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Previous issue date: 2014-10-23 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / As ?lceras venosas (UV) s?o resultado da insufici?ncia ou obstru??o venosa profunda, que levam ? hipertens?o venosa nos membros inferiores e surgimento de les?es. Autoefic?cia ? a cren?a na habilidade de desempenhar com sucesso determinada tarefa ou de apresentar um comportamento que leve a um resultado desej?vel. A enfermagem necessita conhecer a rela??o entre autoefic?cia e qualidade de vida (QV) na ocorr?ncia das UVs, na busca de exercer o cuidado hol?stico. Dessa maneira, este estudo objetivou analisar a rela??o da autoefic?cia para controle da dor e para funcionalidade com a QV de pessoas com UV na aten??o prim?ria ? sa?de. Trata-se de um estudo transversal, anal?tico, quantitativo, realizado com pessoas com UV em unidades de estrat?gia de sa?de da fam?lia e unidades mistas de sa?de em Natal/RN. Como instrumentos foram utilizados question?rio de caracteriza??o sociodemogr?fica e de sa?de, os dom?nios autoefic?cia para dor e autoefic?cia para funcionalidade do de uma escala de autoefic?cia para dor cr?nica e o Charing Cross Venous Ulcer Questionnaire (CCVUQ). A amostra totalizou 101 pessoas na escala de autoefic?cia para funcionalidade e 89 na autoefic?cia para dor, pois doze indiv?duos relataram n?o sentir dor no momento da coleta, e por isso, foram exclu?dos da aplica??o da escala de autoefic?cia para dor. O projeto obteve parecer favor?vel do comit? de ?tica do Hospital Universit?rio Onofre Lopes (CAAE n? 07556312.0.0000.5537), atendendo a resolu??o 466/12. Houve predom?nio de mulheres (66,3%), idosos (61,4%), casados ou em uni?o est?vel (63,4%), baixa renda (90,1%) e escolaridade (85,1%), inativos (75,2%), doen?as cr?nicas associadas (60,4%), mais de seis horas de sono/dia (82,2%), n?o etilistas/tabagistas (80,2%), les?o cr?nica (73,3%) e dor moderada ? intensa (76,2%). A autoefic?cia para dor (m?dia 67,3 e DP 26,6) esteve menos comprometida que a autoefic?cia para funcionalidade (m?dia 59,4 DP 25,9), apresentando signific?ncia estat?stica (p-valor=0,011). N?o foram encontradas associa??es significativas entre autoefic?cia para controle da dor e para funcionalidade com as caracter?sticas sociodemogr?ficas e de sa?de. Ao se considerar a m?dia total do CCVUQ (m?dia 52,1 e DP 16,6), a QV dos pesquisados apresentou tend?ncia de piora, sendo o dom?nio est?tica o mais comprometido (m?dia 57,6 e DP 24,0), seguido de estado emocional (m?dia 57,0 e DP 25,7), intera??o social (m?dia 48,4 e DP 21,4) e atividades dom?sticas (m?dia 43,6 e DP 23,3).Verificaram-se correla??es negativas e significativas entre a autoefic?cia para dor e o escore total do CCVUQ (r = -0,345; p = 0,001), o dom?nio intera??o social (r = -0,339; p = 0,001), atividades dom?sticas (r = -0,314; p = 0,003) e estado emocional (r = -0,219; p = 0,039). Da mesma maneira, entre autoefic?cia para funcionalidade e o escore total do CCVUQ (r = -0,565; p < 0,001), o dom?nio intera??o social (r = -0,604; p < 0,001), atividades dom?sticas (r = -0,647; p < 0,001) e estado emocional (r = -0,260; p = 0,009). O dom?nio est?tica apresentou correla??o negativa, por?m fraca e n?o significativa com a autoefic?cia para dor (r = -0,135; p = 0,206) e para funcionalidade (r = -0, 183; p = 0,068). O estudo evidenciou um comprometimento da autoefic?cia para controle da dor e para funcionalidade e da QV em pessoas com UV, indicando a necessidade de atua??o da enfermagem em estrat?gias para melhorar esses aspectos, contribuindo na cicatriza??o das les?es. / Venous ulcers (UV) are the result of deep venous insufficiency or obstruction leading to
venous hypertension in the lower limbs and lesions. Self-efficacy is the belief in the
ability to successfully perform a given task or exhibit behavior that leads to a desirable
