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1.
Rev. Rol enferm ; 43(5): 372-379, mayo 2020. ilus, tab, graf
Artigo em Espanhol | IBECS | ID: ibc-193625

RESUMO

Las úlceras vasculares son lesiones que se producen en las extremidades inferiores provocadas o agravadas por algún problema en el flujo sanguíneo distal, ya sea por el aporte, en el caso de las arteriales, o por el retorno, en el caso de las venosas. El conocimiento del proceso fisiopatológico en la aparición de las mismas ayuda a entender su etiología y proceso de evolución. Además, la comprensión de los mecanismos fisiológicos que las provocan permite escoger entre las diferentes técnicas a llevar a cabo, tanto preventivas como curativas, para establecer las medidas oportunas a poner en marcha. Se consiguen así intervenciones más efectivas dirigidas a la etiología del problema, que evitan que aparezca o se agrave, o, en caso contrario, favorecen una pronta cicatrización y, por lo tanto, una mayor calidad de vida de los pacientes. Enfermería debe conocer el proceso fisiopatológico de dichas lesiones, ya que tiene por objeto fomentar medidas de prevención, así como realizar las curas de manera efectiva, reduciendo las recidivas


Vascular ulcers are wounds in the lower limbs caused or aggravated by a problem in the distal blood flow, either by the supply in the case of arterial ulcers and return in the case of venous ulcers. The knowledge of the physiopathological process behind its etiology helps to understand the cause and evolution of vascular ulcers. In addition, the understanding of the physiological mechanisms that cause them allows to choose the most effective preventive measure or the most appropriate healing treatment. Thus, more effective interventions aimed at the etiology of the problem are achieved. These measures prevent the ulcers from appearing or getting worse, or in the case of presenting them, they promote an early healing, and therefore, a higher quality of life for the patients. The nurses must know the pathophysiological process of such wounds, since it is in charge of promoting preventive measures, as well as performing the cures effectively, reducing recurrences


Assuntos
Humanos , Prevenção Primária/métodos , Úlcera Varicosa/enfermagem , Doença Arterial Periférica/enfermagem , Hidrodinâmica , Doenças Vasculares Periféricas/enfermagem
3.
Artigo em Inglês | MEDLINE | ID: mdl-31835653

RESUMO

This study aims to evaluate the effectiveness of advanced practice nurses with respect to complex chronic wounds (APN-CCWs) in the care of patients with venous ulcers. A multicentric, quasi-experimental pre-post study was conducted without a control group in the sanitary management areas where the APN-CCW program is being piloted. The intervention consisted of a mass training of clinical nurses from the participating districts on the proper management of injuries and the use of compression therapy. The data were collected through a specifically constructed questionnaire with questions regarding descriptive variables of injuries and their treatment. A total of 643 professionals responded (response rate of 89.1%), attending to a total population of 707,814 inhabitants. An increase in multilayer bandage use by 15.67%, an increase in elastic bandage use by 13.24%, and a significant decrease in the referral of patients to consultation with hospital specialists was achieved, from 21.08% to 12.34%. The number of patients referred to the APNs was 13.25%, which implied a resolution rate of 94.08% of their injuries. In conclusion, the coordination by the APN-CCWs in patients with venous ulcers was effective in improving the continuity of care, in the optimization of resources, and in their care role.


Assuntos
Prática Avançada de Enfermagem , Úlcera Varicosa/enfermagem , Técnicas de Fechamento de Ferimentos/enfermagem , Bandagens , Doença Crônica , Feminino , Humanos , Masculino , Resultado do Tratamento , Técnicas de Fechamento de Ferimentos/instrumentação , Cicatrização
4.
Br J Nurs ; 28(20): S21-S26, 2019 Nov 14.
Artigo em Inglês | MEDLINE | ID: mdl-31714827

RESUMO

Regardless of the amount of literature and evidence on leg ulcer management, there are still significant variations in treatment. Implementing a standardised leg ulcer pathway to ensure patients are appropriately and timely assessed could help reduce nursing time and overall costs, while improving healing outcomes and patients' quality of life. Such a pathway was introduced in Lincolnshire and Leicestershire, UK, to treat venous leg ulcers (VLUs). The results showed improved healing times, reduced costs and fewer nurse visits, among other findings.


