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Previous issue date: 2016-09-30 / Objetivo: Analisar a associa??o dos aspectos sociodemogr?ficos, cl?nicos e assistenciais na qualidade de vida das pessoas com ?lcera venosa (UV) na aten??o prim?ria. M?todo: Estudo anal?tico e transversal conduzido na aten??o prim?ria ? sa?de com 101 pessoas com UV. Os dados foram coletados por formul?rio estruturado de medidas sociodemogr?ficas e biofisiol?gicas e o Medical Outcomes Short-Form Health Survey (SF-36). Aplicados os testes Qui-quadrado, Friedman, U de Mann-Whitney e Regress?o Log?stica Bin?ria. Obteve aprova??o por Comit? de ?tica em Pesquisa (CAAE n? 07556312.0.0000.5537). Resultados: A popula??o estudada era composta em sua maioria por mulheres, idosos, casados ou com uni?o est?vel, com baixa renda e n?vel de escolaridade. Entre os idosos, predominaram pessoas do sexo feminino (p=0,011), com companheiro(a) (p=0,025), escolaridade at? ensino fundamental (p=0,016), sem profiss?o (p<0,001), n?o etilistas (p=0,029), com diabetes mellitus (p=0,002) e hipertens?o arterial sist?mica (p=0,001). Quanto aos aspectos de sa?de e assistenciais, houve tend?ncia de piores resultados entre os idosos, com predom?nio de indiv?duos com assist?ncia inadequada. As vari?veis faixa et?ria, sono, intensidade e presen?a da dor, tempo de les?o, orienta??o de exerc?cios regulares, orienta??es para terapia compressiva, tempo de tratamento e refer?ncia e contrarefer?ncia colaboraram para pior QV, juntas, as vari?veis sono, presen?a e intensidade da dor e orienta??o para exerc?cios f?sicos explicam pior qualidade de vida. Conclus?o: os pesquisados em sua maioria eram idosas, sem ocupa??o, com companheiro, baixa renda, comorbidades, tempo de les?o superior a um ano, recidivas e dor presente. Evidenciou-se necessidade de cuidado integral ?s pessoas com ?lcera venosa, em especial aos idosos. Os aspectos sociodemogr?ficos, cl?nicos e assistenciais, isolados e em conjunto, estiveram associados a pior qualidade de vida, em especial, sono, dor, orienta??o de exerc?cios e refer?ncia e contrarrefer?ncia nos idosos, que devem ser reconsiderados na assist?ncia integral e multidisciplinar. / Objective: To analyze the association of sociodemographic, clinical and care aspects of quality of life of people with venous ulcers (VU) in primary care. Method: Analytical and cross-sectional study conducted in primary health care with 101 people with VU. Data were collected by structured form of sociodemographic and bio-physiological measures and the Medical Outcomes Short-Form Health Survey (SF-36). Applied the chi-square test, Friedman, Mann-Whitney U test and Binary Logistic Regression. That was approved by the Research Ethics Committee (RECs No 07556312.0.0000.5537). Results: The study population consisted mostly of women, older, married or in a stable relationship, with low income and education level. Among the elderly, predominated females (p = 0.011), with a partner (p = 0.025), education to primary education (p = 0.016), unemployed (p <0.001), non-alcoholic (p = 0.029), diabetes mellitus ( p = 0.002) and hypertension (p = 0.001). About the health and welfare aspects, there was a tendency of worse outcomes among the elderly, with a prevalence of individuals with inadequate care. The variables age, sleepiness, intensity and presence of pain, injury time, guidance for exercise, guidelines for compression therapy, treatment time and reference and counter-reference contributed to the worse quality of life. Moreover, the variables sleepiness, intensity and presence pain, and guidance for exercise, all together, explain the worst quality of life. Conclusion: The surveyed were mostly elderly, unemployed, with a partner, low income, comorbidity, the injury time was more than one year, recurrence and with presence of pain. It was evident the need for comprehensive care to people with venous ulcers, especially the elderly. The sociodemographic, clinical and care aspects, isolated and together, were associated with the worse quality of life, in particular, sleepiness, pain, guidance for exercise, and reference and counter-reference in the elderly, should be reconsidered in the comprehensive and multidisciplinary care.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/22208 |
| Date | 30 September 2016 |
| Creators | Torres, Sandra Maria da Solidade Gomes Sim?es de Oliveira |
| Contributors | 18112900434, http://lattes.cnpq.br/2021670670663453, Miranda, Francisco Arnoldo Nunes de, 04960360330, http://lattes.cnpq.br/9242337504601387, Nobre, Thaiza Teixeira Xavier, 02590556462, http://lattes.cnpq.br/2813639308023253, Mendes, Cristina Katya Torres Teixeira, 01119119405, http://lattes.cnpq.br/8585902794071018, Azoubel, Roberta, 87198819591, http://lattes.cnpq.br/8386042931952983, Maia, Eulalia Maria Chaves |
| Publisher | PROGRAMA DE P?S-GRADUA??O EM CI?NCIAS DA SA?DE, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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