Intervenção em Hospital de Dia durante a pandemia por COVID19

: o olhar dos utentes e dos profissionais de saúde

Abstract

Mental health has been assuming an increasingly important role in people's lives, with part of the population tending to adopt behaviors that promote their well-being and, consequently, their mental health. This unfolds into many dimensions, and it is important to achieve a state of balance in the various spheres of human life, such as physical, social and psychological well-being. In terms of health care, the need to create different ways of intervening with psychiatric patients has been highlighted. Thus, the existence of Day Hospitals sought to offer users a type of partial hospitalization, which includes specific activities that, with the support of a multidisciplinary team, aim to integrate them into the community. In this context, we considered it relevant to deepen the knowledge about the reality of the Day Hospital, specifically exploring changes in the domain of well-being, anxious and depressive symptoms, quality of life and day-to-day skills during an intervention in a Hospital de Dia. The main objective of this study was to understand the direction and dynamics of the changes perceived by users of the Vila Franca de Xira Day Hospital (HVFX), to propose guidelines that can contribute to the effectiveness of this type of approach. Framed in the context of the COVID-19 pandemic that caused numerous changes in the functioning of the Day Hospital, as well as successive changes in the research project, we came to consider it pertinent to know the view of health professionals about this impact, since it has completely changed what would be expected in the Day Hospital intervention. 4 HVFX users and 3 health professionals from the same Hospital participated in the study. A mixed methodology was adopted, with descriptive analyses, analysis of differences and thematic analysis by categories being pursued. The results did not show differences over time in the HVFX intervention and that the impact of COVID-19 was felt by health professionals on users and on professionals themselves. Despite the limitations of the study, these results contribute to a better understanding of the perception of those involved about the impact of the virus in the Day Hospital environment, an alternative modality for psychological and psychiatric interventions.

Date of Award	17 Dec 2021
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Susana Costa Ramalho (Supervisor)