ASSOCIATION BETWEEN SOCIODEMOGRAPHIC, HEALTH, CLINICAL AND CARE ASPECTS WITH THE OUTCOME OF INJURY IN PATIENTS WITH CHRONIC VENOUS ULCERS IN PRIMARY HEALTH CARE
Varicose Ulcer; Wound Healing; Risk Factors; Primary Health Care.
Introduction: Based on the sociodemographic, health, existing and care characteristics received by the health service in the primary sector, patients may develop different outcomes regarding the healing of chronic venous ulcers. Objective: To verify the association of sociodemographic, health, clinical and care aspects with the outcome of the lesion in patients with chronic venous ulcers in Primary Health Care. Methods: Descriptive, observational, longitudinal, comparative study, with quantitative approach of the data, carried out in primary health care in the municipality of Parnamirim/Rio Grande do Norte, with two data collections between August 2020 and November 2021, in which a form was applied to characterize sociodemographic, health, clinical and care aspects. Results: There were 103 patients with venous ulcers, 60 under follow-up and 43 healed. In the majority, in both groups, women (69,8%), aged 60 years (62,1%), with low schooling (79,6%), income up to 1 minimum wage (82,5%), non-active (79,6%). There was a great reduction in alcohol consumption/smoking, improvement of mobility, especially in healed and vascular diseases, especially in those under follow-up. On the clinical issue, great improvements occurred in the aspect of the skin, especially in follow-up (38,8%) and in recurrences (26,2%) in those healed with p<0.001, and little improvement, in both outcomes, in edema (36,9%), amount of exudato (37,9%), and odor (39,8%) and type of exudato (39,8%), in healed ones. Patients began to be more assisted in specific environments to treatment, there was great improvement in the use of compressive therapy, in those undertreatment (50,5%) and healed (30,1%), from the adem to blood tests, from totally absent to present, in those undergoing treatment (54,4%) and healed (35,0%) in the second moment. Conclusion: It was found that few significant associations with the outcomes of the lesion were observed. However, among them, the clinical and care aspects in both outcomes stand out, especially in healed patients, when compared to those under follow-up.