Úlceras venosas: caracterização e tratamento em usuários atendidos nas salas de curativos da rede municipal de saúde de Goiânia-GO
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tde/704 |
Resumo: | The venous ulcer is a public health problem according to the number of people affected and because of its chronic character, being the main cause of ulcers of the lower limbs. The injuries alter domestic activities, work and leisure activities, doing it necessary to the acting of a multidisciplinary team, which includes the nurse as a professional who, every day, assesses the health of the person, carrying out the curative, runs educational actions and makes referrals. The care of this population is realized, in mostly, on basic health units, yet the polls are usually conducted in reporting units, which contributes to know only part of the affected population. We aimed to analyze the socioeconomic, demographic and clinical profile of people with venous ulcers treated in curative rooms of the municipal health network and to analyze the treatment performed on the units and at home. We conducted a clinical study, observational, descriptive, cross-sectional with quantitative approach, involving people with venous ulcers, users of the curative rooms of the municipal health network of Goiânia, Goiás. Data collection was conducted from October 2009 to July 2010. It occurred through interviews, physical examination, application of evaluation scale of healing, refers to diagnostic procedures for amending the venous circulation of lower limbs and photography of the lesion, using a standardized guide. The 58 (100%) subjects tested ranged in age from 28 to 79, 39 (67.2%) were male, 42 (72.4%) were up to five years of study, 39 (67.2%) were working, 28 (48.3%) were in economy class "D". It was observed that 21 (36.2%) had hypertension, 10 (17.2%) diabetes, 30 (51.7%) higher body mass index, 39 (67.2%) spent most of the day sitting or lying. The lower limbs had varicose veins, reticular veins or telangiectasia (87.9%), hyperpigmentation (84.8%), edema (83.3%), lipodermatosclerosis (53.0%), eczema (51.5%) and pain (60.6%). Approximately half of the lesions were recurrent, people had a predominantly affected limb with a single lesion, with more than one-year duration; areas of lesions were greater than 24cm2, predominantly in the slough bed and a large amount of exudates, indicating a state of healing impaired. The borders were circled, regular, adhered and elevated; the perilesional skin showed fine texture (75.5%), shiny, scaly, with hyperthermia and hyperemia. The treatment occurred with the accompanying professional of technician or nursing assistant, nurse and doctor (56.9%), four people (7.0%) only with the technician. The product used in treatment was, mainly, based on essential fatty acid, four (6.9%) people used Unna s boot and three (5.1%), drug therapy. The majority (67.2%) was also curative at home, and in 17 (29.3%) cases, cleaning carried out with water. The results of this study indicate a population with poor socioeconomic conditions, presenting chronic disease with lesions characteristically deteriorated; pointing to needs of treatment, those consider the people in their entirety, which involves actions planned and ongoing, systemic and local impact. |
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BACHION, Maria Marciahttp://lattes.cnpq.br/8503907944360635http://lattes.cnpq.br/9491456825582541SANT\'ANA, Sílvia Maria Soares Carvalho2014-07-29T15:04:32Z2011-05-312011-01-28SANT\'ANA, Sílvia Maria Soares Carvalho. Venous ulcers: characterization and treatment in users attended in the curative rooms of the municipal health network in Goiânia-GO. 2011. 168 f. Dissertação (Mestrado em Cuidado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2011.http://repositorio.bc.ufg.br/tede/handle/tde/704The venous ulcer is a public health problem according to the number of people affected and because of its chronic character, being the main cause of ulcers of the lower limbs. The injuries alter domestic activities, work and leisure activities, doing it necessary to the acting of a multidisciplinary team, which includes the nurse as a professional who, every day, assesses the health of the person, carrying out the curative, runs educational actions and makes referrals. The care of this population is realized, in mostly, on basic health units, yet the polls are usually conducted in reporting units, which contributes to know only part of the affected population. We aimed to analyze the socioeconomic, demographic and clinical profile of people with venous ulcers treated in curative rooms of the municipal health network and to analyze the treatment performed on the units and at home. We conducted a clinical