Assuntos
Procedimentos Clínicos , Úlcera da Perna/economia , Úlcera da Perna/enfermagem , Cicatrização/fisiologia , Adulto , Idoso , Redução de Custos , Humanos , Úlcera da Perna/epidemiologia , Pessoa de Meia-Idade , Fatores de Tempo , Resultado do Tratamento , Reino Unido/epidemiologia , Úlcera Varicosa/economia , Úlcera Varicosa/enfermagem
5.
Br J Community Nurs ; 24(Sup10): S24-S31, 2019 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-31604036

RESUMO

The cost that chronic wound care imposes on both patients and health services worldwide is well recognised. Most patients with venous leg ulcers require compression therapy over the long term, for both treatment as well as to prevent recurrence of these wounds. Caring for patients with chronic wounds makes up a large part of the workload for district and community nurses, and encouraging self-management among patients is a worthwhile effort to limit the costs and resources directed for this purpose. The present article describes the practical use of the ReadyWrap range of compression garments, which are available in various different styles, and aid patients, their families and carers in the self-management of venous leg ulcers. These products are designed with their long-term use in mind, and, as described in the case studies in this article, patients show good concordance to compression therapy involving ReadyWrap.


Assuntos
Autogestão , Meias de Compressão , Úlcera Varicosa/enfermagem , Idoso , Enfermagem em Saúde Comunitária , Bandagens Compressivas , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Cooperação do Paciente , Recidiva , Cicatrização
6.
Br J Community Nurs ; 24(Sup10): S32-S35, 2019 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-31604042

RESUMO

Interface pressures with compression depend on many factors relating to the science of measurement and intrinsic, patient-related factors, including limb size and tissue texture. While it is important for manufacturers of compression devices to measure pressures, it may not always be relevant to clinical practice where application methods and oedematous limbs may affect final pressures. Accurate performance of any compression system relies on the use of the right technology for the right condition and patient lifestyle. Correct application following training and in accordance with instructions for use may be adapted according to individual patient comfort and needs, including mobility, tissue texture and the stage of management. In order to provide treatment regimens that are safe, effective and well tolerated by patients, as well as being easy to apply and demonstrate sound economic practice, science needs to meet clinical practice. Patient reporting is an important for successful treatment, matching clinical effectiveness with patient acceptance during reassessment and monitoring.


Assuntos
Bandagens Compressivas , Linfedema/enfermagem , Aceitação pelo Paciente de Cuidados de Saúde , Pressão , Úlcera Varicosa/enfermagem , Humanos , Resultado do Tratamento
7.
Br J Community Nurs ; 24(Sup9): S6-S11, 2019 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-31479331

RESUMO

Research has shown that leg ulcers represent the largest category of wound type treated within the UK. Venous leg ulcers are often classified as chronic wounds with increased protease levels causing the wound to become suspended in the inflammatory stage, which leads to delayed healing. If treatment choices are not evidence-based and appropriate regimens are not instigated early on in the wound care journey, the cost to both the patient and the healthcare service is substantial. Recent guidance from the National Institute of Health and Care Excellence (NICE) recommends UrgoStart (Urgo Medical) for treating venous leg ulcers as an adjunct therapy to the gold standard of compression therapy. Correct treatment choices must be made by clinicians using up-to-date relevant wound care knowledge. Evidence-based treatment algorithms and pathways can assist with correct product and therapy placement, assisting decision-making to improve patient outcomes. The present article describes a patient-centred leg ulcer pathway that embeds NICE guidance.


