ABSTRACT
BACKGROUND: Chronic venous insufficiency, in its final stage can cause venous ulcers. Venous ulcers have a prevalence of 0.5 % to 0.8 % in the general population, and increases starting at 60 years of age. This condition often causes increased dependency in affected individuals, as well as a perceived reduced quality of life and family overload. Local Treating chronic venous ulcers has 2 components: topically healing the ulcer and controlling the venous insufficiency. There is evidence that compressive therapy favours the healing process of venous ulcers. The studies we have found suggest that the use of multilayer bandage systems is more effective than the use of bandages with a single component, these are mostly using in Spain. Multilayer compression bandages with 2 layers are equally effective in the healing process of chronic venous ulcers as 4-layer bandages and are better tolerated and preferenced by patients. More studies are needed to specifically compare the 2-layer bandages systems in the settings where these patients are usually treated. METHOD/DESIGN: Randomised, controlled, parallel, multicentre clinical trial, with 12 weeks of follow-up and blind evaluation of the response variable. The objective is to assess the efficacy of multilayer compression bandages (2 layers) compared with crepe bandages, based on the incidence of healed venous ulcers in individuals treated in primary care nursing consultations, at 12 weeks of follow-up. The study will include 216 individuals (108 per branch) with venous ulcers treated in primary care nursing consultations. The primary endpoint is complete healing at 12 weeks of follow-up. The secondary endpoints are the degree of healing (Resvech.2), quality of life (CCVUQ-e), adverse reactions related to the healing process. Prognosis and demographic variables are also recorder. Effectiveness analysis using Kaplan-Meier curves, a log-rank test and a Cox regression analysis. The analysis was performed by intention to treat. DISCUSSION: The study results can contribute to improving the care and quality of life of patients with venous ulcers, decreasing healing times and healthcare expenditure and contributing to the consistent treatment of these lesions. TRIAL REGISTRATION: This study has been recorded in the Clinical Trials.gov site with the code NCT02364921. 17 February 2015.
ABSTRACT
The authors describe the school children health activities developed by the Primary Health Care Area 1 in Madrid Teams from the 1996-97 academic year until the 2004-05 year During this time period, 559 EPS activities were carried out, 56% belonged to the Program to Promote Health in School in Area 1. The other 44% are projects developed by sanitary professionals. These activities were developed in 70 educational centers, focusing on different groups: 91% on students, 6% on parents and 3% on teachers. This analysis demonstrates the leadership of nursing professionals have in the EPS school program. These activities worked mainly with students.
Subject(s)
Health Education , Nurse's Role , Nurses , Teaching , Child , HumansABSTRACT
Se describen las actividades de salud escolar desarrolladas por los Equipos de AP del Área 1 de Madrid desde el curso 1996-97 hasta el 2004-05. Durante el periodo analizado se han realizado 559 actividades de EpS, 56% pertenece al Programa de Promoción de la Salud en la Escuela del Área 1. El 44% restante son proyectos elaborados por los profesionales sanitarios. Estas actividades se desarrollaron en 70 centros educativos, enfocadas a diferentes grupos: alumnos (91%), padres (6%) y profesorado (3%). Se demuestra el liderazgo de los profesionales de Enfermería en EPS en la escuela. Se trabajó, mayoritariamente, con alumnos(AU)
The authors describe the school children health activities developed by the Primary Health Care Area 1 in Madrid Teams from the 1996-97 academic year until the 2004-05 year. During this time period, 559 EPS activities were carried out, 56% belonged to the Program to Promote Health in School in Area 1. The other 44% are projects developed by sanitary professionals. These activities were developed in 70 educational centers, focusing on different groups: 91% on students, 6% on parents and 3% on teachers. This analysis demonstrates the leadership of nursing professionals have in the EPS school program. These activities worked mainly with students(AU)
