Identification of psychological demands in patients seen by inter-consultation: differences in physicians’ and psychologists’ perceptions
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2023.188788Keywords:
Hospitalization, Interdisciplinary health team, Interdisciplinary communication, Mental health assistance, Referral and consultationAbstract
Falling ill and the need for hospitalization may imply psychological damage to the patient. In this sense, the work in multi-professional teams is configured as an important tool to offer integrated health care. The psychological inter-consultation is characterized by a brief and focused service requested by the team responsible for the patients’ care, in which the psychologist proposes practices together with the health team. This study aimed to compare the
psychological demands identified by the physician in the inter-consultation request, with the demands evaluated by the psychologist in the first assistance to patients hospitalized in a tertiary-level university hospital. The data were obtained from the medical records, categorized by the researchers according to the quantitative-interpretative method, and analyzed in terms of frequency and percentage by McNemar’s test and degree of agreement between the evaluators by the Kappa Coefficient of Agreement. 104 inter-consultation requests made between March 2017 and March 2018 were evaluated, with a predominance of female patients (59.8), over 50 years of age (63%), and professionally inactive (61.9%). Most requests originated from the medical clinic (80.8%) and a patient with a chronic condition (52.9%). The results found were described in 11 categories. It was noted that there was greater
agreement among caregivers in recognition of emotional symptoms as a justification for psychological intervention, which found correspondence with the available scientific literature. Disagreements were noted in the perception of demands among professionals, especially regarding emotional suffering related to difficulties in understanding the diagnosis and/or treatment, little family/social support, problems of adaptation to hospitalization, and emotional problems unrelated to the disease. We conclude that the multi-professional perspective is an important strategy to promote integral attention to the patient, with inter-consultation as an effective possibility, and that the approach to the patient presents different perspectives linked to each team component’s knowledge. The need to invest in training for emotional problem identification and management, communication and a good doctor-patient relationship, and aspects of the individual history that can contribute to a good treatment outcome is emphasized. Also, it is important that academic training equips professionals to work in a multi-professional team, which requires communication skills, sensitivity, and an understanding of the complementarity of knowledge.
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