Protocolo para manejo da úlcera venosa na atenção primária à saúde: elaboração e validação

Hélio Martins do Nascimento Filho, Leila Blanes, Andrea Fernandes de Oliveira, Lydia Masako Ferreira

Resumo

Elaborar e validar protocolo para manejo de paciente com úlcera venosa (UV) na Atenção Primária à Saúde (APS). Trata-se de estudo metodológico. Para sua elaboração foi realizada revisão de literatura nas bases de dados LILACS, BDENF, IBECS, MEDLINE, OVID, CINAHL e SCOPUS entre agosto e novembro de 2018. Para validação do protocolo foi utilizada técnica de Delphi com a participação de médicos e enfermeiros, com ampla experiência e/ou especializações na área. Para a análise dos dados utilizou-se o Índice de Validade de Conteúdo (IVC). O IVC global dos juízes foi igual a 1,0. Ele possui 68 páginas, ilustrações e está dividido em: Introdução, Objetivo, Atribuições de equipe de saúde, Operacionalização, Considerações sobre úlcera venosa, Avaliação do paciente, Tratamento, Orientações assistenciais e Considerações sobre as terapias tópicas. Foi desenvolvido e validado o Protocolo para o manejo do paciente com UV na APS.

Descritores: Cicatrização, Protocolos Clínicos, Saúde da Família, Úlcera Varicosa.

 

Protocol for managing venous ulcers in primary health care: elaboration and validation

Abstract: Develop and validate a protocol for managing patients with venous ulcers (VU) in Primary Health Care (PHC). This is a methodological study based on a literature review conducted in the following databases: LILACS, BDENF, IBECS, MEDLINE, OVID, CINAHL, and SCOPUS between August and November 2018. The protocol was validated using the Delphi technique, with the participation of doctors and nurses with extensive experience and specializations in the field. The Content Validity Index (CVI) was used for data analysis. The overall CVI of the judges was equal to 1.0. The protocol has 68 pages, illustrations, and is divided into Introduction, Objective, Health team assignments, Operationalization, Considerations on Venous Ulcer, Patient evaluation, Treatment, Assistance guidelines, and Considerations on topical therapies. The Protocol for managing patients with VU in PHC was developed and validated.

Descriptors: Healing, Clinical Protocols, Family Health, Varicose Ulcer.

 

Protocolo de manejo de úlceras venosas en atención primaria de salud: elaboración y validación

Resumen: Elaborar y aprobar un protocolo para el manejo de pacientes con úlcera venosa (UV) en la Atención Primaria de Salud (APS). Se trata de un estudio metodológico. Para su elaboración fue realizada una revisión de la literatura en las bases de datos LILACS, BDENF, IBECS, MEDLINE, OVID, CINAHL y SCOPUS, entre agosto y noviembre de 2018. Para la aprobación del protocolo fue utilizada la técnica de Delphi con la participación de médicos y enfermeros, con una amplia experiencia y/o especializaciones en el área. Para el análisis de los datos se utilizo el Índice de Validad de Contenido (IVC). El IVC global de los jueces fue igual a 1,0. El protocolo posee 68 páginas, ilustraciones y está dividido en: introducción, objetivo, atribuciones del equipo de salud, instrumentalización, consideraciones sobre la úlcera venosa, evaluación del paciente, tratamiento, orientaciones asistenciales y consideraciones sobre las terapias tópicas. Fue desarrollado y aprobado el protocolo para el manejo del paciente con UV en la APS.

Descriptores: Cicatrización, Protocolos Clínicos, Salud de la Familia, Úlcera Varicosa.

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Referências

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