Feridas crônicas, saber popular e práticas integrativas: revisão sistemática
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Data
2018-08-28
Autores
Palamin, Thalita Fernanda Nishihara
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Editor
Universidade Estadual Paulista (Unesp)
Resumo
Feridas crônicas consistem em lesões que não cicatrizam espontaneamente ou recorrentes, mesmo após o tratamento em período superior a três semanas. O processo de restauração da pele é complexo e interdependente, defronta-se com diversos fatores locais ou sistêmicos que interferem na cicatrização, além das interferências culturais e econômicas na escolha do tratamento. Atualmente existem vários recursos terapêuticos, práticas integrativas e complementares, que auxiliam o profissional e o portador na definição e maior adesão ao tratamento. Objetivos: Identificar o saber popular referido por pacientes em tratamento de feridas crônicas, no ambulatório de biocurativo no período de 2007-2010 e analisar o estado da arte sobre o uso de práticas integrativas e complementares através de uma revisão bibliográfica. Material e método: Foram consultados arquivos do Ambulatório de Biocurativo e do Laboratório de Engenharia Celular de portadores de feridas crônicas sobre a escolha do tratamento e através de pesquisa em base de dados construção de uma contextualização de tipos de tratamentos. Conclusão: Majoritariamente o saber popular é transmitido pelos pais, de geração a geração, com orientações de restrições alimentares de proteína, utilização de plantas medicinais para auxiliar na cicatrização. Quanto ao uso de práticas integrativas identificou-se que muitas delas não encontram-se baseadas em evidências, mas não tendo contraindicações, devem ser aceitas sob revisão periódica da equipe de assistência como motivação à adesão ao tratamento tradicional.
Chronic wounds consist of injuries which do not heal spontaneously, or recur, even after treatment longer than three weeks. The process of skin restoration is complex and interdependent; it encounters several local or systemic factors that interfere in healing, besides the cultural and economic interferences in the choice of treatment. Currently there are several therapeutic resources, integrative and complementary practices which help the professional and the patient on the definition and greater adhesion to the treatment. Objectives: To identify the popular knowledge referred to by patients, in the treatment of chronic wounds in the bio-curative outpatient clinic, between 2007-2010 and to analyze the state of the art on the use of integrative and complementary practices through a bibliographic review. Material and method: Archives of the Bio-curative Outpatient Clinic and the Cellular Engineering Laboratory of chronic wound patients and a database were searched, concerning the choice of treatment, aiming to elaborate a contextualization of types of treatments. Conclusion: Most popular knowledge is transmitted by parents, from generation to generation, comprising guidelines of protein food restrictions, use of medicinal plants to aid in healing. Regarding the use of integrative practices, it was identified that many of them are not based on evidences, but not presenting contraindication, they should be accepted under periodic review of the assistance team, as a motivation for adhesion to traditional treatment.
Chronic wounds consist of injuries which do not heal spontaneously, or recur, even after treatment longer than three weeks. The process of skin restoration is complex and interdependent; it encounters several local or systemic factors that interfere in healing, besides the cultural and economic interferences in the choice of treatment. Currently there are several therapeutic resources, integrative and complementary practices which help the professional and the patient on the definition and greater adhesion to the treatment. Objectives: To identify the popular knowledge referred to by patients, in the treatment of chronic wounds in the bio-curative outpatient clinic, between 2007-2010 and to analyze the state of the art on the use of integrative and complementary practices through a bibliographic review. Material and method: Archives of the Bio-curative Outpatient Clinic and the Cellular Engineering Laboratory of chronic wound patients and a database were searched, concerning the choice of treatment, aiming to elaborate a contextualization of types of treatments. Conclusion: Most popular knowledge is transmitted by parents, from generation to generation, comprising guidelines of protein food restrictions, use of medicinal plants to aid in healing. Regarding the use of integrative practices, it was identified that many of them are not based on evidences, but not presenting contraindication, they should be accepted under periodic review of the assistance team, as a motivation for adhesion to traditional treatment.
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Palavras-chave
Feridas crônica, Chronic wounds, Popular knowledge, Práticas integrativas, Saber popular, Integrative practices