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Úlcera de perna: caracterização clínica e perfil imunohistopatológico da cicatrização na presença da biomembrana de látex natural da seringueira Hevea brasiliensis; Leg ulcer: clinical caracterization and immunohistopathologic profile on wound healing in the presence of natural latex biomembrane of rubber tree Hevea brasiliensis.

Frade, Marco Andrey Cipriani
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 27/02/2003 PT
Relevância na Pesquisa
66.81%
Úlcera de perna é uma doença muito freqüente na população idosa. Inúmeros são os tipos de curativos atualmente usados para tratamento das úlceras de perna, com diferentes indicações, vantagens e desvantagens, cuja eficácia não está bem esclarecida devido à descontinuidade dos tratamentos e os custos envolvidos em algumas situações. Para avaliar a ação da biomembrana de látex (BML) no tratamento de úlceras de perna, que se comportou como eficiente indutora do tecido de cicatrização. Foram realizadas avaliações clínicas e imunohistopatológicas em 21 doentes, casualmente selecionados, submetidos à aplicação da biomembrana (14 pacientes), comparando com o tratamento clássico (07 pacientes) constituído de pomada com cloranfenicol e enzimas proteolíticas (Fibrase) com o objetivo de analisar e comparar as alterações histopatológicas e imunohistoquímicas relacionadas aos diferentes tratamentos. Foram coletadas biópsias da lesão antes e 30 dias após os tratamentos. As biópsias foram divididas em dois fragmentos, um deles para o estudo histopatológico e outro congelado a -70°C para análise imunohistoquímica. Os resultados mostram que o uso da biomembrana de látex facilitou os cuidados à lesão aliada ao baixo custo e praticidade de sua aplicação. Adicionalmente...

Impacto da úlcera de perna na vida da família: um estudo de caso; Impact of leg ulcer in family life: a case study

Soares, Maria de Fatima
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 20/12/2012 PT
Relevância na Pesquisa
66.88%
A úlcera de perna representa demanda crescente nos serviços de saúde. Por tratar-se de uma doença crônica, recorrente e de difícil manejo, a úlcera de perna é um problema que vem desafiando profissionais, pacientes e famílias. A necessidade de entender melhor a problemática existente no cuidado oferecido pelo enfermeiro ao paciente com úlcera e sua família, motivou a pergunta do estudo, a qual buscou responder como a família influencia e é influenciada pela úlcera de perna. O estudo teve como objetivo conhecer as percepções e crenças do paciente e de sua família em relação à úlcera de perna, bem como compreender como essas crenças influenciam o enfrentamento da família na experiência. O estudo de caso foi o método adotado, e as técnicas da história oral foram utilizadas para a coleta de dados. O estudo foi realizado com um casal idoso, o qual convive com a úlcera de perna da mulher, focando o impacto desse evento na história da família. As narrativas do casal permitiram a construção da memória coletiva organizada em três temas distintos os quais se inter-relacionam: Envelhecimento e doença, Jornada do tratamento, A ferida e o tempo. Os resultados permitiram compreender que a família influencia e é influenciada pela úlcera de perna e esta dinâmica determina um grande impacto na vida do casal que se encontra na fase tardia do ciclo de vida da família. O estudo identificou que as crenças do casal exercem grande influência sobre o impacto da doença em sua vida...

Translation, cultural adaptation to Brazil and validation of the venous leg ulcer quality of life questionnaire (VLU-QoL-Br)

Araújo, Renata Boldrin de; Fortes, Maria Rita Parise; Abbade, Luciana Patrícia Fernandes; Miot, Hélio Amante
Fonte: Associação Médica Brasileira Publicador: Associação Médica Brasileira
Tipo: Artigo de Revista Científica Formato: 249-254
ENG
Relevância na Pesquisa
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Objetivo:traduzir o instrumento Venous legulcer quality of life questionnaire (VLU-QoL), adaptá-lo culturalmente para o português do Brasil e validá-lo com pacientes do Hospital das Clínicas da Faculdade de Medicina de Botucatu (FMB) da Universidade Estadual Paulista (Unesp). Métodos:o questionário foi traduzido por um tradutor profissional e por dois dermatologistas especialistas na área de úlceras venosas (UV), sendo reformulado em reunião com os três tradutores. O constructo (VLU-QoL-Br) foi submetido a pré-entrevista com 10 portadores de UV para a adaptação da linguagem. Posteriormente, foi aplicado em pacientes do HC-Unesp, e como teste-reteste para verificação de sua reprodutibilidade. Resultados:foram avaliados 82 pacientes, sendo 56 (68%) do sexo feminino. A idade média foi de 67,3 anos. O questionário foi traduzido, adaptado e aplicado aos pacientes. O constructo apresentou alta consistência interna (alfa= 0,94) e adequada correlação item-total. Quando avaliados os 32 retestes, observou-se correlação intraclasse para concordância de 0,78 (p < 0,01), indicando boa reprodutibilidade do constructo. A análise fatorial confirmatória corroborou as dimensões do questionário original: atividades, psicológico e sintomas. Escores do VLU-QoL-Br se associaram...

