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Abstract(s)
O presente documento retrata o percurso desenvolvido no âmbito do 11º Curso de Mestrado em Enfermagem, com especialização em Enfermagem Comunitária do Instituto de Ciências da Saúde da Universidade Católica Portuguesa – Porto, na Unidade Curricular Estágio Final e Relatório. As feridas, agudas e crónicas, afetam milhões de pessoas em todo o mundo. A Organização Mundial de Saúde descreve-as como a nova epidemia escondida (OMS, 2008). A evidência científica refere um aumento na prevalência e incidência de feridas agudas e crónicas de difícil cicatrização, contribuindo assim para um aumento da morbilidade e, consequentemente, um aumento significativo de custos para o seu tratamento. A metodologia do Planeamento em Saúde foi o fio condutor das atividades desenvolvidas durante o estágio, tendo permitido a aquisição das competências no âmbito da especialização em Enfermagem Comunitária. Foi elaborado um Diagnóstico de Situação aos utentes com feridas de uma Unidade de Saúde Familiar do Norte, com o objetivo de identificar problemas que, após ser feita a priorização das necessidades, foram alvo da nossa intervenção. Como resultados obtidos, observamos que cerca de 61% dos utentes apresenta feridas crónicas, sendo o tipo de ferida mais frequente as úlceras de perna venosa (28,6%), seguindo-se as úlceras de pressão (22,4%) e as feridas traumáticas (22,4%). Como sinais de infeção presentes na ferida, 59% apresentavam ferida exsudativa e 18% ferida com odor. Foi feito diagnóstico de infeção profunda e a fazer antibiótico a 12 % dos utentes. O material de penso mais utilizado foi o iodo e a polihexanida. A intervenção objetivou a realização de duas sessões de formação com os temas “Diagnóstico diferencial de infeção / Risco de infeção” e “Casos Clínicos – Uso adequado do material de pensos”, ambas com o objetivo principal de aumentar o nível conhecimento dos profissionais de saúde sobre estas temáticas.
The present document reflects the development of the path taken on the 11º Curse of Nursing Master, with specialty in Community Nursing in Instituto de Ciências da Saúde da Universidade Católica Portuguesa – Porto, on the Course Unit Final Internship and Report. The wounds, acute and chronic, affects millions of people worldwide. The World Health Organization describes them as the new hidden epidemy (WHO, 2008). The scientific evidence refers to an increase in the prevalence and incidence of acute wounds and chronic wounds of difficult healing, contributing that way to an increase of morbidity and consequently to a significant increase of costs to its healing. The methodology of Planning in Health, was the conducting wire of activities developed during internship, having permitted the acquisition of competences in the scope of the specialty in Community Nursing. It was elaborated a Diagnostic of the Situation to the patients with wounds,in a North Familiar Health Unit with the objective of identifying problems that, after being prioritized the necessities, were target of our intervention. As results obtained, we observed that about 61% of the patients present chronic wounds, being the type of wound more frequent the ulcers of venous leg (28,6%), followed by the pressure ulcers (22,4%) and the traumatic wounds (22,4%). As signs of infection present in wounds, 59% presented exudative wound and 18% wound with odor. It was made a diagnostic of the profound infection and making antibiotic to 12% of the patients. The material band aid more utilized was the iodine and the polihexadine. The intervention objectified the realization of two education sessions with the titles “Differential diagnostic of the infection/Risk of infection” and “Clinical Cases – Adequate use of band aid materials”, both with the main purpose of increasing the level of knowledge of the health care professionals about this thematic.
The present document reflects the development of the path taken on the 11º Curse of Nursing Master, with specialty in Community Nursing in Instituto de Ciências da Saúde da Universidade Católica Portuguesa – Porto, on the Course Unit Final Internship and Report. The wounds, acute and chronic, affects millions of people worldwide. The World Health Organization describes them as the new hidden epidemy (WHO, 2008). The scientific evidence refers to an increase in the prevalence and incidence of acute wounds and chronic wounds of difficult healing, contributing that way to an increase of morbidity and consequently to a significant increase of costs to its healing. The methodology of Planning in Health, was the conducting wire of activities developed during internship, having permitted the acquisition of competences in the scope of the specialty in Community Nursing. It was elaborated a Diagnostic of the Situation to the patients with wounds,in a North Familiar Health Unit with the objective of identifying problems that, after being prioritized the necessities, were target of our intervention. As results obtained, we observed that about 61% of the patients present chronic wounds, being the type of wound more frequent the ulcers of venous leg (28,6%), followed by the pressure ulcers (22,4%) and the traumatic wounds (22,4%). As signs of infection present in wounds, 59% presented exudative wound and 18% wound with odor. It was made a diagnostic of the profound infection and making antibiotic to 12% of the patients. The material band aid more utilized was the iodine and the polihexadine. The intervention objectified the realization of two education sessions with the titles “Differential diagnostic of the infection/Risk of infection” and “Clinical Cases – Adequate use of band aid materials”, both with the main purpose of increasing the level of knowledge of the health care professionals about this thematic.
Description
Keywords
Enfermagem Planeamento em saúde Feridas Prevalência Nursing Planning in health Wounds Prevalence