Assuntos
Algoritmos , Bandagens Compressivas , Guias de Prática Clínica como Assunto , Úlcera Varicosa/enfermagem , Bandagens , Procedimentos Clínicos , Prática Clínica Baseada em Evidências , Humanos , Úlcera da Perna/enfermagem , Reino Unido
8.
Br J Community Nurs ; 24(Sup9): S33-S37, 2019 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-31479338

RESUMO

One of the biggest challenges faced by healthcare providers is the treatment of chronic, non-healing wounds. This paper reports for the first time in the UK the results of five case studies in which a novel regenerating matrix-based therapy, CACIPLIQ20, was used. CACIPLIQ20 is a heparan sulphate mimetic designed to replace the destroyed heparan sulphate in the extracellular matrix of wound cells. All five patients in this case series had chronic, non-healing ulcers that had not improved with conventional care. Treatment included two applications of CACIPLIQ20 per week, for a maximum of 12 weeks. Three of the five wounds healed completely, and the remaining two showed significant improvements in size and quality. The treatment was well tolerated by the patients and also led to a significant reduction in pain. Moreover, CACIPLIQ20 treatment was found to be highly cost-effective when compared to conventional care, with the potential to save healthcare systems significant resources. Further studies are needed to build a strong evidence base on the use of this product, but these preliminary findings are certainly promising.


Assuntos
Bandagens , Glucanos/uso terapêutico , Heparitina Sulfato/análogos & derivados , Inflamação , Lesão por Pressão/enfermagem , Ferida Cirúrgica/enfermagem , Úlcera Varicosa/enfermagem , Adulto , Idoso , Idoso de 80 Anos ou mais , Amputação , Doença Crônica , Análise Custo-Benefício , Matriz Extracelular , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Vasculares Periféricas , Regeneração , Ferimentos e Lesões/enfermagem
9.
Rech Soins Infirm ; 137(2): 91-98, 2019 06.
Artigo em Francês | MEDLINE | ID: mdl-31453676

RESUMO

Introduction: Treating venous leg ulcers involves replacing dressings and applying compression bandages (CB). The technique for applying these bandages set out in the best practice guidelines shows nurses how to achieve the required level of pressure. Considerable differences have been observed between these guidelines and the actual application of CB. Methodology: An observational study combining a quantitative and a qualitative component was conducted to analyze CB application and explore the elements taken into account by nurses when they perform this procedure. Results: For the 261 patients included in the study, 27% of CB were applied as described in the guidelines. The main difference was that the heel was not included in the bandage in 48% of patients. The freelance nurses interviewed reported taking patient views into account in order to encourage adherence. Discussion: The nursing knowledge identified from the nurse interviews was compared to Carper's "Patterns of Knowing" classification. It would seem that Carper's empirical knowledge is not the only "pattern of knowing" taken into consideration. Patient involvement in the choice of CB application technique, which could be likened to Carper's "esthetic knowledge," helps guide nursing practice.


Assuntos
Bandagens Compressivas , Úlcera Varicosa/enfermagem , Fidelidade a Diretrizes/estatística & dados numéricos , Humanos , Pesquisa em Avaliação de Enfermagem , Participação do Paciente , Guias de Prática Clínica como Assunto , Pesquisa Qualitativa
10.
Int Wound J ; 16(2): 442-458, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30565877

RESUMO

Evidence translation in wound care relies on the need for evidence generation. Clinical practice may generate evidence only if evidence-generating research projects, such as randomised controlled trials (RCTs), became routinised in clinical settings. The aim of this study was to identify optimal trial-related practices to routinise trial-related activities in Melbourne-located wound clinics as reported by clinicians and researchers. We conducted a secondary analysis of the available data on how to routinise RCTs in clinical care, with a focus on enablers and suggestions provided by the participants during face-to-face and telephone interviews. Data were obtained from a qualitative observational study nested within a randomised, double-blinded, placebo-controlled trial on clinical effectiveness of aspirin as an adjunct to compression therapy in healing chronic venous leg ulcers (ASPiVLU). We developed a seven-step Routinisation of Trials in Clinical Care Framework. These steps include: (1) pre-trial clinical site assessment, (2) optimising pre-recruitment arrangements, (3) developing and updating trial-related skills, (4) embedding RCT recruitment as part of routine clinical care, (5) promoting teamwork and trial-related collaboration, (6) addressing trial-related financial issues, and (7) communicating trial results to clinicians.


