Associação entre desesperança, transtornos mentais e risco de suicídio em profissionais de enfermagem de serviços de oncologia de alta complexidade

Abstract

Objective: To analyze the presence of hopelessness in nursing professionals working in specialized oncology services and its relation with anxiety disorders, depressive disorders, suicide risk and other mental disorders evaluated by the Mini International Neuropsychiatric Interview (Brazilian version 5.0.0). Method: A quantitative, descriptive and cross – sectional study with 89 nursing professionals working in Centers or Units of High Complexity in Oncology in Alagoas. Data collection: primary data through face-to-face interview using the instruments: Sociodemographic Form; Classification of Socioeconomic Stratum by the Economic Classification Criteria Brazil; Beck Despair Scale and Validation Translation of the Mini International Neuropsychiatric Interview (Brazilian version 5.0.0). Descriptive analysis through relative and absolute frequency, bivariate analysis using the Mann-Whitney, Kruskal Wallis and Spearman correlation tests. It was considered a 95% confidence interval and value p <0.05. Research approved by the Research Ethics Committee of the Federal University of Alagoas, number 1.899.668. Results: Mild despair was observed in all subcategories of depressive disorders, with significance for major depression with a mean of 5.59, mean melancholic depression of .56 and mean dysthymia of 5.50. Among the anxiety disorders, a significant statistical difference was observed for mild despair and average agoraphobia of 5.19 and moderate hopelessness and mean social phobia of 10.67. There was a significant difference between hopelessness and suicide risk with an average of 8.00, with a high risk of suicide with a moderate level of hopelessness of 10.50. When analyzing other mental disorders, statistical significance was observed for hopelessness and average alcohol dependence of 5.33; substance dependence of 14.50 and mean antisocial personality disorder of 5.67. Conclusion: hopelessness is present in a significant number of nursing professionals, with the light level being the most frequent. A link between hopelessness and physical and / or mental illness was observed, since those who reported preexisting disease and psychiatric comorbidities presented mild despair. Nursing professionals with mental disorders, among them depression, anxiety and suicide risk, varied in the intensity of hopelessness.