Desenvolvimento e avaliação de website para os cuidados com feridas de difícil cicatrização na atenção primária à saúde

Abstract

The care of hard-to-heal wounds represents a persistent challenge for Primary Health Care, especially given limitations such as shortage of supplies, absence of standardized clinical protocols, and scarcity of accessible technologies that guide evidence-based practice. The difficulties faced by Family Health professionals highlight the need for innovative solutions that optimize clinical decision-making and the organization of care, especially in contexts of social vulnerability and high demand for services. In this scenario, the use of digital tools that promote standardization of care practices, professional qualification, and increased resolvability of health services becomes relevant. Based on this, this study aimed to develop and evaluate a website for the care of hard-to-heal wounds in primary health care. The work was designed as a methodological study with a quantitative approach, divided into three main stages: survey of dressings provided by the Brazilian Unified Health System (SUS), construction of the digital platform, and evaluation of its content and appearance by specialists. To support the development of the website, a scoping review was carried out according to the Joanna Briggs Institute guidelines, including 30 studies on digital technologies applied to wound care. The adoption of the website resulted in a sustainable, accessible, and easy-to-maintain solution, enabling the responsible team to continuously and autonomously update content and functionalities, reducing operational costs and ensuring the longevity of the project. The results revealed predominance of mobile applications and artificial intelligence algorithms, with functionalities aimed at wound measurement, structured clinical record, tissue classification, healing monitoring, and support for dressing selection. Although some of these technologies show a high level of development, initiatives adapted to the specificities of primary health care in Brazil are still scarce. The developed website demonstrated potential to strengthen clinical practice in Primary Health Care, promote evidence-based care, and expand therapeutic safety and standardization.