spoto, Andrea; Miscioscia, Marina; Valentini, Perla et al. Emozioni, comportamenti e relazioni: uno studio caso-controllo sul self-cutting in adolescenza. Riv Psichiatr 2019; 54 (4): 175-182. Disponível em https://doi.org/10.1708/3202.31800 [acesso: 11/06/2021].
12. Charfi, Fatma; Harbaoui, Azza; Skhiri, Afef; Abbès, Zeineb et al. Profil épidémiologique et clinique des tentatives de suicide chez l'enfant et l'adolescent en Tunisie en post révolution. Pan African Medical Journal 2019; 32 (204): 1-5. Disponível em https://dx.doi.org/10.11604%2Fpamj.2019.32.204.15477 [acesso: 04/06/2021].
13. Choi, Seo-Hyun; Lee, Sang-Eun; Lee, Chai Won; Maent, Seri et al. Association between Perceived Parenting Style and Ado-lescents’ Attitudes toward Suicide. J Korean Acad Child Adolesc Psychiatry 2020; 31 (4): 193-200. Disponível em https://doi.org/10.5765/jkacap.200032 [acesso: 04/06/2021].
14. Galvão, Taís Freire; Pereira, Maurício Gomes. Revisões sistemáticas da literatura: passos para sua elaboração. Epidemiologia e Serviços de Saúde 2014; 23 (1): 183-184. Disponível em https://www.scielo.br/j/ress/a/yPKRNymgtzwzWR8cpDmRWQr/?lang=pt [acesso: 22/05/2021].
15. Galvão, Taís Freire; Pansani, Thais de Souza Andrade; Harrad, David. Principais itens para relatar Revisões sistemáticas e Meta-análises: A recomendação PRISMA. Epidemiologia e Serviços de Saúde 2015; 24 (2): 335-342. Disponível em https://doi.org/10.5123/S1679-49742015000200017 [acesso:/01/06/2021].
16. Lindgren, Britt-Marie; Öster, Inger; Åström, Sture; Granehem, Ulla Hällgren. ‘They don’t understand ... you cut yourself in order to live.’ Interpretative repertoires jointly constructing interactions between adult women who self-harm and professional caregivers. Int J Qualitative Stud Health Well-being 2011; 6 (3): 1-13. Disponível em https://doi.org/10.3402/qhw.v6i3.7254 [acesso: 11/06/2021].
17. Rissanen, Marja-Liisa; Kylmä, Jari; Laukkanen, Eila. Self-mutilation among Finnish adolescents: Nurses’ conceptions. Inter-national Journal of Nursing Practice 2011; 17 (2): 158-165. Disponível em https://doi.org/10.1111/j.1440-172X.2011.01921.x [acesso: 10/06/2021].
18. Rissanen, Marja-Liisa; Kylmä, Jari; Laukkanen, Eila. Helping Self-Mutilating Adolescents: Descriptions of Finnish Nurses. Issues in Mental Health Nursing 2012; 33 (4): 251-62. Disponível em https://doi.org/10.3109/01612840.2011.653035 [acesso: 02/06/2021].
19. Bjärehed, Jonas; Pettersson, Kajsa; Wångby-Lundh, Margit; Lundh, Lars-Gunnar. Examining the Acceptability, Attractive-ness, and Effects of a School-Based Validating Interview for Adolescents Who Self-Injure. The Journal of School Nursing 2012; 29 (3): 225-234. Disponível em https://doi.org/10.1177%2F1059840512458527 [acesso: 11/06/2021].
20. Cleaver, Karen; Meerabeau, Liz; Maras, Pam. Attitudes towards young people who self-harm: age, an influencing fac-tor. Journal of advanced nursing 2014; 70 (12): 2884-2896. Disponível em https://doi.org/10.1111/jan.12451 [acesso: 11/06/2021].
21. Clarke, Jules. Self-harm in children and young people: A case study. British Journal of School Nursing 2014; 9 (4): 183-185. Disponível em https://doi.org/10.12968/bjsn.2014.9.4.183 [acesso: 10/06/2021].
22. Tofthagen, Randi; Talseth, Anne-Grethe; Fagerström, Lisbeth. Mental Health Nurses’ Experiences of Caring for Pa-tients Suffering from Self-Harm. Nursing Research and Practice 2014; 2014: 1-10. Disponível em https://doi.org/10.1155/2014/905741 [acesso: 11/06/2021].
23. Leung, Ming; Chow, Chun-Bong; Ip, Pak-Keung Patrick; Yip, Siu-Fai Paul. Self-harm attempters’ perception of community services and its implication on service provision. International Journal of Nursing Sciences 2019; 6: (2019) 50-57. Disponível em https://doi.org/10.1016/j.ijnss.2018.12.003 [acesso: 11/06/2021].
24. Babič, Matjka Pintar; Bregar, Branco; Radobuljac, Mara Drobnič. The attitudes and feelings of mental health nurses to-wards adolescents and young adults with nonsuicidal self-injuring behaviors. Child Adolesc Psychiatry Ment Health 2020; 14 (37): 1-10. Disponível em https://doi.org/10.1186/s13034-020-00343-5 [acesso: 11/06/2021].
25. Pessoa, Denise Mayara de Souza; Freitas, Rodrigo Jácob Moreira de; Melo, Juce Ally Lopes de; Barreto, Francisca Adriana; Melo, Kísia Cristina de Oliveira; Dias, Erica Carla de Sousa. Nursing assistance in primary health care for adolescents with suicid-al ideations. Revista Mineira de Enfermagem 2020; 24 (e): 1-8. Disponível em http://www.dx.doi.org/10.5935/1415-2762.20200019 [acesso: 14/06/2021].

Cuidados de enfermería en la automutilación

Nursing Care in self-mutilation

Resumen

Abstract

Bibliografía