Avaliação da aceitabilidade da terapia larval no tratamento de feridas

• Ano de defesa: 2010
• Autor(a) principal: FRANCO, Letícia Cunha
• Orientador(a): PEREIRA, Lílian Varanda
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Goiás
• Programa de Pós-Graduação: Mestrado em Enfermagem
• Departamento: Cuidado em Enfermagem
• País: BR
• Palavras-chave em Português: Enfermagem; Aceitação; Recusa; Terapia larval; Cicatrização de feridas; 1.Enfermagem Cuidados 2.Aceitação ao tratamento 3.Recusa 4.Terapia larval 5.Cicatrização de feridas
• Palavras-chave em Inglês: Nursing; Acceptance; Rejection; Larval therapy; Wound healing
• Área do conhecimento CNPq: CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
• Link de acesso: http://repositorio.bc.ufg.br/tede/handle/tde/702

The larval therapy (LT) is a biotherapy applied for hundreds of years and understands the use of live larvae of flies in the treatment of wounds of various etiologies. The aims of this study were to assess the "acceptance" or "refusal" of larval therapy in wound healing between doctors and nurses from CAIS (Centre for Integral Care of Health) in Goiânia, GO and evaluate the factors affecting "acceptance "or" refusal "of the TL in wound healing, in the body and the bodies of others. This study takes a quantitative, descriptive and analytical study carried out in the period between June and December 2009, on the 14 CAIS, Goiânia, GO. The study population consisted of 209 professionals and of these, 92 nurses and 41 doctors completed the data collection instrument. The questionnaire took over identifying data, socioeconomic, demographic, religious, vocational training and qualification, "acceptance" and "refusal" of the TL and evaluation of factors that could influence the responses "acceptance" and "refusal" of biotherapy. All tests were performed using the software "Statistical Package for Social Sciences (SPSS). The data were explored by frequency, mean, standard deviation, median and interquartile range. The Wilcoxon test was used to compare the characteristics of variables in two different situations, in the body and the body of another person (acceptance or refusal of health professionals). P values <0.05 were considered statistically significant. Among the 133 professionals, 76.7% were female, 58.6% were aged between 23 and 32 years, 63.2% and 76.0% were Catholics from the State of Goiás. Among the professionals, 48.1% (n=64) said they would use maggots to treat wounds in his body and 51.8% (n=69) would use in the wounds of others. The factors that most interfered with the response "acceptance" among professionals, both for use in the same body as the body of others were: wound that does not respond to other treatments, reducing the healing time, rapid and selective debridement and effectiveness against microorganisms (Md=8 to 9; Q1=7 to 8;Q3=10;MIN=0 to 2;MAX=10). As for the answer "refusal", the factors that most interfered with this choice, the two situations were: insufficient knowledge and disgust manipulation (Md=9;Q1=3 to 6;Q3=10;MIN=0;MAX=10). Despite therapy with fly larvae is still poorly understood by physicians and nurses from CAIS, Goiânia, GO, almost half of these professionals agree to use this therapy, a factor that indicates the need for approximation of scientific research to practical reality.