Banca de DEFESA: DALVA CEZAR DA SILVA

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
DISCENTE : DALVA CEZAR DA SILVA
DATA : 13/12/2017
HORA: 14:00
LOCAL: Departamento de Enfermagem
TÍTULO:

FAMILY SUPPORT AND QUALITY OF LIVING IN ELDERLY WITH VENOUS ULCERS IN THE CONTEXT OF PRIMARY HEALTH CARE 

PALAVRAS-CHAVES:

Health of the Elderly.Varicose Ulcer. Quality of Life.Primary Health Care. Nursing.

PÁGINAS: 100
GRANDE ÁREA: Ciências da Saúde
ÁREA: Enfermagem
RESUMO:

The venous ulcer is the main chronic lesion of the lower limbs and has a high rate of recurrence and chronicity, thus, it demands complex health care. In different realities, from Brazil and the world, it is identified that the elderly are more affected by this type of injury and present health problems, which can cause negative changes in the quality of life. Due to the complexity and implications of this condition, Primary Health Care is indicated as a space to work the autonomy and co-responsibility of the elderly with venous ulcer and their family, in search of the improvement of the quality of life. In this sense, the objective was to evaluate the correlation of family support and quality of life of elderly patients with venous ulcer treated in Primary Health Care. Quantitative, analytical research with a cross-sectional treatment and data analysis, carried out in Santa Maria, Rio Grande do Sul, Brazil. The study included 40 elderly people attended at the health facilities, from August to December 2016. Data were collected using the following instruments: a form for socio-demographic, health, clinical and care characterization; the Charing Cross Venous Ulcer Questionnaire (CCVUQ), which assesses quality of life in people with venous ulcer, through four domains: Social Interaction, Domestic Activities, Aesthetics and Emotional Status, as well as generating a Total Score (ranging from 0 to 100 , the lower the score, the better the quality of life); and the Family Support Perception Inventory (FSPI) composed of three domains: Affective-Consistent; Family Adaptation and Autonomy. The general FSPI scores range from 0 to 84, and the higher the score the higher the perceived family support. Descriptive and inferential statistics were used to verify the distribution of the normality of the data. The Shapiro-Wilk test was used. The chi-square test, Fischer's exact test, Mann-Whitney U test was used. Spearmann correlation, considering level of statistical significance of ρ-value ≤ 0.05. The study followed the ethical precepts, was approved by the Ethics Committee in Research of the proposing University, (Process number 1,670,636 and Certificate of Presentation for Ethical Appreciation 58255016.0.0000.5346). Data on the characterization showed a prevalence of female, age 70 years or older, with a mean age of 71.90 (± 8.40) years, at least 60 years and a maximum of 87 years. Among the women, mean age was 73.26 (± 8.01) and males 70.06 (± 8.81), without partners (single, widowed or divorced), retired, with associated chronic diseases , sleep greater than six hours / day and presence of pain (n = 23, 57.5%). They reported that the health service (n = 34, 85.0%), did not use compressive therapy (n = 24, 60.0%), those who used the Unna boot = 16, 40.0%). They were oriented on lower limb elevation (n = 40, 100.0%), compressive therapies (n = 28, 70.0%) and regular exercises (n = 22, 55.0%). The CCVUQ Total Score presented a median of 43.9, for the evaluation of the general quality of life of the participants; and in the domains Social Interaction (27.9), Domestic Activities (29.9), Aesthetics (44.7) and Emotional Status (57.4). Regarding the perception of Family Support, the elderly classified as High Support. In the domains evaluated, the Affective-Consistent was 67.5%, with a mean of 33.40 (± 11.29), in the Family adaptation, the percentage of high was 45.0%, with a mean of 20.97 (± 6.42) and Autonomy was 70.0%, with an average of 14.65 (± 2.36). The sociodemographic and health variables do not present significant associations with the CCVUQ and IPSF domains. Significant associations of quality of life and family support were found with the clinical characteristics, such as relapse, current time of venous ulcer, pain and signs of infection. Also with the assistance characteristics who performs the dressing, treatment time, use of compressive therapy and number of consultations. Regarding quality of life, there was a significant difference in the clinical variable: pain in relation to domains Domestic Activities (p = 0.048), Emotional State (p = 0.034) and Total Score (p = 0.022). (P = 0.045), use of compressive therapy with Domestic Activities (p = 0.031) and number of consultations with the Social Interaction domains (p = 0.033), Domestic Activities ( p = 0.033), Emotional Status (p = 0.025) and Total Score (p = 0.030). Regarding Family Support, there were significant associations between clinical variables: relapse with Total Support (p = 0.031); time of current venous ulcer in years with Affective-Consistent (p = 0.003) and Total (0.022), pain with Autonomy domain (p = 0.041), signs of Total Support infection (p = 0.044). Among the assistance variables: Treatment time in years with the Affective-Consistent domain (p = 0.021). Use of compressive therapy with the Affective-Consistent (p = 0.002) and Total Support (p = 0.002) domains. There were negative and significant correlations of family support in quality of life in elderly patients with venous ulcer, between Affective-Consistent and the total CCVUQ score (r = -0.323, p = 0.042), the Domestic Activities domain (r = -0.350 , p = 0.027) and Emotional Status (r = -0.424, p = 0.006). Between Family Adaptation and Emotional State (r = -0.443, p = 0.004). Similarly, between Autonomy and total CCVUQ score (r = -0.514, p = 0.001), the Social Interaction domain (r = -0.362, p = 0.022), Domestic Activities (r = -0.513, p = 0.001) , Aesthetics (r = -0.478, p = 0.003) and Emotional Status (r = -0.478, p = 0.002). The quality of life of the elderly with venous ulcer was more compromised in the emotional state and Aesthetic domains. It is necessary to promote and rehabilitate the health of the elderly, focusing on family dynamics, in order to promote autonomy and social interaction to improve the quality of life. The alternative hypothesis is accepted that the family support is correlated in the quality of life in elderly patients with venous ulcer attended in Primary Attention to Health.

MEMBROS DA BANCA:
Externo à Instituição - ALINE MAINO PERGOLA MARCONATO - UNICAMP
Externo ao Programa - 2262871 - ANA ELZA OLIVEIRA DE MENDONCA
Interno - 4665456 - DANIELE VIEIRA DANTAS
Presidente - 1161810 - GILSON DE VASCONCELOS TORRES
Externo à Instituição - MARIA DENISE SCHIMITH - UFSM