Care and Quality of Life Evaluation of People with Venous Ulcers in Primary Health Care
Keywords:
Quality of Life; Varicose Ulcer; Nursing; Health Profile; Primary Health Care, Quality of Life, Varicose ulcer, Nursing, Health Profile, Primary health care.Abstract
Background: To identify the sociodemographic characteristics and care of people with UV as their place of care and housing, allowing to plan and develop a holistic and individualized care, increasing the chances of adherence and positive results in the quality of life.Objective: Care and quality of life evaluation of people with venous ulcers treated with the primary health care, according to the health district.
Methods: This is a cross-sectional study with 101 people in 42 mix and family health units, in Natal, Rio Grande do Norte, Brazil. The data were collected through an instrument to characterize the sociodemographic and service issues, and the Medical Outcomes Short-Form Health Survey (SF-36). Statistical analysis used descriptive statistics, Fisher's Exact test, Chi-Square test, and Mann-Whitney test, with p- value < 0.05.Results: The study population was composed mostly of women, older, married or in a stable relationship, with low income and education level and prevalence of individuals with inadequate care. About the quality of life, there was a statistically significant difference for the social function domain comparing the locations (p = 0.035).
Conclusion: Knowing profile differences that impact the quality of life of people with a venous ulcer in different locations can support health care according to specific needs.
References
Sant’ana SMSC, Bachion MM, Santos QR, Nunes CAB, Malaquias SG, Oliveira BGRP. Venous ulcers: clinical characterization and treatment in users treated in outpatient facilities. Rev Bras Enferm [Internet]. 2012 Aug [cited 2016 Jun 02];65(4):[about 8 p.]. Avaliable from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672012000400013
Dias TYAF, Costa IKF, Melo MDM, Torres SMSGSO, Maia EMC, Torres GV. Quality of life assessment of patients with and without venous ulcer. Rev Latinoam Enferm (Online) [Internet]. 2014 Aug [cited 2016 Jun 02];22(4):[about 6 p.]. Avaliable from: http://www.scielo.br/pdf/rlae/v22n4/0104-1169-rlae-22-04-00576.pdf
Malaquias SG, Bachion MM, Sant’ana SMSC, Dallarmi CCB, Lino Junior RS, Ferreira PS. People with vascular ulcers in outpatient nursing care: a study of sociodemographic and clinical variables. Rev Esc Enferm USP [Internet]. 2012 Apr [cited 2016 Jun 02];46(2):[about 9 p.]. Avaliable from: http://www.scielo.br/scielo.php?pid=S008062342012000200006&script=sci_arttext&tlng=en
Dias TYAF, Costa IKF, Salvetti MG, Mendes CKTT, Torres GV. Influences of health care services and clinical characteristics on the quality of life of patients with venous ulcer. Acta Paul Enferm [Internet]. 2013 Nov [cited 2016 Jun 02];26(6):[about 6 p.]. Avaliable from: http://www.scielo.br/pdf/ape/v26n6/en_04.pdf
González-Consuegra RV, Verdú J. Quality of life in people with venous leg ulcers: an integrative review. J Adv Nurs [Internet]. 2010 May [cited 2016 Jun 02];67(5):[about 18 p.]. Avaliable from: http://www.ncbi.nlm.nih.gov/pubmed/21241355
Silva MH, Jesus MCP, Merighi MAB, Oliveira DM. Limits and possibilities experienced by nurses in the treatment of women with chronic venous ulcers. Rev Esc Enferm USP [Internet] 2014 Aug [cited 2016 Jun 02];48(Esp):[about 6 p.]. Avaliable from: http://www.scielo.br/pdf/reeusp/v48nspe/0080-6234-reeusp-48-esp-054.pdf
Saraiva DMRF, Bandarra AJF, Agostinho ES, Pereira NMM, Lopes TS. Quality of life of service users with chronic venous ulcers. Rev Enf Ref [Internet] 2013 July [cited 2016 Jun 02];serIII(10):[about 10 p.]. Avaliable from: http://www.scielo.mec.pt/pdf/ref/vserIIIn10/serIIIn10a13.pdf
