Assistência de enfermagem para pacientes com úlcera venosa: revisão integrativa
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Data
2023-06
Tipo de documento
Artigo Científico
Título da Revista
ISSN da Revista
Título de Volume
Área do conhecimento
Ciências da Saúde
Modalidade de acesso
Acesso aberto
Editora
Autores
Almeida, Reisângela Oliveira Pereira de
Oliveira, Elielza Ferreira Jordão de
Orientador
Santos, Marks Passos
Coorientador
Resumo
Introdução: As úlceras venosas (UV) são consideradas mais comuns entre as etiologias de feridas e são caracterizadas pela destruição das camadas da pele, epiderme e derme, podendo atingir tecidos mais profundos, como o sistema venoso da panturrilha. Objetivo: Identificar como deve ser realizada a assistência de enfermagem para pessoas que vivem com úlcera venosa. Método: Trata-se de uma revisão integrativa em que foi realizada a pesquisa na literatura no mês de abril de 2023. Deu-se por meio de buscas na Biblioteca Virtual em Saúde (BVS), nas bases de dados Medical Literature Analysis and Retrieval System Online (MEDLINE), Literatura Latino-americana e do Caribe em Ciências da Saúde (LILACS), Centro Nacional de Informação de Ciências Médicas de Cuba (CUMED), Base de Dados de enfermagem (BDENF) e Índice Bibliográfico Español en Ciencias de la Salud (IBECS), utilizando o seguinte comando: “enfermagem“ and “úlcera venosa“ and “assistência”. Foram incluídos estudos publicados entre os anos de 2018 a 2023, no idioma Inglês, Espanhol e Português. Resultados: Foram encontrados 7 artigos originais. Os resultados priorizam o uso da terapia compressiva associada a terapia tópica no tratamento da úlcera venosa e enfatizaram também a realização da sistematização da assistência de enfermagem para uma assistência segura, qualificada e holística, assim como a educação em saúde para o encorajamento do autocuidado, também trazem a visita domiciliar como forma de observar evoluções e conhecer a realidade do paciente. Porém para que realmente aconteça uma assistência segura o profissional deve ser treinado e habilitado, para desenvolver um cuidado preciso e assertivo. Conclusão: Conclui-se que é preciso reforçar a assistência holística, voltada para as necessidades do paciente e não apenas para a lesão, realizando a Sistematização da assistência de enfermagem (SAE) e a visita domiciliar, e também estimulando o paciente a se envolver em seu tratamento, com a educação em saúde. Por fim ressalta a importância do enfermeiro como principal atuante na assistência a pessoa com úlcera venosa.
Introduction: Venous ulcers (VU) are considered the most common among the etiologies of wounds, it is characterized by the destruction of the layers of the skin, epidermis and dermis, and may reach deeper tissues, such as the calf venous system. Objective: To identify how nursing care should be provided to people living with venous ulcers. Method: This is an integrative review, the search was conducted in the literature in April 2023. It was carried out through searches in the Virtual Health Library (VHL), in the databases Medical Literature Analysis and Retrieval System Online (MEDLINE), Latin American and Caribbean Literature on Health Sciences (LILACS), Cuban National Center for Medical Sciences Information (CUMED), Nursing Database (BDENF) and Spanish Bibliographic Index on Health Sciences (IBECS), using the following command: "nursing" and "venous ulcer" and "assistance". Studies published from 2018 to 2023 in English, Spanish and Portuguese were included. Results: Seven original articles were found. The results prioritize the use of compressive therapy associated with topical therapy in the treatment of venous ulcers, also emphasize the implementation of the systematization of nursing care for a safe, qualified and holistic care, as well as health education, to encourage self-care, also bring the home visit as a way to observe developments and know the reality of the patient. However, for a safe assistance to really happen, the professional must be trained and qualified to develop a precise and assertive care. Conclusion: it is concluded that it is necessary to reinforce the holistic assistance, focused on the patient's needs and not only on the injury, performing the Systematization of nursing care (SAE) and home visits, and also stimulating the patient to get involved in his treatment, with health education. Finally, it emphasizes the importance of nurses as the main actors in the care of people with venous ulcers.
Introduction: Venous ulcers (VU) are considered the most common among the etiologies of wounds, it is characterized by the destruction of the layers of the skin, epidermis and dermis, and may reach deeper tissues, such as the calf venous system. Objective: To identify how nursing care should be provided to people living with venous ulcers. Method: This is an integrative review, the search was conducted in the literature in April 2023. It was carried out through searches in the Virtual Health Library (VHL), in the databases Medical Literature Analysis and Retrieval System Online (MEDLINE), Latin American and Caribbean Literature on Health Sciences (LILACS), Cuban National Center for Medical Sciences Information (CUMED), Nursing Database (BDENF) and Spanish Bibliographic Index on Health Sciences (IBECS), using the following command: "nursing" and "venous ulcer" and "assistance". Studies published from 2018 to 2023 in English, Spanish and Portuguese were included. Results: Seven original articles were found. The results prioritize the use of compressive therapy associated with topical therapy in the treatment of venous ulcers, also emphasize the implementation of the systematization of nursing care for a safe, qualified and holistic care, as well as health education, to encourage self-care, also bring the home visit as a way to observe developments and know the reality of the patient. However, for a safe assistance to really happen, the professional must be trained and qualified to develop a precise and assertive care. Conclusion: it is concluded that it is necessary to reinforce the holistic assistance, focused on the patient's needs and not only on the injury, performing the Systematization of nursing care (SAE) and home visits, and also stimulating the patient to get involved in his treatment, with health education. Finally, it emphasizes the importance of nurses as the main actors in the care of people with venous ulcers.
Palavras-chave
Enfermagem, Úlcera venosa, Assistência