Assuntos
Enfermagem de Cuidados Críticos/normas , Enfermagem Baseada em Evidências/normas , Guias de Prática Clínica como Assunto , Ensaios Clínicos Controlados Aleatórios como Assunto/normas , Projetos de Pesquisa/normas , Úlcera Varicosa/enfermagem , Cicatrização/fisiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Austrália , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
11.
Rio de Janeiro; s.n; 20190000. 131 p. ilus, graf, tab.
Tese em Português | LILACS, BDENF - Enfermagem | ID: biblio-1025722

RESUMO

A enfermagem vem buscando estabelecer sua sistematização do cuidado a partir de um conhecimento científico próprio, diferente do saber biomédico que se propõe a assistir e restabelecer o cliente à sua condição de saúde. Esta pesquisa tem como objetivo destacar os diagnósticos de enfermagem das intervenções realizadas nos cuidados com as úlceras de perna em prontuários existentes no ambulatório de cirurgia do Hospital Universitário Gaffrée e Guinle (HUGG) e propor a instituição, nas consultas de enfermagem, de um processo de cuidar de úlceras de perna através de um Guia de Orientações em forma de aplicativo móvel que oriente as intervenções e diagnósticos de enfermagem. Trata-se de um estudo retrospectivo desenvolvido em um Hospital Universitário no Rio de Janeiro. Foram analisados 39 prontuários de clientes atendidos no Ambulatório de Cirurgia Vascular que apresentavam úlceras de perna. Para a avaliação, buscamos registros relacionados às dimensões do corpo e vida dos clientes; os propósitos da enfermagem que cuida de úlceras venosas e diagnósticos de enfermagem. Como resultados, encontramos: maior prevalência de úlceras em mulher (61,5%) e na faixa etária acima de 50 anos; não houve diferenças entre a cor branca (38,5%) e preta (35.9%); como em outros estudos, a hipertensão arterial sistêmica (HAS) teve maior frequência (53,8%), seguida de Diabetes Mellitus (DM) (25,6%) e cardiopatia (15,4%); quanto ao etilismo e tabagismo, 87,2% bebem e 64,1% não fumam; a incidência de úlcera venosa foi de 82,2%; quanto ao local onde moram, 46,2% residem no estado do Rio de Janeiro e apenas 5,1% residem na Área Programática do Hospital; 17,1% dos clientes apresentavam lesões nos dois membros, com prevalência de 43,6% no membro inferior direito (MID); quanto ao tempo de evolução, 28,5% apresentavam lesão entre 5 e 10 anos e 30,8% inferior a 1 ano; quanto às características das lesões, encontramos: esfacelo (69,2%), maceração (46,2%), granulação (41,0%) e necrose de coagulação (15,4%); em relação à pele ao redor, observamos: dermatite (25%), erisipela (2,6%) e linfedema (17,9%). Quanto à terapia tópica foram registrados: Papaína (33,3 %), Iruxol® (23,1%) e Hidrogel (7,7%,); 64,1% receberam cuidados para desbridamento enzimático e autolíticos e 79,5% tiveram indicação de sistema de compressão. Na segunda análise, trazemos registros que encontramos sobre diagnósticos de enfermagem baseados em Wanda Horta. Na análise de conteúdo desses registros, encontramos um total de 320 encontros (consultas) com média de 1 a 20 consultas, resultando na leitura de 507 palavras (códigos) em que encontramos 236 cuidados captados por palavras; 114 registros relacionados ao Diagnóstico de Wanda Horta e 157 ausências de registros sobre cuidado. Detectamos 100% dos registros nas dimensões Fisicobiológicas, 61,5% em Detectar sinais e sintomas e 92,3% em Implementar cuidados e prescrições, o que denota um padrão biomédico e encontramos 87,2% de ausência de registros na dimensão Psicobiológica. Através da análise do teste exato de Fisher, buscando associações entre as variáveis do Objetivo do cuidado, Dimensões e Diagnóstico, apenas em 7 situações encontramos p<0,05: dependência de ajuda, orientação; e encaminhamento relaciona-se a Prevenir doença, Restabelecer, Reabilitar e Promover saúde. Através da análise dos dados, identificamos a necessidade de criar tecnologias que orientem o profissional nos registros dos cuidados e na orientação do cuidado. Como produto final foi criado um aplicativo-protótipo com informações para uma prática sistematizada para o cuidado de pacientes com úlcera venosa. Conclusões: os dados confirmam o que está dito sobre os registros de enfermagem, no entanto os elementos dos diagnósticos que estão nos registros se mostram de modo velado


