Transtornos mentais associados ao processo de cicatrização de pacientes com feridas crônicas
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Data
2022-12-12
Tipo de documento
Monografia
Título da Revista
ISSN da Revista
Título de Volume
Área do conhecimento
Ciências da Saúde
Modalidade de acesso
Acesso fechado
Editora
Autores
Santos, Camila Andrade
Santos, Maria Carolina Alves dos
Reis, Suzane de Oliveira
Orientador
Carvalho, Fábio Luiz Oliveira de
Coorientador
Resumo
Dentre os vários tipos de problemas crônicos de saúde que afetam as pessoas, encontra-se o
retardamento da cicatrização de feridas, no período de até 12 semanas. Nota-se, que são inúmeras as
patologias que promovem alterações no processo cicatricial, resultando na cronificação de uma
determinada lesão, tais como: hipertensão e diabetes mellitus, além de que, os pacientes com feridas
crônicas de difícil cicatrização podem estar suscetíveis a dependência, alterações de humor,
comprometimento da autoestima, não aceitação do diagnóstico, não colaboração com o tratamento e
isolamento social e familiar, podendo, assim, resultar em uma ansiedade e depressão. Diante do exposto
e através de observações a pacientes nessas condições e hospitalizados, evidenciou-se que se o
paciente não se sente otimista em relação ao seu quadro, o processo de cicatrização tende a ser mais
lento. Nesse viés, é de grande valia que o profissional enfermeiro fique atento a afecções de base,
medicamentos, processos infecciosos, aspectos nutricionais e tudo que pode influenciar a cronicidade da
lesão, assim como, toda a equipe multidisciplinar se disponha a avaliar a qualidade de vida do paciente, a
fim de compreender o impacto da lesão no aspecto biopsicossocial. O presente estudo tem como objetivo
geral: discutir sobre os transtornos mentais associados ao processo de cicatrização de pacientes com
feridas crônicas. O método utilizado foi o levantamento bibliográfico de artigos publicados a partir do ano
de 2012 nas bases de dados SciELO, MEDLINE/PubMed e BVS, que evidenciassem os transtornos
mentais nos pacientes em processo de cicatrização de feridas crônicas. Um total de 18 artigos foram
selecionados e, enquanto, critérios de inclusão e exclusão foram utilizados: tema, resumo, introdução,
metodologia, revisão de literatura, conclusão e ano de publicação. Isto posto, os estudos apontaram que
a presença de transtornos mentais é vista em quase 100% dos pacientes acometidos pela ferida crônica,
dessa forma, conclui-se que eles enfrentam desafios no decorrer do tratamento de suas feridas, tanto de
ordem física como psíquica, podendo afetar sua autoestima a ponto de se negarem ao tratamento, nesse
sentido, a abordagem multiprofissional é imprescindível, gerando, assim, um cuidado mais humanizado e
integral a esses pacientes.
Palavras-chave: Feridas crônicas; enfermeiro; transtornos mentais.
Among the various types of chronic health problems that affect people, there is a delay in wound healing, within a period of up to 12 weeks. In this sense, there are numerous pathologies that promote changes in the healing process, resulting in the chronification of a particular lesion, such as hypertension and diabetes mellitus. In addition, patients with chronic wounds that are difficult to heal can lead to loss of independence, mood swings, compromised self-esteem, non-acceptance of the diagnosis, noncollaboration with treatment, social and family isolation, which can result in anxiety and depression. Still in this line, it was seen patients in these conditions and hospitalized making a more limited condition to the patient, in this way, anxiety, depression can influence the healing process in which the patient does not feel optimistic about his condition as well, makes the healing process takes a long time. In this bias, it is of great value that the professional nurse must be aware of basic conditions, medications, infectious processes, nutritional aspects, and everything that can influence the chronicity of the lesion, as well as the entire multidisciplinary team, if they are willing to evaluate the quality of care. life of the affected patient, as a way of understanding the real impact of the lesion on the biopsychosocial aspect of the patient. The present study has the general objective of discussing mental disorders associated with the healing process of patients with chronic wounds and how best to intervene in each case. The method used was the bibliographic survey of articles published from 2012 onwards that evidenced mental disorders in patients in the healing process of chronic wounds in the SciELO, MEDLINE/PubMed and VHL databases, with a total of 18 articles selected for the Inclusion and exclusion criteria were theme, abstract, introduction, methodology, literature review, conclusion, and year of publication. That said, studies have shown that the presence of mental disorders is seen in almost 100% of patients affected by chronic wounds. It is concluded that patients with chronic wounds face challenges in their long journey in the treatment of their wounds, both physical and psychological, which can affect their self-esteem to the point of denying treatment, in this sense the multidisciplinary approach is essential, generating thus a more humanized and comprehensive care for these patients. Keywords: Chronic wounds; nurse; mental disorders.
Among the various types of chronic health problems that affect people, there is a delay in wound healing, within a period of up to 12 weeks. In this sense, there are numerous pathologies that promote changes in the healing process, resulting in the chronification of a particular lesion, such as hypertension and diabetes mellitus. In addition, patients with chronic wounds that are difficult to heal can lead to loss of independence, mood swings, compromised self-esteem, non-acceptance of the diagnosis, noncollaboration with treatment, social and family isolation, which can result in anxiety and depression. Still in this line, it was seen patients in these conditions and hospitalized making a more limited condition to the patient, in this way, anxiety, depression can influence the healing process in which the patient does not feel optimistic about his condition as well, makes the healing process takes a long time. In this bias, it is of great value that the professional nurse must be aware of basic conditions, medications, infectious processes, nutritional aspects, and everything that can influence the chronicity of the lesion, as well as the entire multidisciplinary team, if they are willing to evaluate the quality of care. life of the affected patient, as a way of understanding the real impact of the lesion on the biopsychosocial aspect of the patient. The present study has the general objective of discussing mental disorders associated with the healing process of patients with chronic wounds and how best to intervene in each case. The method used was the bibliographic survey of articles published from 2012 onwards that evidenced mental disorders in patients in the healing process of chronic wounds in the SciELO, MEDLINE/PubMed and VHL databases, with a total of 18 articles selected for the Inclusion and exclusion criteria were theme, abstract, introduction, methodology, literature review, conclusion, and year of publication. That said, studies have shown that the presence of mental disorders is seen in almost 100% of patients affected by chronic wounds. It is concluded that patients with chronic wounds face challenges in their long journey in the treatment of their wounds, both physical and psychological, which can affect their self-esteem to the point of denying treatment, in this sense the multidisciplinary approach is essential, generating thus a more humanized and comprehensive care for these patients. Keywords: Chronic wounds; nurse; mental disorders.
Palavras-chave
Feridas crônicas, Enfermeiro, Transtornos mentais