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26 - A SAÚDE MENTAL DA PESSOA COM FERIDA COMPLEXA

Doi: 10.47094/IIICOLUBRASMU.2026/RS/28

PALAVRAS CHAVE: Feridas. Perturbações mentais. Adultos.

KEYWORDS: Wounds. Mental disorders. Adults.

ABSTRACT:
Introduction: Complex wounds pose a public health challenge, imposing a significant biopsychosocial burden on patients, their families, and healthcare professionals. They are characterized by persistence and difficulty in healing, associated with prolonged inflammation and comorbidities that are refractory to conventional treatment. Integrating the psychosocial dimension into care contributes to better clinical outcomes and more effective recovery. Objectives: To describe the influence of complex wounds on the mental health of individuals aged 18 years and older; to identify the different types of complex wounds that affect mental health in this population; and to identify mental health changes associated with the presence of complex wounds in individuals aged 18 years and older. Methodology: An integrative literature review was conducted, following the steps defined by Dhollande et al. (2021). The research question formulated was: "What is the influence of complex wounds on the mental health of individuals aged 18 years and older?", based on the PIO strategy. The search was performed in September 2025 using the databases CINAHL Complete, Nursing & Allied Health Collection: Comprehensive, and MedicLatina (via EBSCOhost), as well as PubMed, employing search strategies adapted to each database. Studies focusing on complex wounds in adults and published between 2020 and 2025 were included; studies involving participants with a prior diagnosis of psychiatric pathology were excluded. Screening was performed blindly by two independent reviewers using the Rayyan platform. Results: Of the 10,839 records identified, 11 studies were included. Eight etiologies of complex wounds were identified, with venous/varicose ulcers being the most represented. Complex wounds have a significant impact on mental health, being associated with a high prevalence of anxiety, depression, and social isolation. The pain, severity, and chronicity of the injuries exacerbate this impact. An acceptance-resignation coping style proved to be a predictor of poorer well-being, whereas social support acted as a protective factor against mental stress. Final considerations: Complex wounds significantly influence the mental health of adults. There is an urgent need for holistic care that integrates biopsychosocial and economic dimensions, as well as care models centered on active coping and social support.

Autores

  • Bruno Miguel Costa Santos

  • Cátia Alexandra Carvalho Soares

  • Daniela Alexandra Raposo Neto

  • Daniela Valério

  • Diana Isabel Vaz Carneiro

  • Jacinta Ferreira Baptista

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