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Qualidade de vida de pessoas com ?lceras venosas atendidos no ambulat?rio de um hospital universit?rio

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Previous issue date: 2009-10-30 / Descriptive study aimed to analyze the quality of life (QOL) of patients with venous ulcers (UV) outpatient clinic of a university hospital in Natal / RN. The aim of the study population was composed of 50 patients with UV treated at the cardiology clinic of a university teaching hospital at the tertiary level. The study was approved by the Ethics Committee of the Federal University of Rio Grande do Norte (Protocol 279/09). Data collection was performed over a period of two months by the very a masters degree and an academic nursing through the application of a form concerning the socio-demographic, clinical, and health care, and the instruments WHOQOL and WHOQOL - old. The data were analyzed with SPSS 15.0, using descriptive and inferential statistics presented in the form of tables, charts and graphs. Of the surveyed, female predominance, age range 59 years, Catholic, low education, married, with up to 03 children, not working, retired, or with occupations requiring long periods in one position, wage income of up to 02 minimum wages, inadequate sleep, patients with chronic venous insufficiency and other chronic diseases such as diabetes and hypertension, were taking medications for treatment, being a minority to IVC. In patients with predominant only one injury, time of injury up to five years, inadequate rest, pain, edema and lesions colonized. The assistance the UV patients began treatment of the injury until four months after the onset of the ulcer, and services primary health care most wanted, access to angiologist by reference form, commuted by public transportation, received support regarding the treatment of injuries. The topical product most used in the lesion was healing, and few were using compression therapy. respondents suffer discrimination in society, showed changes in quality of life after the occurrence of ulcer in relation to leisure, pain, restriction of social / school / transportation; barring employment / financial / social ladder; Physical appearance / discrimination and restriction of domestic activity. These changes were related to the time of injury and found that the more chronic injury is the most negative changes occur in their QV (ρ = 0.000). Analyzing the characteristics of QV measured by the WHOQOL-bref, we found for the two general questions they are dissatisfied with their health (ρ = 0.023) and all areas have significant difference compared with the worst QV have the injury of more than 5 years (ρ = 0.000). The QV measured by the WHOQOL-old, we found that these patients had no changes from the time of injury. We conclude that the QV of patients with UV was considered unsatisfactory when compared to the time of injury on more than 5 years which shows that the quality of life worsens with time the chronic UV. / Estudo transversal e descritivo que objetivou analisar a qualidade de vida (QV) de pessoas com ?lcera venosa (UV) atendidos no ambulat?rio de um hospital universit?rio em Natal/RN. A popula??o alvo do estudo foi composta por 50 pacientes com UV atendidos no ambulat?rio de angiologia de um hospital universit?rio de ensino no n?vel terci?rio. O estudo obteve parecer favor?vel do Comit? de ?tica da Universidade Federal do Rio Grande do Norte (Protocolo n? 279/09). A coleta de dados foi realizada num per?odo de dois meses pela pr?pria mestranda e uma acad?mica de enfermagem, por meio da aplica??o de um formul?rio referente as caracter?sticas s?cio-demogr?fica, cl?nico, de sa?de e assistencial, e dos instrumentos WHOQOL-bref e WHOQOL-old. Os dados foram analisados no SPSS 15.0, atrav?s de estat?stica descritiva e inferencial apresentados na forma de tabelas, quadros e gr?ficos. Dos pesquisados, predominaram o sexo feminino, faixa et?ria at? 59 anos, religi?o cat?lica, baixa escolaridade, casado, com at? 03 filhos, sem v?nculo empregat?cio, aposentados ou com ocupa??es que exigem longos per?odos numa mesma posi??o, renda salarial de at? 02 sal?rios m?nimos, sono inadequado, portadores de Insufici?ncia Venosa Cr?nica e outras doen?as cr?nicas como DM e HAS, faziam uso de medicamento para tratamento cl?nico, sendo uma minoria para IVC. Nos pesquisados predominaram apenas uma les?o, tempo de les?o de at? cinco anos, repouso inadequado, dor intensa, edema e les?es colonizadas. Quanto ? assist?ncia os pacientes iniciaram o tratamento da les?o at? quatro meses ap?s o surgimento da ?lcera, sendo os servi?os de aten??o b?sica ? sa?de mais procurados, acesso ao angiologista por ficha de refer?ncia, se deslocavam por meio de transporte coletivo, recebiam apoio em rela??o ao tratamento das les?es. No tratamento t?pico o produto mais utilizado na les?o era cicatrizante, e poucos faziam uso de terapia compressiva. No que se refere ? discrimina??o, os pesquisados sofrem discrimina??o da sociedade, apresentaram mudan?as na qualidade de vida ap?s o surgimento da ?lcera em rela??o ao lazer/dor/restri??o social/escolar/locomo??o; Restri??o laboral/financeira/progress?o social; Apar?ncia f?sica/discrimina??o e restri??o de atividade dom?stica. Essas mudan?as foram relacionadas com o tempo de les?o e verificado que quanto mais cr?nica for a les?o mais mudan?as negativas ocorrer?o em sua QV (ρ=0,000). Ao analisarmos as caracter?sticas da QV medidas pelo WHOQOL-bref, verificamos em rela??o ?s duas quest?es gerais eles est?o insatisfeitos com sua sa?de (ρ=0,023) e todos os dom?nios apresentam significativa diferen?a em rela??o ? pior QV com ter a les?o com mais de 5 anos (ρ=0,000). Quanto ? QV medida pelo WHOQOL-old, verificamos que esses pacientes n?o tiveram mudan?as em rela??o ao tempo de les?o. Conclu?mos que a QV de pessoas com UV foi considerada insatisfat?ria quando comparada ao tempo de les?o atual superior a 5 anos que denota que a qualidade de vida piora com o tempo de cronicidade das UV.

Identiferoai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/14679
Date30 October 2009
CreatorsNobrega, Walkiria Gomes da
ContributorsCPF:51326728415, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4708368Z6&dataRevisao=null, Lima, Carlos Bezerra de, CPF:03333230410, Alchieri, Jo?o Carlos, CPF:34616055068, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4790051D1&dataRevisao=null, Menezes, Rejane Maria Paiva de, CPF:17599750444, http://lattes.cnpq.br/5190926575194616, Torres, Gilson de Vasconcelos
PublisherUniversidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Enfermagem, UFRN, BR, Assist?ncia ? Sa?de
Source SetsIBICT Brazilian ETDs
LanguagePortuguese
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis
Formatapplication/pdf
Sourcereponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN
Rightsinfo:eu-repo/semantics/openAccess

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