SANTOS, A. G.; SANTOS, ADYVERSON GOMES DOS.; DOS SANTOS, ADYVERSON GOMES.; http://lattes.cnpq.br/9779926847426703; SANTOS, Adyverson Gomes dos.
Abstract:
the surgical wound is a junction of tissues by primary intention resulting from
the completion of a surgical procedure, with the skin as the last tissue to be reapproximated for
healing, which can be influenced by intrinsic and extrinsic factors. Objective: to record and
analyze the experiences of people who had surgical wounds complicated by dehiscence in a
municipality in Curimataú Paraibano. Methodology: this is a qualitative study with descriptive
analysis about the experience of people who had a surgical complication of the dehiscence type.
Two questionnaires were used, addressing quantitative and qualitative questions. The data was
transcribed and subjected to Descending Hierarchical Classification (CHD) analysis,
subsequently using Bardin analysis to categorize the lexical classes generated by CHD. Results
and discussion: The highest frequency of the word Surgery (n=50) was observed in the analysis
of the textual corpus, which showed a text retention of 89.58%, implying satisfactory use. The
sociodemographic characteristics of the interviewees showed a strong association of the
variables Esc_3 and Grade_3 (x2= 7.04; x2=5.11). In the CHD analysis, six classes were
formulated, which were condensed into three categories: Category 1 (Class 4, 3 and 2) - People's
narrative from perception, to the difficulties faced to recovery from dehiscence; Category 2
(Class 5 and 1) - Psychospiritual dimensions affected by the surgical complication; and
Category 3 (Class 6) - Professional responsibility and management of the FO. There were
different reports on how the complication was discovered, which in most cases was due to the
sensation of pain and the smell of a bad smell at the site of the surgical wound. The patient's
recovery is often based on their own beliefs and spirituality that reverberate in family support
and self-care. To this end, the nurse was active in this recovery process through prevention,
maintenance and delegation of functions to the nursing team with relevant guidance and
carrying out dressings. Final considerations: a series of feelings expressed by the interviewees
were observed when recalling the difficulties experienced when faced with a surgical
complication. The family was exposed as the basis for recovery, as well as the support of the
nursing team in managing the surgical wound using scientific knowledge. Thus, it is noted that
the qualitative study provided a vision beyond the clinic, observing the nuances of each person
and it is proposed that new studies of this design related to post-surgery be carried out.