Adesão ao tratamento de pessoas com úlceras venosas atendidas na atenção primária à saúde

Abstract

Objetivo: la adherencia al tratamiento de personas con úlceras venosas (UV) y su asociación con las características sociodemográficas, de salud y asistenciales. Materiales y métodos: se trata de un estudio analítico, transversal, realizado con 101 personas con UV. Se emplearon dos instrumentos: un cuestionario para caracterizar los aspectos sociodemográficos, de salud y de asistencia, y la Escala Multidimensional de Adherencia Terapéutica. Resultados: se halló peor adherencia al tratamiento en la dimensión terapia compresiva. Se identificó asociación entre el dominio estilo de vida saludable y estado civil, y entre el dominio vigilancia neurovascular y rango de edades, estado civil, profesión y etilismo. Se encontraron asociaciones entre las dimensiones de adherencia y las características de asistencia: adherencia a terapia comprensiva, orientación para uso de terapia compresiva y orientación para ejercicios regulares y quien realiza la curación fuera de las unidades. Conclusiones: hay mayor dificultad de adherencia al tratamiento en cuanto a terapia compresiva; la asistencia prestada está asociada a la adherencia a terapia compresiva, a orientación para uso de terapia compresiva y a orientación para ejercicios regulares.

Assistência de enfermagem à pacientes com úlceras venosas atendidos em um Hospital Universitário: Um relato de experiência

“…Nesse sentido, percebe-se que a adesão terapêutica é um fator relevante para a cicatrização em menor tempo (Weller, Buchbinder & Johnston, 2013). Contudo, essa adesão terapêutica é um dos desafios entre os portadores desse tipo de lesão (Liberato et al, 2017).…”

Use of the Nursing Outcomes Classification - NOC to assess the knowledge of patients with venous ulcer

“…A Brazilian study with 101 patients with VUs found that the greatest difficulty in the treatment was adhering to the compressive therapy and to the regular exercises, concluding that the patient's knowledge is important for them to engage in home care. The success of the therapy depends essentially on the actions of the patient (19) . Therefore, the nurse must be involved in this process through innovative strategies that can sensitize the patient to reflect on the importance of the knowledge of the disease, so that they can effectively assume their own daily care.…”

Effectiveness of the strategies of an orientation programme for the lifestyle and wound‐healing process in patients with venous ulcer: A randomised controlled trial

“…33 On the other hand, the non-adherence to compression devices is influenced by several factors; among them are the lack of correct, objective, and easy-to-understand information for the population that receives them. 34 Because of this, the promotion of adherence to continuous use of compression therapy through education/orientation is a fundamental component in the evolution of the wound. 35 Taken together, these dates suggest that the guidelines and follow up by the health care professional during the therapeutic regimen contribute to the wound-healing process.…”