Factors that influence healing of chronic venous leg ulcers: a retrospective cohort

Scotton, Marilia Formentini; Miot, Helio Amante; Fernandes Abbade, Luciana Patricia
Fonte: Soc Brasileira Dermatologia Publicador: Soc Brasileira Dermatologia
Tipo: Artigo de Revista Científica Formato: 414-422
ENG
Relevância na Pesquisa
46.62%
BACKGROUND: Venous ulcers have a significant impact on patient quality of life, and constitute a worldwide public health problem. Treatment is complex, with high failure rates.OBJECTIVES: To identify clinical and therapeutic factors that influence healing of venous ulcers.METHODS: Retrospective cohort study of patients with venous ulcers. Ulcer area was measured at the first visit (T0) and after 6 months (T6) and 1 year (T12). A reduction in ulcer area of 50% or more at T6 and T12 was the outcome of interest, weighted by clinical, demographic and treatment aspects.RESULTS: Ninety-four patients were included (137 ulcers). A reduction in ulcer area of 50% or more was seen in 40.1% of patients (95% CI 31.9 to 48.4%) at T6 and 49.6% (95% CI 41.2 to 58.1%) at T12. Complete healing occurred in 16.8% (95% CI 10.5 to 23.1%) at T6 and 27% (95% CI 19.5 to 39.5%) at T12. The lowest ulcer area reductions at T6 were associated with longstanding ulcer (RR=0.95; 95% CI 0.91 to 0.98), poor adherence to compression therapy (RR=4.04; 95% CI 1.31 to 12.41), and infection episodes (RR=0.42; 95% CI 0.23 to 0.76). At T12, lower reductions were associated with longstanding ulcer (RR=0.95; 95% CI 0.92 to 0.98), longer topical antibiotic use (RR=0.93; 95% CI 0.87 to 0.99)...

Leg Amputation for an Extensive, Severe and Intractable Sickle Cell Anemia Ulcer in a Brazilian Patient

Mach Queiroz, Ana Maria; Campos, Jessica; Lobo, Clarisse; Bonini-Domingos, Claudia Regina; Cardoso, Gilberto; Ballas, Samir K.
Fonte: Informa Healthcare Publicador: Informa Healthcare
Tipo: Artigo de Revista Científica Formato: 95-98
ENG
Relevância na Pesquisa
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A 35-year-old African Brazilian patient had sickle cell anemia complicated with recurrent vasoocclusive (VOC) crises and refractory painful leg ulcers for 16 years. The ulcers started over both medial malleoli and expanded gradually. The ulcer on the left leg spread from the foot to the knee circumferentially and was refractory to all forms of therapy within the frame work of multi-disciplinary care. The patient agreed to a below the knee amputation of the left leg. He felt much better after the amputation but developed severe neuropathic phantom pain that was well controlled medically. He could differentiate the sickle cell anemia and ulcer pain from the neuropathic pain. About 6 months after the amputation he had dengue fever with fatal outcome. This is the first report of treatment of refractory sickle cell anemia leg ulcer with amputation and probably the first report of a Brazilian patient with sickle cell anemia and dengue fever.

