Trajetórias afetivo-sexuais de pessoas com feridas crônicas nos membros inferiores: aspectos na escuta terapêutica

Estudo qualitativo com o objetivo de discutir as trajetórias de pessoas com feridas crônicas nos membros inferiores, focando as experiências afetivas e sexuais. Participaram 51 adultos atendidos num ambulatório de hospital público em Salvador, Bahia, entre 2008 e 2009. Os dados foram obtidos através do desenho estória-tema e de entrevistas em profundidade, durante a escuta terapêutica. Em seguida foram submetidos à análise de conteúdo temática e à análise de conteúdo para desenhos, respectivamente, surgindo três categorias: “trajetórias solitárias”, “fragmentadas” e “lineares ou contínuas”. Conclui-se que as limitações corporais impostas pelas feridas influenciam a subjetividade dessas pessoas, conduzindo-as a processos de perda da autoconfiança, autodepreciação e temor quanto a demandas afetivo-sexuais. Torna-se, pois, evidente a necessidade da promoção, não apenas de intervenções curativas para o corpo, mas também da escuta terapêutica e do apoio psicológico durante o cuidado proporcionado a essas pessoas

Ascorbic acid for the healing of skin wounds in rats

BACKGROUND: Healing is a complex process that involves cellular and biochemical events. Several medicines have been used in order to shorten healing time and avoid aesthetic damage. OBJECTIVE: to verify the topical effect of ascorbic acid for the healing of rats' skin wounds through the number of macrophages, new vessels and fibroblast verifications in the experimental period; and analyse the thickness and the collagen fibre organization in the injured tissue. METHODS: Male Rattus norvegicus weighing 270 ± 30 g were used. After thionembutal anesthesia, 15 mm transversal incisions were made in the animals' cervical backs. They were divided into two groups: Control Group (CG, n = 12) - skin wound cleaned with water and soap daily; Treated Group (TG, n = 12) - skin wound cleaned daily and treated with ascorbic acid cream (10%). Samples of skin were collected on the 3rd, 7th and 14th days. The sections were stained with hematoxylin-eosin and picrosirius red for morphologic analysis. The images were obtained and analysed by a Digital Analyser System. RESULTS: The ascorbic acid acted on every stage of the healing process. It reduced the number of macrophages, increased the proliferation of fibroblasts and new vessels, and stimulated the synthesis of thicker and more organized collagen fibres in the wounds when compared to CG. CONCLUSION: Ascorbic acid was shown to have anti-inflammatory and healing effects, guaranteeing a suiTable environment and conditions for faster skin repair