study, observational, descriptive, cross-sectional with quantitative approach, involving people with venous ulcers, users of the curative rooms of the municipal health network of Goiânia, Goiás. Data collection was conducted from October 2009 to July 2010. It occurred through interviews, physical examination, application of evaluation scale of healing, refers to diagnostic procedures for amending the venous circulation of lower limbs and photography of the lesion, using a standardized guide. The 58 (100%) subjects tested ranged in age from 28 to 79, 39 (67.2%) were male, 42 (72.4%) were up to five years of study, 39 (67.2%) were working, 28 (48.3%) were in economy class "D". It was observed that 21 (36.2%) had hypertension, 10 (17.2%) diabetes, 30 (51.7%) higher body mass index, 39 (67.2%) spent most of the day sitting or lying. The lower limbs had varicose veins, reticular veins or telangiectasia (87.9%), hyperpigmentation (84.8%), edema (83.3%), lipodermatosclerosis (53.0%), eczema (51.5%) and pain (60.6%). Approximately half of the lesions were recurrent, people had a predominantly affected limb with a single lesion, with more than one-year duration; areas of lesions were greater than 24cm2, predominantly in the slough bed and a large amount of exudates, indicating a state of healing impaired. The borders were circled, regular, adhered and elevated; the perilesional skin showed fine texture (75.5%), shiny, scaly, with hyperthermia and hyperemia. The treatment occurred with the accompanying professional of technician or nursing assistant, nurse and doctor (56.9%), four people (7.0%) only with the technician. The product used in treatment was, mainly, based on essential fatty acid, four (6.9%) people used Unna s boot and three (5.1%), drug therapy. The majority (67.2%) was also curative at home, and in 17 (29.3%) cases, cleaning carried out with water. The results of this study indicate a population with poor socioeconomic conditions, presenting chronic disease with lesions characteristically deteriorated; pointing to needs of treatment, those consider the people in their entirety, which involves actions planned and ongoing, systemic and local impact.A úlcera venosa constitui problema de saúde pública em função do número de pessoas acometidas e devido seu caráter crônico, sendo responsável pela principal causa de úlcera de membros inferiores. As lesões alteram as atividades domésticas, trabalho e atividades de lazer, fazendo-se necessário a atuação de uma equipe multidisciplinar, onde se insere o enfermeiro enquanto profissional que cotidianamente avalia as condições de saúde da pessoa, realiza o curativo, executa ações educativas e faz encaminhamentos. O atendimento dessa população é realizado majoritariamente em unidades básicas de saúde, mesmo assim, as pesquisas geralmente são realizadas em unidades de referência, o que contribui para conhecer apenas uma parte da população acometida. Objetivamos analisar o perfil socioeconômico, demográfico e clínico das pessoas com úlceras venosas atendidas em salas de curativos da rede municipal de saúde e analisar o tratamento realizado nas unidades e domicílio. Realizou-se estudo clínico, observacional, descritivo, transversal com abordagem quantitativa, envolvendo pessoas com úlceras venosas, usuários das salas de curativos da rede municipal de saúde de Goiânia, Goiás. A coleta de dados foi realizada nos meses de outubro de 2009 a julho de 2010. A obtenção dos dados se deu mediante entrevista, exame físico, aplicação de escala de avaliação de cicatrização, consulta a exames diagnósticos de alteração da circulação venosa dos membros inferiores e fotografia da lesão, utilizando um roteiro padronizado. Os 58 (100%) participantes avaliados tinham idade de 28 a 79 anos, 39 (67,2%) do gênero masculino, 42 (72,4%) apresentavam até cinco anos de estudo, 39 (67,2%) estavam trabalhando, 28 (48,3%) eram de classe econômica D . Foi observado que 21 (36,2%) apresentavam hipertensão, 10 (17,2%) diabete, 30 (51,7%) índice de massa corporal elevado, 39 (67,2%) passava a maior parte do dia sentado ou deitado. Os membros inferiores tinham varizes, veias reticulares ou telangiectasias (87,9%), hiperpigmentação (84,8%), edema (83,3%), lipodermatoesclerose (53,0%), eczema (51,5%) e dor (60,6%). Aproximadamente metade das lesões era recidiva, as pessoas tinham predominantemente um membro acometido, com lesão única, com mais de um ano de duração; as áreas das lesões eram acima de 24cm2, predominando esfacelo no leito e grande quantidade de exsudato, indicando estado de cicatrização prejudicada. As bordas eram circunscritas, regulares, aderidas e elevadas; a pele perilesional apresentava textura fina (75,5%), brilhante, descamativa, com hipertermia e hiperemia. O tratamento se dava com o acompanhamento profissional de