Qualidade de vida e adesão terapêutica da pessoa portadora de úlcera venosa de perna

Favas, Sandra Maria Horta dos Santos
Fonte: Universidade Católica Portuguesa Publicador: Universidade Católica Portuguesa
Tipo: Dissertação de Mestrado
Publicado em //2012 POR
Relevância na Pesquisa
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Introdução e objetivos: A investigação e a prática de cuidados, no domínio da qualidade de vida das pessoas portadoras de úlcera venosa de perna, têm evidenciado a necessidade de construção e validação de instrumentos, para uma avaliação precisa e eficiente da qualidade de vida e da adesão terapêutica. Com o intuito de dar resposta a estas necessidades, procedemos à validação cultural da Venous Leg Ulcer Quality of Life e à construção e validação da escala multidimensional da adesão terapêutica, em pessoas portadoras de úlcera venosa de perna. Metodologia: Este estudo metodológico, incidiu sobre 170 pessoas portadoras de úlcera venosa de perna, residentes no distrito de Leiria. Na validação da escala da qualidade de vida, seguimos a mesma metodologia dos autores da escala original, a quem foi solicitada autorização. O formulário inclui ainda, a escala de adesão terapêutica, construído neste estudo, as características sociodemográficas e clinicas e caraterização da úlcera. A amostra foi obtida por amostragem do tipo não probabilística acidental, após o cumprimento dos procedimentos éticos e formais necessários para o efeito. Resultados: A predominância do sexo masculino de 55,9% (95) foi verificada na amostra. O coeficiente de alfa de Cronbach...

Onychomycosis in Patients with Chronic Leg Ulcer and Toenail Abnormalities

Cabete, J; Apetato, M; Galhardas, C; Lestre, S
Fonte: Scielo Publicador: Scielo
Tipo: Artigo de Revista Científica
Publicado em //2015 ENG
Relevância na Pesquisa
66.65%
Nails have a limited number of reactive patterns to disease. Accordingly, toenail changes of different etiologies may mimic onychomycosis. OBJECTIVE To determine the prevalence of toenail onychomycosis among patients with leg ulcer and toenail abnormalities attending a dermatology clinic. METHODS A cross-sectional study was conducted through the analysis of clinical records and results of mycological examination. RESULTS A total of 81 patients were included, with a median age of 76.0 years. Most ulcers were of venous etiology, followed by those of mixed and arterial pathogenesis. The mycological evaluation confirmed the diagnosis of onychomycosis in 27.2% of the patients. The etiologic agent was a dermatophyte in 59.1% of isolates in nail samples, while Trichophyton interdigitale was the most frequent fungal species (40.9%). CONCLUSIONS Most toenail abnormalities in patients with chronic leg ulcer were not onychomycosis. This study highlights the importance of systematic mycological examination in these patients, in order to avoid overtreatment with systemic antifungals, unnecessary costs and side effects.

Onychomycosis in Patients with Chronic Leg Ulcer and Toenail Abnormalities

Cabete, J; Apetato, M; Galhardas, C; Lestre, S
Fonte: Scielo Publicador: Scielo
Tipo: Artigo de Revista Científica
Publicado em //2015 ENG
Relevância na Pesquisa
66.65%
Nails have a limited number of reactive patterns to disease. Accordingly, toenail changes of different etiologies may mimic onychomycosis. OBJECTIVE To determine the prevalence of toenail onychomycosis among patients with leg ulcer and toenail abnormalities attending a dermatology clinic. METHODS A cross-sectional study was conducted through the analysis of clinical records and results of mycological examination. RESULTS A total of 81 patients were included, with a median age of 76.0 years. Most ulcers were of venous etiology, followed by those of mixed and arterial pathogenesis. The mycological evaluation confirmed the diagnosis of onychomycosis in 27.2% of the patients. The etiologic agent was a dermatophyte in 59.1% of isolates in nail samples, while Trichophyton interdigitale was the most frequent fungal species (40.9%). CONCLUSIONS Most toenail abnormalities in patients with chronic leg ulcer were not onychomycosis. This study highlights the importance of systematic mycological examination in these patients, in order to avoid overtreatment with systemic antifungals, unnecessary costs and side effects.

