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

Autores

Beatriz Costa Ferreira Universidade de São Paulo, Escola de Enfermagem da São Paulo – São Paulo (SP), Brasil. 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), Brasil. https://orcid.org/0000-0002-9850-3030
Beatriz Yamada Universidade de São Paulo, Escola de Enfermagem, Grupo de Pesquisa em Estomaterapia – São Paulo (SP), Brasil 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), Brasil. https://orcid.org/0000-0002-1288-5761

Resumo

Objetivo: Exemplificar a avaliação do estresse, distresse e coping percebidos por pacientes com feridas de difícil cicatrização (FDC), atendidos em ambulatório de Estomaterapia. Método: Estudo secundário, observacional e prospectivo de 10 pacientes adultos com FDC, acompanhados durante duas a seis consultas. Foram utilizados Formulário de dados sociodemográficos e clínicos; Inventário Breve de Dor (sensibilidade - BPIS e interferência - BPII); Instrumento de Avaliação da Ferida da Bates Jensen – BWAT e Escala de Estresse Percebido - PSS, incluindo coping e distresse, com dados expressos em médias. Resultados: Os pacientes tinham FDC principalmente em membro inferior, com duração de 21,2 meses; BWAT 23,7; BPIS 4; BPII 3,2. O estresse foi caracterizado por PSS total de 28,5 pontos, distresse de 16,4 e coping 16. Na última consulta foi observada diminuição de 4,3 pontos na BWAT; 0,8 na BPIS; 7,6 pontos na PSS com 5,3 no distresse. A BPII aumentou 0,7 e o coping 2,2. Conclusão: A ferida parece interferir no nível de estresse percebido, ou seja, na dimensão biopsicossocial do paciente. O coping se destaca como um fator determinante na percepção do estresse e uma abordagem multidisciplinar é essencial para o seu manejo e para a avaliação do distresse.

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