técnico ou auxiliar de enfermagem, enfermeiro e médico (56,9%), sendo quatro pessoas (7,0%) apenas com o técnico. O produto usado no tratamento era, principalmente, à base de ácido graxo essencial, sendo que quatro (6,9%) pessoas usavam bota de Unna e três (5,1%), terapia farmacológica. A maioria (67,2%) também fazia curativo no domicílio, sendo em 17 (29,3%) casos, limpeza realizada com água corrente. Os resultados deste estudo indicam uma população com condições socioeconômicas precárias, apresentando doenças crônicas com lesões caracteristicamente deterioradas, apontando para necessidades de tratamento que considere as pessoas na sua integralidade, que envolva ações planejadas e contínuas, de impacto sistêmico e local.Made available in DSpace on 2014-07-29T15:04:32Z (GMT). No. of bitstreams: 1 Silvia Maria Soares Carvalho Sant Ana.pdf: 577330 bytes, checksum: 10f5fb1baf084001a6242354e2861f1a (MD5) Previous issue date: 2011-01-28application/pdfhttp://repositorio.bc.ufg.br/TEDE/retrieve/3316/Silvia%20Maria%20Soares%20Carvalho%20Sant%20Ana.pdf.jpgporUniversidade Federal de GoiásMestrado em EnfermagemUFGBRCuidado em EnfermagemÚlcera VaricosaEnfermagemSaúde Pública1. Úlcera Varicosa 2. Cuidados-Enfermagem 3. Saúde Pública-Goiânia (GO)Varicose UlcerNursingPublic HealthCNPQ::CIENCIAS DA SAUDE::ENFERMAGEMÚlceras venosas: caracterização e tratamento em usuários atendidos nas salas de curativos da rede municipal de saúde de Goiânia-GOVenous ulcers: characterization and treatment in users attended in the curative rooms of the municipal health network in Goiânia-GOinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFGinstname:Universidade Federal de Goiás (UFG)instacron:UFGORIGINALSilvia Maria Soares Carvalho Sant Ana.pdfapplication/pdf577330http://repositorio.bc.ufg.br/tede/bitstreams/fbb2bd8d-a948-4f89-8cbd-eca202b0155e/download10f5fb1baf084001a6242354e2861f1aMD51THUMBNAILSilvia Maria Soares Carvalho Sant Ana.pdf.jpgSilvia Maria Soares Carvalho Sant Ana.pdf.jpgGenerated Thumbnailimage/jpeg3928http://repositorio.bc.ufg.br/tede/bitstreams/ef4ad1a8-f9aa-41d1-bf47-d69909c4841d/downloade6aebf7eb40bd647e1ff6d8f465f3f04MD52tde/7042014-07-30 03:04:33.459open.accessoai:repositorio.bc.ufg.br:tde/704http://repositorio.bc.ufg.br/tedeRepositório InstitucionalPUBhttp://repositorio.bc.ufg.br/oai/requesttasesdissertacoes.bc@ufg.bropendoar:2014-07-30T06:04:33Repositório Institucional da UFG - Universidade Federal de Goiás (UFG)false |
dc.title.por.fl_str_mv |
Úlceras venosas: caracterização e tratamento em usuários atendidos nas salas de curativos da rede municipal de saúde de Goiânia-GO |
dc.title.alternative.eng.fl_str_mv |
Venous ulcers: characterization and treatment in users attended in the curative rooms of the municipal health network in Goiânia-GO |
title |
Úlceras venosas: caracterização e tratamento em usuários atendidos nas salas de curativos da rede municipal de saúde de Goiânia-GO |
spellingShingle |
Úlceras venosas: caracterização e tratamento em usuários atendidos nas salas de curativos da rede municipal de saúde de Goiânia-GO SANT\'ANA, Sílvia Maria Soares Carvalho Úlcera Varicosa Enfermagem Saúde Pública 1. Úlcera Varicosa 2. Cuidados-Enfermagem 3. Saúde Pública-Goiânia (GO) Varicose Ulcer Nursing Public Health CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
title_short |
Úlceras venosas: caracterização e tratamento em usuários atendidos nas salas de curativos da rede municipal de saúde de Goiânia-GO |
title_full |
Úlceras venosas: caracterização e tratamento em usuários atendidos nas salas de curativos da rede municipal de saúde de Goiânia-GO |
title_fullStr |
Úlceras venosas: caracterização e tratamento em usuários atendidos nas salas de curativos da rede municipal de saúde de Goiânia-GO |
title_full_unstemmed |
Úlceras venosas: caracterização e tratamento em usuários atendidos nas salas de curativos da rede municipal de saúde de Goiânia-GO |
title_sort |
Úlceras venosas: caracterização e tratamento em usuários atendidos nas salas de curativos da rede municipal de saúde de Goiânia-GO |
author |
SANT\'ANA, Sílvia Maria Soares Carvalho |
author_facet |
SANT\'ANA, Sílvia Maria Soares Carvalho |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
BACHION, Maria Marcia |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/8503907944360635 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/9491456825582541 |
dc.contributor.author.fl_str_mv |
SANT\'ANA, Sílvia Maria Soares Carvalho |
contributor_str_mv |
BACHION, Maria Marcia |
dc.subject.por.fl_str_mv |
Úlcera Varicosa Enfermagem Saúde Pública 1. Úlcera Varicosa 2. Cuidados-Enfermagem 3. Saúde Pública-Goiânia (GO) |
topic |
Úlcera Varicosa Enfermagem Saúde Pública 1. Úlcera Varicosa 2. Cuidados-Enfermagem 3. Saúde Pública-Goiânia (GO) Varicose Ulcer Nursing Public Health CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