Translation, cultural adaptation to Brazil and validation of the venous leg ulcer quality of life questionnaire (VLU-QoL-Br)

Araújo,Renata Boldrin de; Fortes,Maria Rita Parise; Abbade,Luciana Patrícia Fernandes; Miot,Hélio Amante
Fonte: Associação Médica Brasileira Publicador: Associação Médica Brasileira
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2014 EN
Relevância na Pesquisa
66.59%
Objective: translating the Venous leg ulcer quality of life questionnaire (VLU-QoL), and culturally adapting it to Brazilian Portuguese and validate it with patients at the Hospital das Clínicas of the Botucatu Medical School - Unesp. Methods: the questionnaire was translated by a professional translator and two dermatologists specialized in the area of venous ulcers (VU), reformulated in a meeting of the three translators. The construct (VLU-QoL-Br) was submitted to pre-interviews with ten VU patients for adaptation of the language. Subsequently, it was applied to patients at the HC-Unesp, and for test-retest reliability for verification of its reproducibility. Results: 82 patients were evaluated, with 56 (68%) women. The age average was 67.3 years. The questionnaire was translated, adapted and applied to the patients. The construct presented high internal consistency (alpha = 0.94) and adequate item-total correlation. When the 32 retests were evaluated, an intra-class correlation was noted for concordance of 0.78 (p<0.01), indicating good reproducibility of the construct. The confirmatory factor analysis corroborated the dimensions of the original questionnaire: activities, psychologies, and symptoms. VLU-QoL-Br scores were associated...

Factors that influence healing of chronic venous leg ulcers: a retrospective cohort

Scotton,Marilia Formentini; Miot,Hélio Amante; Abbade,Luciana Patricia Fernandes
Fonte: Sociedade Brasileira de Dermatologia Publicador: Sociedade Brasileira de Dermatologia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2014 EN
Relevância na Pesquisa
46.62%
BACKGROUND: Venous ulcers have a significant impact on patient quality of life, and constitute a worldwide public health problem. Treatment is complex, with high failure rates. OBJECTIVES: To identify clinical and therapeutic factors that influence healing of venous ulcers. METHODS: Retrospective cohort study of patients with venous ulcers. Ulcer area was measured at the first visit (T0) and after 6 months (T6) and 1 year (T12). A reduction in ulcer area of 50% or more at T6 and T12 was the outcome of interest, weighted by clinical, demographic and treatment aspects. RESULTS: Ninety-four patients were included (137 ulcers). A reduction in ulcer area of 50% or more was seen in 40.1% of patients (95%CI 31.9 to 48.4%) at T6 and 49.6% (95%CI 41.2 to 58.1%) at T12. Complete healing occurred in 16.8% (95%CI 10.5 to 23.1%) at T6 and 27% (95%CI 19.5 to 39.5%) at T12. The lowest ulcer area reductions at T6 were associated with longstanding ulcer (RR=0.95; 95%CI 0.91 to 0.98), poor adherence to compression therapy (RR=4.04; 95%CI 1.31 to 12.41), and infection episodes (RR= 0.42; 95%CI 0.23 to 0.76). At T12, lower reductions were associated with longstanding ulcer (RR=0.95; 95%CI 0.92 to 0.98), longer topical antibiotic use (RR=0.93; 95%CI 0.87 to 0.99)...

Onychomycosis in patients with chronic leg ulcer and toenail abnormalities

Cabete,Joana; Galhardas,Célia; Apetato,Margarida; Lestre,Sara
Fonte: Sociedade Brasileira de Dermatologia Publicador: Sociedade Brasileira de Dermatologia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/02/2015 EN
Relevância na Pesquisa
66.65%
Nails have a limited number of reactive patterns to disease. Accordingly, toenail changes of different etiologies may mimic onychomycosis. OBJECTIVE To determine the prevalence of toenail onychomycosis among patients with leg ulcer and toenail abnormalities attending a dermatology clinic. METHODS A cross-sectional study was conducted through the analysis of clinical records and results of mycological examination. RESULTS A total of 81 patients were included, with a median age of 76.0 years. Most ulcers were of venous etiology, followed by those of mixed and arterial pathogenesis. The mycological evaluation confirmed the diagnosis of onychomycosis in 27.2% of the patients. The etiologic agent was a dermatophyte in 59.1% of isolates in nail samples, while Trichophyton interdigitale was the most frequent fungal species (40.9%). CONCLUSIONS Most toenail abnormalities in patients with chronic leg ulcer were not onychomycosis. This study highlights the importance of systematic mycological examination in these patients...

Community leg ulcer clinics: a comparative study in two health authorities.

