TEPT, suporte social e regula??o emocional em profissionais que atuaram no inc?ndio da boate Kiss

• Main Author: Barbosa, Luciana Dantas Figueiredo
• Other Authors: Kristensen, Christian Haag
• Format: Others
• Language: Portuguese
• Published: Pontif?cia Universidade Cat?lica do Rio Grande do Sul 2018
• Subjects: TEPT; Trag?dias Comunit?rias; Profissionais de Sa?de e Emerg?ncia; CIENCIAS HUMANAS::PSICOLOGIA
• Online Access: http://tede2.pucrs.br/tede2/handle/tede/7916

Submitted by PPG Psicologia ([e-mail]) on 2018-03-21T12:52:12Z No. of bitstreams: 1 DIS_LUCIANA_DANTAS_FIGUEIREDO_BARBOSA.pdf: 582768 bytes, checksum: 32a8df1421ff6d911c70440d0886ecd4 (MD5) === Approved for entry into archive by Tatiana Lopes ([e-mail]) on 2018-04-03T19:32:14Z (GMT) No. of bitstreams: 1 DIS_LUCIANA_DANTAS_FIGUEIREDO_BARBOSA.pdf: 582768 bytes, checksum: 32a8df1421ff6d911c70440d0886ecd4 (MD5) === Made available in DSpace on 2018-04-03T19:36:09Z (GMT). No. of bitstreams: 1 DIS_LUCIANA_DANTAS_FIGUEIREDO_BARBOSA.pdf: 582768 bytes, checksum: 32a8df1421ff6d911c70440d0886ecd4 (MD5) Previous issue date: 2018-01-08 === Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES === Many health and emergency professionals are involved in the aftermath of community disasters,taking care of victims and being exposed directly and indirectly to traumatic events. These professionalsare at risk of developing posttraumatic stress symptoms. In Brazil, one of the most striking community tragedies was the fire at the Kiss nightclub, which took place in the city of Santa Maria - RS, at the dawn of January 27th, 2013. In this sense, this dissertation is composed of two empirical studies presented in the form of articles. The objective of this study is to explore the relationship between PTSD, social support and emotional regulation strategies in health and emergency professionals who assisted the victims of the Kiss Nightclub fire, as well as to describe the experience of the professionals who participated in this event. The first article is a quantitative study with a cross-sectional, correlational design. The sampling process was non-probabilistic by convenience, and the sample consisted of 99 health and emergency professionals from the Santa Maria public and private sectors, who consented to participate in the study. The instruments used were: sociodemographic questionnaire, Post Traumatic Cognitions Inventory, The Life Events Checklist for DSM-5, PTSD Checklist, Social Support Perception Scale, and the Cognitive Emotional Regulation Questionnaire. The data were analyzed in the Statistical Package for Social Sciences 17.0 (SPSS). The results pointed out that low social support and maladaptive emotion regulation strategies are positively correlated with posttraumatic stress symptoms, and that posttraumatic cognitions predict posttraumatic symptoms. The second article is an exploratory cross-sectional study structured with a qualitative approach. Data collection was carried out in the workplaces of the health and emergency professionals of Santa Maria - RS, by the team of researchers. Collection consisted of an interview with a sample of five participants who were selected from the first study, by the criterion of presenting higher PTSD symptom scores. A topic interview script was used which included questions related to the context of the tragedy, immediate impacts, long term effects and meanings that the professionals gave to the experience of attending to the victims. A Theme Analysis was conducted, as proposed by Braun e Clarke (2006). The study shows that, even five years past this tragedy, health professionals continue to suffer with posttraumatic stress symptoms, such as avoidance and hypervigilance, and have used coping resources, task focus, social support and spirituality. As for meanings, some interpret the situation as a tragedy and a scar in the lives of the people involved and in the community; others understand that the event has provided professional growth and changes in the security protocols of enclosed spaces. This dissertation aimed at promoting advances in the literature on PTSD in