História oral de vida de pessoas com úlcera venosa nos serviços de atenção primária à saúde
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...
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| Formato: | Dissertação |
| Idioma: | por |
| Publicado em: |
Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/19961 |
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| Resumo: | 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. |
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