Simon, D. A.; Freak, L.; Kinsella, A.; Walsh, J.; Lane, C.; Groarke, L.; McCollum, C.
Fonte: BMJ Group Publicador: BMJ Group
Tipo: Artigo de Revista Científica
Publicado em 29/06/1996 EN
Relevância na Pesquisa
46.85%
OBJECTIVE--To compare the outcome and cost of care for leg ulcers in community leg ulcer clinics in Stockport District Health authority with Trafford District Health Authority as a control. DESIGN--Detailed cost and efficacy studies conducted prospectively over a three month period in both districts both before and one year after the introduction of five leg ulcer clinics in Stockport. SETTING--Two large district health authorities of broad socioeconomic mix and total population of 540,000. PATIENTS--All patients receiving treatment for an active leg ulcer, irrespective of the profession or location of their carer. MAIN OUTCOME MEASURES--The proportion of ulcerated limbs completely healed within three months and total cost of leg ulcer care. RESULTS--The introduction of community clinics in Stockport improved healing of leg ulcers from 66/252 (26%) in 1993 to 99/233 (42%) in 1994 (P < 0.001) compared with in Trafford, where 47/203 (23%) healed in 1993 and only 43/213 (20%) in 1994. This improved result in Stockport was achieved while the annual expenditure on care of leg ulcers was reduced from 409,991 pounds to only 253,371 pounds. In the same year the cost of leg ulcer care in Trafford increased from 556,039 pounds to 673,318 pounds. CONCLUSION--In the first year after the introduction of community clinics...

Phase I Study of H5.020CMV.PDGF-β to Treat Venous Leg Ulcer Disease

Margolis, David J; Morris, Lee M; Papadopoulos, Maryte; Weinberg, Linda; Filip, Jennifer C; Lang, Stephanie A; Vaikunth, Sachin S; Crombleholme, Timothy M
Fonte: Nature Publishing Group Publicador: Nature Publishing Group
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
46.59%
Venous leg ulcers are a prevalent nonhealing wound of the lower extremity. Although topically applied growth factors successfully improve wound repair in animal studies, similar studies on humans with venous leg ulcers have not been successful. This study was designed to evaluate the acute safety and biologic feasibility of peri-ulcer injection of a replication-incompetent adenoviral construct expressing platelet-derived growth factor-β (PDGF-β). In this phase I study, we demonstrate the initial safety, feasibility, and biologic plausibility of using H5.020CMV.PDGF-β to treat venous leg ulcer disease.

Cross-contamination: Comparison of Nasal and Chronic Leg Ulcer Staphylococcus aureus Strains Isolated from the Same Patient

Gjødsbøl, Kristine; Skindersoe, Mette Elena; Skov, Robert Leo; Krogfelt, Karen Angeliki
Fonte: Bentham Open Publicador: Bentham Open
Tipo: Artigo de Revista Científica
Publicado em 02/02/2013 EN
Relevância na Pesquisa
46.65%
The aim of this study was to investigate the occurrence of bacterial cross-contamination between the nasal cavity and leg ulcers. Sixteen patients were included in the study. Staphylococcus aureus was isolated from the leg ulcer of 13 patients and 6 of these patients also harboured S. aureus in the nasal cavity. Klebsiella oxytoca was found in the ulcer and the nasal cavity of one patient. PFGE analysis revealed that patients harbouring S. aureus both in the nasal cavity and the leg ulcer had the same bacterial type at both sites. None of the S. aureus isolates were methicillin resistant.

A Comparison of the Efficacy and Cost of Different Venous Leg Ulcer Dressings: A Retrospective Cohort Study

Hussain, Syed M. Asim
Fonte: Hindawi Publishing Corporation Publicador: Hindawi Publishing Corporation
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
46.65%
Objective. To compare the efficacy and cost-effectiveness of simple nonadherent dressings with other more expensive dressing types in the treatment of venous leg ulcers. Study Design. Retrospective cohort study. Location. The leg ulcer clinic at the University Hospital of South Manchester. Subjects and Methods. The healing rates of twelve leg ulcer patients treated with simple nonadherent dressings (e.g., NA Ultra) were compared with an equal number of patients treated with modern dressings to determine differences in healing rates and cost. Main Outcome Measures. Rate of healing as determined by reduction in ulcer area over a specified period of time and total cost of dressing per patient. Results. Simple nonadherent dressings had a mean healing rate of 0.353 cm2/week (standard deviation ± 0.319) compared with a mean of 0.415 cm2/week (standard deviation ± 0.383) for more expensive dressings. This resulted in a one-tailed p value of 0.251 and a two-tailed p value of 0.508. Multiple regression analysis gave a significance F of 0.8134. Conclusion. The results indicate that the difference in healing rate between simple and modern dressings is not statistically significant. Therefore, the cost of dressing type should be an important factor influencing dressing selection.

