Telles Nathalia Nakano, Cruz Nathalia Dos Santos, Cardoso Marilia Mastrocolla de Almeida, Luz Priscilla de Oliveira, Fernandes Heloísa Garcia Claro, Oliveira Márcia Aparecida Ferreira de
Escola de Enfermagem, Universidade de São Paulo, São Paulo, Brasil.
Hospital das Clínicas da Faculdade de Medicina de Botucatu, Universidade Estadual Paulista Júlio de Mesquita Filho, Botucatu, Brasil.
Cad Saude Publica. 2024 Dec 20;40(11):e00016324. doi: 10.1590/0102-311XEN016324. eCollection 2024.
This review aimed to identify and synthesize the perceptions of mental healthcare professionals, family members, and users about mental health crisis interventions for children and adolescents at hospitals and community mental health services. A qualitative systematic review was conducted following the Joanna Briggs Institution guidelines. The search was performed in 15 databases, with no temporal delimitation, and included studies in Portuguese, English, and Spanish. All works were assessed regarding methodological quality, credibility, and dependability according to the ConQual score and the recommendations were assessed following the Joanna Briggs Institution guidelines. In total, two independent reviewers screened and assessed the studies, extracted their data, developed categories, and conducted the thematic synthesis. A total of 13 studies met the inclusion and exclusion criteria. From these, five syntheses were developed: importance of relationships; importance of procedures during treatment; positive emotional responses to treatment; negative emotional responses to treatment; and issues with health professionals and health services. All five syntheses presented high dependability; two syntheses presented high credibility; and three presented moderate credibility. Mental healthcare professionals, family members and users had convergent perceptions about crisis intervention provided at healthcare services. Understanding their perceptions to improve care and the user experience in this vulnerable situation is crucial.
本综述旨在识别并综合精神卫生保健专业人员、家庭成员及使用者对医院和社区精神卫生服务机构针对儿童及青少年的心理健康危机干预措施的看法。按照乔安娜·布里格斯循证卫生保健中心（Joanna Briggs Institution）的指南开展了一项定性系统综述。检索了15个数据库，未设时间限制，纳入了葡萄牙语、英语和西班牙语的研究。根据ConQual评分评估所有研究的方法学质量、可信度和可靠性，并按照乔安娜·布里格斯循证卫生保健中心的指南评估建议。共有两名独立评审员对研究进行筛选和评估，提取数据，建立类别，并进行主题综合分析。共有13项研究符合纳入和排除标准。由此得出了五项综合分析结果：关系的重要性；治疗过程中程序的重要性；对治疗的积极情绪反应；对治疗的消极情绪反应；以及卫生专业人员和卫生服务存在的问题。所有五项综合分析结果均具有较高的可靠性；两项具有较高的可信度；三项具有中等可信度。精神卫生保健专业人员、家庭成员和使用者对医疗服务中提供的危机干预措施看法趋同。了解他们的看法对于在这种脆弱情况下改善护理和使用者体验至关重要。
