Avaliação do estresse percebido em pessoas com feridas de difícil cicatrização: série de casos

Beatriz Costa Ferreira; Carol Viviana Serna González; Beatriz Yamada; Vera Lucia Conceição de Gouveia Santos

Authors

Beatriz Costa Ferreira Universidade de São Paulo, Escola de Enfermagem da São Paulo – São Paulo (SP), Brazil. https://orcid.org/0000-0001-5728-8947
Carol Viviana Serna González Universidade de São Paulo, Escola de Enfermagem, Grupo de Pesquisa em Estomaterapia – São Paulo (SP), Brazil. ,https://ror.org/036rp1748 https://orcid.org/0000-0002-9850-3030
Beatriz Yamada Universidade de São Paulo https://orcid.org/0000-0001-6673-6756
Vera Lucia Conceição de Gouveia Santos Universidade de São Paulo, Escola de Enfermagem da São Paulo – São Paulo (SP), Brazil. ,https://ror.org/036rp1748 https://orcid.org/0000-0002-1288-5761

Abstract

Objective: To exemplify the stress, distress, and coping assessment perceived by patients with hard-to-heal wounds (HHW) receiving treatment in a Stomatherapy outpatient clinic. Methods: Observational, prospective secondary study involved 10 adult patients with HHW, who were followed over two to six consultations. The following tools were used: sociodemographic and clinical data form; Brief Pain Inventory (sensitivity - BPI-S and interference - BPI-I); Bates-Jensen Wound Assessment Tool (BWAT); Perceived Stress Scale (PSS), which included measures of coping and distress with data expressed as means. Results: Patients primarily had HHW located on the lower extremities, with a duration of 21.2 months; BWAT score was 23.7; BPI-S was 4; and BPI-I was 3.2. Stress was characterized by a total PSS score of 28.5 points, with a distress score of 16.4 and a coping score of 16. In the final consultation, there was a decrease of 4.3 points in BWAT; 0.8 points in BPI-S; and 7.6 points in PSS, with a 5.3 point reduction in distress. The BPI-I increased by 0.7, and coping improved by 2.2. Conclusion: The wound seems to interfere with the level of perceived stress, i.e. the patient's biopsychosocial dimension. Coping stands out as a determining factor in the perception of stress, and a multidisciplinary approach is essential for its management and assessment of distress.

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