Leg ulcer: conservative treatment.; Úlcera flebostática: estudo prospectivo de 202 doentes.

Fradique, Caldeira; Serviço de Cirurgia Geral, Hospital São José, Lisboa, Portugal.; Pupo, Alexandra; Quaresma, Luísa; Palma-Rosa, Ana; Fernandes, Mário; Silva, Gualdino; Almeida, Heitor; Diogo, Cláudia; Pinho, Ana Catarina
Fonte: Ordem dos Médicos Publicador: Ordem dos Médicos
Tipo: info:eu-repo/semantics/article; article; article; info:eu-repo/semantics/publishedVersion Formato: application/pdf
Publicado em 28/02/2011 POR
Relevância na Pesquisa
46.63%
During 16 years 202 patients with leg ulcer have been studied prospectively. Whenever possible, cure has been obtained in ambulatory, which was the main objective. Surgery was preferentially made after the cure of the ulcer. From the 202 patients, 166 have made a prolonged follow-up. Cure in ambulatory has been obtained in 91% of the patients. We stress the importance of the direct control of all the treatment by the responsible doctor.; During 16 years 202 patients with leg ulcer have been studied prospectively. Whenever possible, cure has been obtained in ambulatory, which was the main objective. Surgery was preferentially made after the cure of the ulcer. From the 202 patients, 166 have made a prolonged follow-up. Cure in ambulatory has been obtained in 91% of the patients. We stress the importance of the direct control of all the treatment by the responsible doctor.

Sistematización de la asistencia de enfermería: enfoque en un paciente portador de úlcera venosa. Estudio de caso; Systematization of nurse care: focus on a patient with venous ulcer. Case study

Marques Frota, N.; Ramalho Rolim, L.; Mesquita Melo, E.; De Almeida, N.G; Barbosa, IV.; De Almeida, D.T
Fonte: Murcia: Servicio de Publicaciones de la Universidad de Murcia Publicador: Murcia: Servicio de Publicaciones de la Universidad de Murcia
Tipo: Artigo de Revista Científica Formato: application/pdf
SPA
Relevância na Pesquisa
56.53%
Las úlceras venosas representan cerca de 70% a 90% de los casos de úlceras de pierna, estando asociadas a la insuficiencia venosa crónica. El estudio tuvo como objetivo demostrar la importancia de la asistencia de enfermería al paciente portador de úlcera venosa. Estudio de caso, desarrollado en una institución hospitalaria, en Fortaleza-Ceará-Brasil, durante el mes de marzo de 2010, con un paciente portador de insuficiencia venosa, presentando úlcera venosa en miembro inferior izquierdo. Para la obtención de los datos se utilizó como base la Sistematización de la Asistencia de Enfermería (SAE). Fue realizada la entrevista con el paciente y acompañante, consulta al prontuario y examen físico del paciente, siendo este aclarado en cuanto a los objetivos e importancia del estudio. Fueron levantados los problemas e identificados los siguientes diagnósticos de enfermería según la Taxonomía de la NANDA 2007-2008: integridad tisular perjudicada relacionada a la circulación afectada y factores mecánicos; deambulación afectada relacionada a perjuicio cognitivo, neuromuscular y musculo-esquelético y fuerza muscular insuficiente; dolor crónico relacionado con incapacidad física crónica; ansiedad relacionada con estado de salud afectado; y disturbio en la imagen corporal relacionado con lesión. Posteriormente fueron planificadas las intervenciones de enfermería. Es fundamental el papel de la enfermería en los cuidados al paciente portador de úlcera venosa...

