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Previous issue date: 2017-12-13 / A pesquisa teve como objetivo avaliar a percep??o do suporte familiar e qualidade de vida de idosos com ?lcera venosa atendidos na Aten??o Prim?ria ? Sa?de. Estudo anal?tico com abordagem quantitativa, realizado em Santa Maria, Rio Grande do Sul, Brasil. Participaram 40 idosos atendidos nas unidades de sa?de, no per?odo de agosto a dezembro de 2016. Na coleta de dados utilizaram-se os instrumentos: formul?rio para caracteriza??o sociodemogr?fica, de sa?de, cl?nica e assistencial; o Charing Cross Venous Ulcer Questionnaire (CCVUQ) e o Invent?rio da Percep??o de Suporte Familiar (IPSF). Utilizou-se da estat?stica descritiva e inferencial, testes Qui-Quadrado, Exato de Fischer, Mann-Whitney e correla??o de Spearmann, considerando n?vel de signific?ncia estat?stica de ?-valor ? 0,05. O projeto de pesquisa foi aprovado pelo Comit? de ?tica em Pesquisa da Universidade proponente, (Processo n?mero 1.670.636 e Certificado de Apresenta??o para Aprecia??o ?tica 58255016.0.0000.5346). Houve predom?nio do sexo feminino, faixa et?ria dos 70 anos ou mais, sem companheiro, aposentados, com doen?as cr?nicas associadas, sono maior de seis horas/dia e presen?a de dor. Referiam como local predominante para a realiza??o do curativo o servi?o de sa?de (n=34, 85,0%), n?o faziam uso de terapia compressiva (n=24, 60,0%), os que faziam utilizavam bota de Unna (n=16, 40,0%). O Escore Total do CCVUQ apresentou mediana 43,9, para a avalia??o da qualidade de vida geral dos participantes; e nos dom?nios Intera??o Social (27,9), Atividades Dom?sticas (29,9), Est?tica (44,7) e Estado Emocional (57,4). Quanto ? percep??o do Suporte familiar, os idosos classificaram como Alto Suporte. Afetivo-Consistente foi 67,5%, com m?dia de 33,40(?11,29); Adapta??o familiar, o percentual de alto foi de 45,0%, com m?dia de 20,97(?6,42) e Autonomia foi de 70,0%, com m?dia de 14,65(?2,36). As vari?veis sociodemogr?ficas e de sa?de n?o apresentam associa??es significativas com os dom?nios do CCVUQ e IPSF. Sobre a qualidade de vida constatou-se diferen?a significativa da vari?vel cl?nica dor em rela??o aos dom?nios Atividades Dom?sticas (p=0,048), Estado Emocional (p=0,034) e Escore Total (p=0,022). Apresentaram diferen?a significativa as vari?veis assistenciais: quem realiza o curativo com Estado Emocional (p=0,045); uso de terapia compressiva com Atividades Dom?sticas (p=0,031); e n?mero de consultas com os dom?nios Intera??o Social (p=0,033), Atividades Dom?sticas (p=0,033), Estado Emocional (p=0,025) e Escore total (p=0,030). Quanto ao Suporte familiar, encontraram-se associa??es significativas entre as vari?veis cl?nicas: recidiva com o Suporte Total (p=0,031); tempo da ?lcera venosa atual em anos com os dom?nios Afetivo-Consistente (p=0,003) e Total (p=0,022), dor com o dom?nio Autonomia (p=0,041), sinais de infec??o com Suporte Total (p=0,044). Entre as vari?veis assistenciais: Tempo de tratamento em anos com o dom?nio Afetivo-Consistente (p=0,021). Uso de terapia compressiva com os dom?nios Afetivo-Consistente (p=0,002) e Total do Suporte (p=0,002). Verificaram-se correla??es negativas e significativas do suporte familiar na qualidade de vida em idosos com ?lcera venosa, entre Afetivo-Consistente e o escore total do CCVUQ (r=-0,323; p=0,042), o dom?nio Atividades Dom?sticas (r=-0,350; p=0,027) e Estado Emocional (r=-0,424; p=0,006). Entre Adapta??o Familiar e Estado Emocional (r=-0,443; p=0,004). Da mesma maneira, entre Autonomia e o escore total do CCVUQ (r=-0,514; p=0,001), o dom?nio Intera??o Social (r=-0,362; p=0,022), Atividades Dom?sticas (r=-0,513; p=0,001), Est?tica (r=-0,478; p=0,003) e Estado Emocional (r=-0,478; p=0,002). A qualidade de vida do idoso com ?lcera venosa foi mais comprometidas nos dom?nios Estado emocional e Est?tica. Aceita-se a hip?tese alternativa que o suporte familiar se correlaciona com a qualidade de vida em idosos com ?lcera venosa atendidos na Aten??o Prim?ria ? Sa?de. Necessitam-se a??es de promo??o e reabilita??o da sa?de do idoso, com enfoque na din?mica familiar, a fim de promover a autonomia e o conv?vio social para melhora da qualidade de vida. / This research aimed to evaluate the perception of family support and quality of life of elderly patients with venous ulcers treated at the primary health care. Analytical study with a quantitative approach held in Santa Maria, Rio Grande do Sul, Brazil. The study included 40 elderly attended in health units in the period from August to December, 2016. Data collection used these instruments: Form for the sociodemographic characterization, heath, clinical and care; Charing Cross Venous Ulcer Questionnaire (CCVUQ) and the Family Support Perception Inventory (IPSF). It was used descriptive and inferential statistics, used the chi-square test, Fisher's exact test, Mann-Whitney, and was Spearman correlation, considering a level of significance of ?