Dias TYAF, Costa IKF, Liberato SMD, Souza AJG, Mendes FRP, Torres GV. Quality of life for venous ulcer patients: a comparative study in Brazil/Portugal. Online Braz J Nurs (Online) [Internet]. 2013 Sept [cited 2016 Jun 02];12(2):[about 10 p.]. Avaliable from: http://www.objnursing.uff.br/index.php/nursing/article/view/4344/pdf
Prefeitura Municipal do Natal [Internet]. Natal: (Re)desenhando a Rede de Saúde na Cidade do Natal, c2007-2016 [updated 2007 Jan 23; cited 2016 Jun 02]. Avaliable from: http://www.natal.rn.gov.br/sms/paginas/ctd-297.html
Costa IKF, Salvetti MG, Souza AJG, Dias TYAF, Dantas DV, Torres GV. Assistance protocol to people with venous ulcers: a methodological study. Online Braz J Nurs (Online) [Internet]. 2015 Mar [cited 2016 Jun 02];14(1):[about 11p.]. Avaliable from: http://www.objnursing.uff.br/index.php/nursing/article/view/4692/pdf_358
Ciconelli RM, Ferraz MB, Santos W, Meinão I, Quaresma MR. Tradução para liÌngua portuguesa e validação do questionaÌrio geneÌrico de avaliação de qualidade de vida SF-36 (Brasil SF-36). Rev Bras Reumatol [Internet]. 1999 Jun [cited 2016 Jun 02];39(3):[about 8 p.]. Avaliable from: http://www.ufjf.br/renato_nunes/files/2014/03/Valida%C3%A7%C3%A3o-do-Question%C3%A1rio-de-qualidade-de-Vida-SF-36.pdf
Weller CD, Evans SM, Staples MP, Aldons P, McNeil JJ. Randomized clinical trial of three-layer tubular bandaging system for venous leg ulcers. Wound Repair Regen [Internet]. 2012 Dec [cited 2016 Jun 02];20(6):[about 8 p.]. Avaliable from: http://www.ncbi.nlm.nih.gov/pubmed/23061541
Roaldsen KS, Biguet G, Elfving B. Physical activity in patients with venous leg ulcer – between engagement and avoidance. A patient perspective. Clin Rehabil [Internet]. 2011 Mar [cited 2016 Jun 02];25(3):[about 11 p.]. Avaliable from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3122380/
Castro e Silva M, Cabral ALS, Barros Jr N, Castro AA, Santos MERC. Diagnóstico e tratamento da Doença Venosa Crônica. J Vasc Br [Internet] 2005 Jun [cited 2016 Jun 02];4(3):[about 10 p.]. Avaliable from: http://jvascbras.com.br/pdf/Arquivo_1.pdf
Conselho Nacional de Saúde. Resolução n. 466, de 12 de dezembro de 2012. Aprova as diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos [Internet]. BrasÃlia; 2013. [cited 2016 Jun 02]. Avaliable from: http://bvsms.saude.gov.br/bvs/saudelegis/cns/2013/res0466_12_12_2012.html
Souza EM, Yoshida WB, Medo VA, Aragão JA, Oliveira LA. Ulcer due to chronic venous disease: a sociodemographic study in northeastern Brazil. Ann Vasc Surg [Internet]. 2013 Jul [cited 2016 Jun 02];27(5):[about 6 p.]. Avaliable from: http://www.ncbi.nlm.nih.gov/pubmed/23540674
Silva FAA, Moreira TMM. Sociodemografic and clinical characteristics of customers with Venous leg ulcer. Rev Enferm UERJ [Internet]. 2011 Sept [cited 2016 Jun 02];19(3):[about 5 p.]. Avaliable from: http://www.facenf.uerj.br/v19n3/v19n3a22.pdf
Salvetti MG, Costa IKF, Dantas DV, Freitas CCS, Vasconcelos QLDAQ, Torres GV. Prevalence of pain and associated factors in venous ulcer patients. Rev Dor [Internet]. 2014 Mar [cited 2016 Jun 02];15(1):[about 4 p.]. Avaliable from: http://www.scielo.br/pdf/rdor/v15n1/en_1806-0013-rdor-15-01-0017.pdf
Oliveira BGRB, Nogueira GA, Carvalho MR, Abreu AM. The characterization of patients with venous ulcer followed at the Outpatient Wound Repair Clinic. Rev Eletronica Enferm [Internet]. 2012 Mar [cited 2016 Jun 02];14(1):[about 8 p.]. DisponÃvel em: http://www.fen.ufg.br/revista/v14/n1/v14n1a18.htm.
Centro de PolÃticas Sociais [Internet]. Rio de Janeiro: Performance Social das 27 Capitais Brasileiras entre Mandatos de Prefeitos; c2010-2016 [updated 2010 Oct 15; cited 2016 Jun 02]. FGV Social; [about 1 screens]. Avaliable from: http://cps.fgv.br/performance-social-das-27-capitais-brasileiras-entre-mandatos-de-prefeitos-panorama-recente
Protocolo de assistência aos portadores de feridas. Natal/RN, Brasil: 2008.
