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Previous issue date: 2014-12-17 / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico - CNPq / A Insufici?ncia Venosa Cr?nica caracteriza-se como um conjunto de altera??es f?sicas que
incluem como complica??o mais s?ria a ?lcera venosa, caracterizada pela perda irregular e
progressiva da continuidade da pele. A ocorr?ncia da ?lcera venosa nas pessoas com
insufici?ncia venosa cr?nica gera depend?ncia dos mesmos com servi?os de sa?de, com
tratamentos de longa dura??o que provocam limita??es e altera??es de grande impacto,
repercutindo em sua qualidade de vida, afetando os aspectos f?sicos, psicol?gicos, sociais,
culturais e espirituais, constituindo um importante problema de sa?de p?blica. Este estudo
objetivou narrar a experi?ncia de possuir uma ?lcera venosa, no cen?rio dos servi?os de Aten??o
Prim?ria ? Sa?de, que compreende Unidades de Aten??o B?sica e de Estrat?gia de Sa?de da
Fam?lia no Munic?pio de Natal/RN, partindo das hist?rias de vida dos usu?rios. Trata-se de um
estudo de abordagem qualitativa, explorat?rio-descritivo, tendo a Hist?ria Oral de Vida como
referencial metodol?gico. A partir do ponto zero houve o recrutamento dos participantes que
compuseram a rede, totalizando seis colaboradores, de ambos os sexos, e idade entre 57 e 79
anos. Ap?s aprova??o pelo Comit? de ?tica em Pesquisa - UFRN, sob o Protocolo
653.788/2014 e CAAE 30408014.0.0000.5537, realizou-se a coleta de dados, entre os meses de
julho e agosto, atrav?s de entrevista, utilizando instrumento de identifica??o e caracteriza??o
dos colaboradores e perguntas abertas. As entrevistas foram gravadas, transcritas, transcriadas
e retornadas aos colaboradores para confer?ncia. As narrativas foram submetidas ? t?cnica de
An?lise Tem?tica de Conte?do, segundo Bardin, possibilitando a constru??o de tr?s eixos
tem?ticos que englobam categorias, a saber: Eixo I - Olhares sobre as mudan?as: o impacto da
ferida nas rela??es sociais (mudan?as ocorridas com a ?lcera venosa; a ?lcera venosa e as
rela??es sociais e familiares); Eixo II - Marcas no corpo e na alma: trajet?ria do ser ferido
(concep??es sobre o corpo ferido; itiner?rio terap?utico nos servi?os de aten??o b?sica); e Eixo
III - Reconstru??o do ser ferido: mecanismos de enfrentamento (ressignifica??o do corpo
ferido; resili?ncia frente ? ferida cr?nica). O impacto de ter uma ?lcera venosa cr?nica gera
repercuss?es de ordem f?sica, psicol?gica e social. Como aspectos relacionados ?s mudan?as
ocorridas ap?s o aparecimento da ?lcera venosa, os participantes da pesquisa relataram a
presen?a de dor, limita??es f?sicas, sofrimento ps?quico, isolamento social e afetivo,
incapacidade laboral, desconforto est?tico e depend?ncia dos servi?os de sa?de; a fam?lia foi o
aspecto que n?o apresentou modifica??o consider?vel ap?s a ocorr?ncia da ferida para a maioria
dos participantes, sendo uma aliada no processo terap?utico como rede de apoio. A
ressignifica??o do corpo e da ferida constituem o principal mecanismo de enfretamento da
condi??o cr?nica. Os servi?os que comp?em a Rede de Aten??o Prim?ria t?m papel
fundamental na reabilita??o dos portadores de ?lcera venosa, embora existam dificuldades de
acesso ao tratamento adequado e necessidade de amplia??o dos servi?os, com capacita??o
permanente dos profissionais das equipes de sa?de e disponibiliza??o pelos gestores de recursos
para o fortalecimento do cuidado integral da pessoa com ?lcera venosa nos servi?os de Aten??o
Prim?ria ? Sa?de. / The Chronic Venous insufficiency is characterized as a set of physical changes including how
most serious complication of venous ulcers, characterized by irregular and progressive loss of
continuity of the skin. The occurrence of venous ulcers in people with chronic venous
insufficiency generates dependence on them with health services, with long-term treatments
that cause limitations and high-impact changes, affecting their quality of life, affecting the
physical, psychological, social, cultural and spiritual as an important public health problem.
This study aimed to describe the experience of having a venous ulcer, in the scenario of primary
health care services to Health, which includes Primary Care Units and Family Health Strategy
in the city of Natal / RN, based on the life histories of users. This is a qualitative study,
exploratory and descriptive, with the Oral History of Life as a methodological framework. From
the ponto zero was the recruitment of participants who formed the network, totaling six
employees, of both sexes and aged between 57 and 79 years. After approval by the Research
Ethics Committee - UFRN under the Protocol 653 788/2014 and CAAE 30408014.0.0000.5537
was held data collection, between the months of July and August, through interviews, using
identification and characterization of the instrument employees and open questions. Interviews
were recorded, transcribed, transcriadas and returned to employees for a conference. The
narratives were subjected to Content thematic analysis technique, according to Bardin, allowing
the construction of three themes that encompass categories, namely: Axis I - Perspectives on
the changes: the impact wound in social relations (changes with ulcer venous, venous ulcer and
social and family relationships); Axis II - Brands in body and soul: the story of being hurt
(conceptions of the body injured; therapeutic itinerary in primary care services); and Axis III -
Reconstruction of being hurt: coping mechanisms (redefinition of the wounded body, resilience
to chronic wound). The impact of having a chronic venous ulcer generates impact of physical,
psychological and social order. As aspects related to changes after the appearance of venous
ulcers, survey participants reported the presence of pain, physical limitations, psychological
distress, social and emotional isolation, incapacity, aesthetic discomfort and dependency on
health services; the family was the aspect thatshowed no significant change after the occurrence
of wound for most participants, an ally in the therapeutic process as a support network. The
redefinition of the body and the wound are the main coping mechanism of chronic condition.
The services in the Primary Care Network play a fundamental role in the rehabilitation of
patients with venous ulcers, although there are difficulties in accessing appropriate treatment
and need for expanded services, with permanent professional training of health teams and
providing the resources managers to strengthen the comprehensive care of people with venous
ulcers in Health Primary Care.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/19961 |
| Date | 17 December 2014 |
| Creators | Moreira, Bheatriz Gondim Lambert |
| Contributors | 05261856272, http://lattes.cnpq.br/3568948187738623, Torres, Gilson de Vasconcelos, 51326728415, http://lattes.cnpq.br/1944547152815226, Mendes, Felismina Rosa Parreira, 00000000000, http://lattes.cnpq.br/6049527095709669, Simpson, Cl?lia Albino |
| 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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