outcome. Nursing needs to know and explore the influence of self-efficacy on quality of
life (QOL) of people with UV, seeking to exercise holistic care. Thus, this study aimed
to analyze the correlation of self-efficacy for pain control and functionality with the
QOL of people with UV in primary health care. It is a cross-sectional, analytical,
quantitative study with people with UV in family health strategy and mixed units in
Natal / RN. We used the instruments: sociodemographic and health questionnaire,
domains self-efficacy for pain control and self-efficacy for functionality of Scale of
Self-Efficacy for Chronic Pain (SFCD) and the Charing Cross Venous Ulcer
Questionnaire (CCVUQ). The sample included 101 people in the self-efficacy scale for
functionality and 89 in self-efficacy for pain, for twelve patients reported no pain at the
time of collection, and therefore were excluded from the application of the scale of selfefficacy
for pain. The project was approved by the ethics committee of the Federal
University of Rio Grande do Norte (CAAE No. 07556312.0.0000.5537), serving
Resolution 466/12. Women predominated (66.3%), elderly (61.4%), married or in a
stable relationship (63.4%), low income (90.1%) and education (85.1%), inactive
(75.2%), associated chronic diseases (60.4%), more than six hours of sleep / day
(82.2%), non-drinkers / smokers (80.2%), chronic injury (73.3%) and moderate to
severe pain (76.2%). Self-efficacy for pain (mean 67.3, SD 26.6) was less committed to
the self-efficacy for functionality (mean 59.4 SD 25.9), with statistical difference (pvalue
= 0.011). No significant associations were found between self-efficacy for pain
control and functionality with the sociodemographic and health characteristics. When
considering the total mean CCVUQ (mean 52.1, SD 16.6), QOL of respondents tended
to worsen, with the aesthetic domain the most committed (mean 57.6, SD 24.0),
followed by emotional state (mean 57.0, SD 25.7), social interaction (mean 48.4, SD
21.4) and household activities (mean 43.6, SD 23.3) . We found negative and significant
correlations between self-efficacy for pain and CCVUQ total score (r = -0,324; p =
0,001), the social interaction domain (r = -0,278; p = 0,008), household activities (r = -
0,285; p = 0,007) and state emotional (r = -0,247; p = 0,019). Likewise, between selfefficacy
for functionality and the CCVUQ total score (r = -0,553; p < 0,001), the social
interaction domain (r = -0,553; p < 0,001), household activities (r = -0,594; p < 0,001)
and emotional status (r = -0,259; p = 0,009). The aesthetic domain showed negative
correlation but weak and not significant with self-efficacy for pain (r = -0, 155; p =
0,147) and functionality (r = -0,189; p = 0,058). It became evident the correlation
between self-efficacy for pain control and functionality and the domains social
interaction, household activities and emotional state, the quality of life of people with
UV
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/19438 |
| Date | 23 October 2014 |
| Creators | Ara?jo, Rhayssa de Oliveira e |
| Contributors | 51326728415, http://lattes.cnpq.br/1944547152815226, Mendes, Cristina Katya Torres Teixeira, 01119119405, http://lattes.cnpq.br/8585902794071018, Miranda, Francisco Arnoldo Nunes de, 04960360330, http://lattes.cnpq.br/9242337504601387, Costa, Isabelle Katherinne Fernandes, 06605883403, http://lattes.cnpq.br/5903265312273525, Salvetti, Marina de G?es, 25891299801, http://lattes.cnpq.br/2728892775372573, Torres, Gilson de Vasconcelos |
| Publisher | Universidade Federal do Rio Grande do Norte, 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/masterThesis |
| 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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