Borges EL, Caliri MHL, Haas VJ. Systematic review of topic treatment for venous ulcers. Rev Latino-am Enferm (Online) [Internet]. 2007 Dec [cited 2016 Jun 02];15(6):[about 8p.]. Avaliable from: http://www.scielo.br/pdf/rlae/v15n6/16.pdf
Tollow P, Ogden J, Whiteley MS. The comparative impact of conservative treatment versus superficial venous surgery, for the treatment of venous leg ulcers: A systematic review of the impact on patients quality of life. Phlebol [Internet]. 2016 Mar [cited 2016 Jun 02];31(2):[about 11 p.]. Avaliable from: http://www.ncbi.nlm.nih.gov/pubmed/25855619
Van Hecke A, Beeckman D, Grypdonck M, Meuleneire F, Hermie L, Verhaeghe S. Knowledge deficits and information seek behavior in leg ulcer patients: an exploratory qualitative study. J. Wound Ostomy Continence Nurs [Internet]. 2013 Aug [cited 2016 Jun 02];40(4):[about 7 p.]. Avaliable from: http://www.ncbi.nlm.nih.gov/pubmed/23820471
Maddox D. Effects of venous leg ulceration on patients’ quality of life. Nurs Stand [Internet]. 2012 Feb [cited 2016 Jun 02];26(38):[about 8 p.]. Avaliable from: http://journals.rcni.com/doi/pdfplus/10.7748/ns2012.05.26.38.42.c9111
Green J, Jester R. Health-related quality of life and chronic venous leg ulceration: part 1. Br. J. Community Nurs [Internet] 2009 Dec [cited 2016 Jun 02];14(12):[about 6 p.]. Avaliable from: http://www.ncbi.nlm.nih.gov/pubmed/20216504
Salomé GM, Ferreira LM. Quality of life in patients with venous ulcers treated with Unna’s boot compressive therapy. Rev Bras Cir Plást [Internet]. 2012 Sept [cited Jun 02];27(3):[about 6 p.]. Avaliable from: http://www.scielo.br/pdf/rbcp/v27n3/en_24.pdf
Lima MSFS, Carvalho ESS, Silva EA, Gomes WS, Passos SSS, Santos LM. Nursing diagnoses identified in women with chronic wounds. Rev Baiana Enferm [Internet]. 2012 Dec [cited 2016 Jun 10];26(3):[about 8 p.]. Avaliable from: http://www.portalseer.ufba.br/index.php/enfermagem/article/viewFile/6740/6696
Waidman MAP, Rocha SC, Correa JL, Brischiliari A, Marcon SS. Daily routines for individuals with a chronic wound and their mental health. Texto Contexto Enferm [Internet]. 2011 Dec [cited 2016 Jun 10];20(4):[about 9 p.]. Avaliable from: http://www.scielo.br/pdf/tce/v20n4/07.pdf
Souza KC, Kessler RMG, Andrade SM, Souza GC. Percepção da qualidade de vida de portadores de insuficiência venosa crônica. Revista Contexto & Saúde. 2011 June [cited 2016 Jun 10];10(20):[about 6 p.]. Avaliable from: https://www.revistas.unijui.edu.br/index.php/contextoesaude/article/view/1540/1298
Silva MH, Jesus MCP, Merighi MAB, Oliveira DM, Biscotto PR, Silva GPS. The daily life of men who lives with chronic venous ulcer: phenomenological study. Rev Gaúch Enferm [Internet]. 2013 Sept [cited 2016 Jun 10];34(3):[about 7 p.]. Avaliable from: http://www.scielo.br/pdf/rgenf/v34n3/en_a12v34n3.pdf
World Health Organization [Internet]. Geneva: Wound and Lymphoedema Management; c2010-2016. [updated 2010 Sept 02; cited 2016 Jun 10]. World Health Organization; [about 136 screens]. Available from: http://apps.who.int/iris/bitstream/10665/44279/1/9789241599139_eng.pdf
Evangelista DG, Magalhães ERM, Moretão DIC, Stival MM, Lima LR. Impact of chronic wounds in the quality of life for users of family health strategy. Rev Enferm Cent-Oeste Min [Internet]. 2012 Aug [cited 2016 Jun 10];2(2):[about 10 p.]. Avaliable from: www.seer.ufsj.edu.br/index.php/recom/article/download/15/308
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