THE IMPACT OF CLINICAL FACTORS AND SOCIODEMOGRAPHIC VARIABLES ON HEALTH-RELATED QUALITY OF LIFE IN VENOUS LEG ULCERATION

Buchanan, MAUREEN
Fonte: Quens University Publicador: Quens University
Tipo: Tese de Doutorado Formato: 635190 bytes; application/pdf
EN; EN
Relevância na Pesquisa
46.76%
Leg ulceration negatively affects quality of life (QOL). The relationship between important clinical attributes such as ulcer severity, pain and health related quality of life (HRQL) is poorly understood. The Wilson and Cleary model of Health Related Quality of Life (WC model) is a guiding framework that links clinical measures to QOL. Thesis Objectives: I describe the relationship between ulcer severity, comorbidity, etiology and pain and HRQL. Methods: An integrative mixed-methods approach was used: a systematic review of studies that examined the relationship between clinical variables and HRQL or QOL as outlined in the WC model (n=22); a review of studies (n=11) that compared the HRQL of persons with leg ulcers to population normative scores; and, an analysis of the relationship between clinical factors and HRQL in a cohort of 564 persons with venous leg ulcers drawn from two randomized control trials. Results: There is empirical support for the causal linkages between disease severity, symptoms, function, health perception and QOL that comprise the causal pathway as outlined in the WC model. Venous ulcers are associated with a poor quality of life, and numerous aspects of functioning are impaired, in particular physical function. In 564 individuals with venous ulcers...

Quality of life profile and correlated factors in chronic leg ulcer patients in the mid-west of São Paulo State, Brazil

Wachholz,Patrick Alexander; Masuda,Paula Yoshiko; Nascimento,Dejair Caitano; Taira,Cecilia Midori Higashi; Cleto,Norma Gondim
Fonte: Sociedade Brasileira de Dermatologia Publicador: Sociedade Brasileira de Dermatologia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/02/2014 EN
Relevância na Pesquisa
66.69%
BACKGROUND: Chronic leg ulcer may have an impact on patients' quality of life. OBJECTIVES: This study aimed to identify the impact of leg ulcers on patient's quality of life using the Dermatology Life Quality Index and to define the main factors correlated with this perception. METHOD: Cross-sectional, non-probabilistic sampling study. We included patients with chronic leg ulcers being treated for at least 3 months. A sociodemographic and clinical survey was conducted to assess the profile of the ulcers. We administered a screening for depressive symptoms and the Dermatology Life Quality Index. We performed a descriptive statistical analysis, chi-square test and Mann-Whitney test for categorical data, Pearson for numeric variables, and multiple regression for categorical data. RESULTS: Forty-one patients were assessed. Their mean age was 61.78 years. Venous ulcers (48.8%) were the most prevalent. Seventy-three percent of the sample perceived no impact/low impact on quality of life in the past week, and 26.8% perceived moderate/high impact. A multiple regression analysis identified the causes of lesion, pain related to the ulcers, time of onset, and severity of the depressive symptoms as the variables that had an influence on quality of life. CONCLUSIONS: The majority of the sample perceived low or no impact of the condition on the quality of the life. The variables etiology of the lesion (p<0.001)...

The individual with leg ulcer and structured nursing care intervention: a systematic literature review; A pessoa com úlcera de perna, intervenção estruturada dos cuidados de enfermagem: revisão sistemática da literatura; La persona con úlcera de pierna, intervención estructurada de los cuidados de enfermería: revisión sistemática de la literatura

Fonseca, César; Franco, Tiago; Ramos, Ana; Silva, Cláudia
Fonte: Universidade de São Paulo. Escola de Enfermagem Publicador: Universidade de São Paulo. Escola de Enfermagem
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Formato: application/pdf
Publicado em 01/04/2012 POR
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The objective of this study is to identify the nursing interventions for people with venous, arterial or mixed leg ulcers. This study was performed using the EBSCO search engine: CINAHL and MEDLINE yielded results, based on full-text articles published between 2000 and 2010, using the following descriptors: Leg* Ulcer* AND Nurs* AND Intervention*, filtered using a starting question using PICO. At the same time, a search was performed on the National Guideline Clearinghouse, using the same search guidelines. A person-centered intervention increased positive health outcomes, with a range of direct wound care in agreement with the etiology. The following interventions associated with the healing of leg ulcers of any etiology were highlighted: nurse/client treatment relationship, individualization of care and pain monitoring.; Identificar las intervenciones de enfermería en la persona con úlcera de pierna de origen venoso, arterial o mixto. Se realizó investigación en motores de búsqueda EBSCO, CINAHL, MEDLINE, procurándose artículos en texto integral, publicados entre 2000 y 2010, con los siguientes descriptores: Leg* Ulcer* AND Nurs* AND Intervention*, filtrados mediante pregunta de inicio en formato PICO. Simultáneamente, se realizó investigación en la National Guideline Clearinghouse...