-value ? 0.05. The research project has approved by the Ethics Committee Proponent University Research, (Case number 1670636 and Presentation Certificate for Ethics Assessment 58255016.0.0000.5346). Women predominated, age 70 years or more, without a partner, retired, with chronic diseases associated, greater sleep of six hours/day and the presence of pain. They referred as the predominant place for the accomplishment of the curative the health service (n=34, 85.0%), did not use compression therapy (n=24, 60.0%), those who used Unna boot (n=16, 40.0%). The Score Total CCVUQ presented a median 43.9, to evaluate the overall quality of life of participants; and in the fields Social Interaction (27.9), Household Activities (29.9), Esthetics (44.7) and Emotional State (57.4). Regarding the perception of Family Support, the elderly classified as High Support. In the evaluated domains was found that in the affective consistent was 67.5%, with a mean of 3.40 (?11.29), in family adaptation, high percentage was 45.0% with a mean of 20.97 (?6.42) and autonomy was 70.0% with a mean of 14.65 (?2.36). Sociodemographic and health variables do not have significant associations with areas of CCVUQ and IPSF. Regarding quality of life, there was a significant difference in the clinical variable: pain in relation to domains Domestic Activities (p= 0.048), Emotional State (p= 0.034) and Total Score (p= 0.022). There were significant differences in the care variables: who performed the dressing with Emotional State (p= 0.045), use of compressive therapy with Domestic Activities (p= 0.031) and number of consultations with the Social Interaction domains (p = 0.033), Domestic Activities (p= 0.033), emotional state (p= 0.025), and total score (p= 0.030). As for family support, significant associations were found between the clinical variables: relapse with Total Support (p = 0.031); time of current venous ulcer in years with Affective-Consistent (p= 0.003) and Total (p=0.022), pain with Autonomy domain (p= 0.041), signs of infection with Total Support (p= 0.044). Between healthcare variables: treatment time in years with the domain affective-consistent (p= 0.021). Use of compressive therapy with the Affective-Consistent (p= 0.002) and Total Support (p= 0.002) domains. There were negative and significant correlations of family support in quality of life in elderly patients with venous ulcer, between Affective-Consistent and the total CCVUQ score (r = -0.323, p= 0.042), the Domestic Activities domain (r = -0.350, p = 0.027) and Emotional Status (r = -0.424, p= 0.006). Between Family Adaptation and Emotional State (r = -0.443, p = 0.004). Similarly, between Autonomy and total CCVUQ score (r = -0.514, p= 0.001), the Social Interaction domain (r = -0.362, p= 0.022), Domestic Activities (r = -0.513, p= 0.001), Esthetics (r = -0.478, p= 0.003) and emotional state (r = -0.478, p= 0.002). The quality of life of elderly patients with venous ulcers was more committed in the domains Emotional state and Esthetics. It is necessary actions to promote and rehabilitate the health of the elderly, focusing on family dynamics, in order to promote autonomy and social interaction to improve the quality of life. The alternative hypothesis is accepted that the family support is correlated in the quality of life in elderly patients with venous ulcer attended in the Primary Health Care.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/24801 |
| Date | 13 December 2017 |
| Creators | Silva, Dalva Cezar da |
| Contributors | 51326728415, Marconato, Aline Maino Pergola, 22588012817, Mendon?a, Ana Elza Oliveira de, 78551897420, Dantas, Daniele Vieira, 00800897471, Schimith, Maria Denise, 52553299087, Torres, Gilson de Vasconcelos |
| Publisher | PROGRAMA DE P?S-GRADUA??O EM ENFERMAGEM, 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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