dc.subject.eng.fl_str_mv |
Varicose Ulcer Nursing Public Health |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
description |
The venous ulcer is a public health problem according to the number of people affected and because of its chronic character, being the main cause of ulcers of the lower limbs. The injuries alter domestic activities, work and leisure activities, doing it necessary to the acting of a multidisciplinary team, which includes the nurse as a professional who, every day, assesses the health of the person, carrying out the curative, runs educational actions and makes referrals. The care of this population is realized, in mostly, on basic health units, yet the polls are usually conducted in reporting units, which contributes to know only part of the affected population. We aimed to analyze the socioeconomic, demographic and clinical profile of people with venous ulcers treated in curative rooms of the municipal health network and to analyze the treatment performed on the units and at home. We conducted a clinical study, observational, descriptive, cross-sectional with quantitative approach, involving people with venous ulcers, users of the curative rooms of the municipal health network of Goiânia, Goiás. Data collection was conducted from October 2009 to July 2010. It occurred through interviews, physical examination, application of evaluation scale of healing, refers to diagnostic procedures for amending the venous circulation of lower limbs and photography of the lesion, using a standardized guide. The 58 (100%) subjects tested ranged in age from 28 to 79, 39 (67.2%) were male, 42 (72.4%) were up to five years of study, 39 (67.2%) were working, 28 (48.3%) were in economy class "D". It was observed that 21 (36.2%) had hypertension, 10 (17.2%) diabetes, 30 (51.7%) higher body mass index, 39 (67.2%) spent most of the day sitting or lying. The lower limbs had varicose veins, reticular veins or telangiectasia (87.9%), hyperpigmentation (84.8%), edema (83.3%), lipodermatosclerosis (53.0%), eczema (51.5%) and pain (60.6%). Approximately half of the lesions were recurrent, people had a predominantly affected limb with a single lesion, with more than one-year duration; areas of lesions were greater than 24cm2, predominantly in the slough bed and a large amount of exudates, indicating a state of healing impaired. The borders were circled, regular, adhered and elevated; the perilesional skin showed fine texture (75.5%), shiny, scaly, with hyperthermia and hyperemia. The treatment occurred with the accompanying professional of technician or nursing assistant, nurse and doctor (56.9%), four people (7.0%) only with the technician. The product used in treatment was, mainly, based on essential fatty acid, four (6.9%) people used Unna s boot and three (5.1%), drug therapy. The majority (67.2%) was also curative at home, and in 17 (29.3%) cases, cleaning carried out with water. The results of this study indicate a population with poor socioeconomic conditions, presenting chronic disease with lesions characteristically deteriorated; pointing to needs of treatment, those consider the people in their entirety, which involves actions planned and ongoing, systemic and local impact. |
publishDate |
2011 |
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2011-05-31 |
dc.date.issued.fl_str_mv |
2011-01-28 |
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2014-07-29T15:04:32Z |
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masterThesis |
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publishedVersion |
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SANT\'ANA, Sílvia Maria Soares Carvalho. Venous ulcers: characterization and treatment in users attended in the curative rooms of the municipal health network in Goiânia-GO. 2011. 168 f. Dissertação (Mestrado em Cuidado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2011. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tde/704 |
identifier_str_mv |
SANT\'ANA, Sílvia Maria Soares Carvalho. Venous ulcers: characterization and treatment in users attended in the curative rooms of the municipal health network in Goiânia-GO. 2011. 168 f. Dissertação (Mestrado em Cuidado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2011. |
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http://repositorio.bc.ufg.br/tede/handle/tde/704 |
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Universidade Federal de Goiás |
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UFG |
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Cuidado em Enfermagem |
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Universidade Federal de Goiás |
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