Abstract

Resumo Objetivo Identificar os desfechos clínicos de pessoas com úlceras cutâneas crônicas atendidas em consultas de enfermagem. Métodos Estudo transversal da análise dos registros de consultas de enfermagem a pessoas com úlceras crônicas atendidas em um Centro de Assistência de Enfermagem entre 1994 a 2015, sob a perspectiva da Saúde Coletiva. As variáveis investigadas foram epidemiológicas, clínicas de cicatrização da úlcera, abandono e óbito de usuários. Resultados Dentre os 343 prontuários de pessoas atendidas no serviço, identificou-se maior proporção de idosos, do sexo feminino, com ensino fundamental, de cor autorreferida branca, aposentados, dependentes do Sistema Único de Saúde e com condições crônicas de saúde. A etiologia das úlceras cutâneas foi maior nas neuropáticas e venosas sem resolutividade clínica prévia na rede de serviços de saúde. A cicatrização ocorreu em 67,6% das úlceras pela adoção centrada nos cuidados de enfermagem, e observou-se pequena taxa de abandono e óbito. Conclusão Desfechos clínicos satisfatórios de pessoas com úlceras cutâneas crônicas foram evidenciados nos registros de cuidados de enfermagem. A consulta de enfermagem mostrou-se potencial estratégia para a cicatrização de úlceras cutâneas.

Highlights

  • Person-centered care is a challenge and a need/demand in the Brazilian Unified Health System (SUS – Sistema Único de Saúde) based on the principle of comprehensiveness

  • Numerous documents and articles have been published, demonstrating its potentialities and highlighting that it does not overlap another clinical activity, but it potentiates the process for building bond and autonomy for treatment.[3,4,5] Nursing actions should follow a systematization in the scope of comprehensive care based on concepts and practices of the Expanded Clinic and the Projeto Terapêutico Singular (STP- Singular Therapeutic Project), it is a set of proposals of articulated therapeutic behaviors for an individual or collective subject)

  • This study aimed to identify the clinical outcomes of people with chronic skin ulcer seen in nursing consultations from the perspective of Collective Health

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Summary

Introduction

Person-centered care is a challenge and a need/demand in the Brazilian Unified Health System (SUS – Sistema Único de Saúde) based on the principle of comprehensiveness. Numerous documents and articles have been published, demonstrating its potentialities and highlighting that it does not overlap another clinical activity, but it potentiates the process for building bond and autonomy for treatment.[3,4,5] Nursing actions should follow a systematization in the scope of comprehensive care based on concepts and practices of the Expanded Clinic and the Projeto Terapêutico Singular (STP- Singular Therapeutic Project), it is a set of proposals of articulated therapeutic behaviors for an individual or collective subject) These actions emerge as a radical commitment to subjects and their singularities, seeking intersectoriality in actions, and assuming co-responsibility in health care.[5,6,7]. The presence of these affections represents a loss in the quality of life because it causes limitation in the activities of daily life, work, leisure, and family and social coexistence.[13]

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