Avaliação das práticas de prevenção e tratamento de feridas dos profissionais de enfermagem da atenção primária no Piauí

Abstract

The treatment of wounds is a dynamic process, influenced by the systematic assessment of nurses. Caring for skin lesions is one of the nurses' responsibilities in all health settings, from primary care to more specialized services. Therefore, was to evaluate knowledge and technical skills of wound care before and after a training course in stomatherapy for nurses and nursing technicians who work in Primary Care in two hospitals in Piauí. A questionnaire was applied with questions related to the characterization of the professionals and the way in which they identify, quantify and intervene in the treatment of wounds, before and after a professional training course. In the two cities of Piauí, 37 professionals from the nursing team participated, with technicians 40.5% and nurses 59.5% of the public. Most participants were female (86.5%), between 31 and 40 years old (46.0%) and between 6 and 10 years old (40.5%). 89% of the professionals stated that they had never participated in an improvement course on wound treatment before. The participants obtained, on average, 67.5% of correct answers in the pre-test of knowledge, and 90.8%, in the post-test, this difference being statistically significant. As for the best environment for wound healing, in item 2, in the pre-test only 56.7% and in the post-test this index increased to 100%. Regarding the use and indication of AGE (Essential Fatty Acid), hydrocolloid, hydrogels and activated charcoal coverings in granulated wounds, the percentage of correct answers was 43.5% in the pre-test and 86.4% in the post-test. Before the improvement course, only 67.5% of the participants demonstrated to know how to identify and at the end this percentage increased to 89.1%. The results obtained showed that through the improvement course, the professionals complemented their knowledge about coverings, products and appropriate handling techniques in the treatment of wounds, as well as identifying the types of wounds.