health and emergency professionals in situations of community tragedies, contributing to increase the knowledge about PTSD prevalence in this population and associated factors. In addition, the understanding of the context, impacts and meanings that the professionals gave to their experience in the tragedy of Santa Maria aid in understanding the psychological consequences of the work with people exposed to traumas. This could guide the development of interventions for the promotion of health and wellbeing of such professionals. === Em trag?dias comunit?rias, muitos profissionais de sa?de e emerg?ncia s?o envolvidos no atendimento ?s v?timas e expostos direta e indiretamente a eventos traum?ticos, podendo desenvolver sintomas de Estresse P?s-traum?tico. No Brasil, uma das trag?dias comunit?rias mais impactantes foi o inc?ndio na boate Kiss, que aconteceu na cidade de Santa Maria - RS, na madrugada do dia 27 de janeiro de 2013. Nesse sentido, essa disserta??o de mestrado ? composta por dois estudos emp?ricos apresentados na forma de artigos. O objetivo do trabalho ? explorar a associa??o entre TEPT, suporte social e estrat?gias de regula??o emocional em profissionais de sa?de e emerg?ncia que prestaram assist?ncia ?s v?timas no inc?ndio da Boate Kiss e descrever a experi?ncia dos profissionais que atuaram nesse evento. O primeiro artigo ? um estudo quantitativo com delineamento correlacional, de corte transversal. O processo de amostragem foi n?o probabil?stico por conveni?ncia, sendo a amostra composta por 99 profissionais de sa?de e emerg?ncia da rede p?blica e privada de Santa Maria, que consentiram em participar do estudo. Os instrumentos utilizados foram: question?rio sociodemogr?fico, Invent?rio de Cogni??es P?s- Traum?ticas, The Life Events Checklist for DSM-5, PTSD Checklist, Escala de Percep??o do Suporte Social e Question?rio de Regula??o Emocional Cognitiva. Os dados foram analisados no Statistical Package for the Social Sciences 17.0 (SPSS).Os resultados apontaram que baixo suporte social e estrat?gias desadaptativas de regula??o emocional est?o correlacionados positivamente com sintomas de estresse p?s-traum?tico, e que cogni??es p?s traum?ticas predizem sintomas de estresse p?s traum?tico. O segundo artigo ? um estudo transversal do tipo explorat?rioestruturado a partir de uma abordagem qualitativa. A coleta foi realizada nos locais de trabalho dos profissionais de sa?de e emerg?ncia de Santa Maria ? RS, pela equipe de pesquisadores. Consistiu em uma entrevista com uma amostra de cinco participantes que foram selecionados a partir do primeiro estudo, pelo crit?rio de apresentarem maior sintomatologia de TEPT. Foi utilizado um roteiro t?pico de entrevista que contemplou perguntas relativas ao contexto da trag?dia, impactos imediatos, efeitos no longo prazo e significados que os profissionais deram ? experi?ncia de atendimento ?s v?timas. O m?todo de an?lise de dados utilizado foi a An?lise Tem?tica conforme proposto por Braun e Clarke (2006).O estudo mostrou que, mesmo ap?s cinco anos dessa trag?dia, os profissionais de sa?de continuam tendo sintomas de estresse p?s-traum?tico, como evita??o e hipervigil?ncia, e utilizaram, como recursos de enfrentamento, foco na tarefa, apoio social e espiritualidade. Quanto aos significados, alguns avaliam sob o prisma da trag?dia e da cicatriz nas vidas das pessoas envolvidas e na comunidade, outros entendem que o evento proporcionou crescimento profissional e mudan?as nos protocolos de seguran?a de 7 espa?os fechados. Entende-se que essa disserta??o cumpriu com o objetivo de promover avan?os na literatura sobre TEPT em profissionais de sa?de e emerg?ncia em situa??es de trag?dias comunit?rias, contribuindo para ampliar o conhecimento sobre a preval?ncia nessa popula??o e sobre os fatores associados. Ademais, a compreens?o do contexto, impactos e significados que os profissionais deram ? sua experi?ncia na trag?dia de Santa Maria ajudou a entender as consequ?ncias psicol?gicas do trabalho com pessoas expostas a traumas, o que poder? norteara elabora??o de interven??es para promo??o de sa?de e bem-estar dos profissionais.