Assuntos
Humanos , Masculino , Feminino , Tecnologia/instrumentação , Diagnóstico de Enfermagem/métodos , Guias de Prática Clínica como Assunto , Úlcera da Perna/enfermagem , Úlcera Varicosa/enfermagem
13.
Br J Community Nurs ; 23(Sup12): S14-S17, 2018 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-30521363

RESUMO

Venous leg ulceration is the most common form of leg ulceration, affecting 1.5% of the UK adult population. This was reviewed within the latest best practice statement (2016) which set out to create clear guidance on the assessment, management and preventing the reoccurrence of venous leg ulceration. With a growing elderly population at risk of venous insufficiency, early identification of those at risk is vital in the fight to reduce the number of people suffering with chronic venous ulceration. This article looks at the need for early assessment and commencement of appropriate treatment in order to reduce the occurrence of venous ulceration and improve clinical processes across the UK.


Assuntos
Diagnóstico Precoce , Úlcera Varicosa/prevenção & controle , Insuficiência Venosa/diagnóstico , Doença Crônica , Humanos , Medição de Risco , Reino Unido , Úlcera Varicosa/etiologia , Úlcera Varicosa/enfermagem , Insuficiência Venosa/complicações , Insuficiência Venosa/enfermagem
14.
Rev. Rol enferm ; 41(11/12): 739-744, nov.-dic. 2018. ilus, tab, graf
Artigo em Espanhol | IBECS | ID: ibc-179765

RESUMO

El exceso de radicales libres en el entorno de una herida contribuye de forma significativa al estancamiento de la misma en la fase inflamatoria, favoreciendo la aparición de una herida de difícil cicatrización. Se genera una situación de estrés oxidativo, puesto que las enfermedades de base que suelen presentar los pacientes con heridas crónicas dificultan en gran medida el retorno a una situación de balance oxidativo. Esto incide directamente sobre la capacidad de respuesta del tejido, ya que se afectan directamente estructuras celulares y la matriz extracelular del entorno. En este trabajo se ha aplicado un tratamiento antioxidante para el control del exceso de radicales libres en el entorno de la herida, con el fin de conseguir la activación en el caso de úlceras crónicas de etiología vascular venosa. Para ello, se ha aplicado un apósito antioxidante con componentes de origen natural, una matriz absorbente de algarrobo y una solución antioxidante con cúrcuma y acetilcisteína, indicado para la fase inflamatoria de las heridas y la adecuada terapia compresiva. Para la evaluación de la evolución de las úlceras se utilizó la escala RESVECH 2.0. Transcurridas 2-3 semanas, el apósito antioxidante consiguió la activación de la herida, lo que se reflejó en el mantenimiento del lecho de la úlceras libre de tejido desvitalizado, la inducción de la formación de tejido de granulación y la activación de los bordes perilesionales. A partir de ese momento, se aplicaron apósitos de cura húmeda convencionales, llegando hasta la cicatrización total de las heridas en las semanas 5-6 desde el inicio del tratamiento


The excess of free radicals in the wound environment significantly contributes to the arrest of the wound in the inflammatory phase, favoring the appearance of a hard-to-heal wound. An oxidative stress condition is generated, as the comorbidities that patients with chronic wounds frequently present hinder the return to an oxidative balance. This fact affects the ability of the tissue to respond to an injury, since cellular structures and extracellular matrix of the environment are affected. In this work, an antioxidant treatment has been applied, to control the excess of free radicals in the wound environment, in order to achieve the activation of chronic ulcers from venous vascular etiology. This antioxidant dressing has two components from natural origin, an absorbent matrix from carob tree and an antioxidant solution containing curcumin and acetylcysteine, and is indicated for the inflammatory phase of the healing process of wounds. The appropriate compressive therapy was also applied. RESVECH 2.0 scale was used as wound evolution assessment. The results showed that after 2-3 weeks of treatment, the antioxidant dressing achieved the activation of the wound, which was reflected in the maintenance of a wound bed free from devitalized tissue, the induction of the formation of granulation tissue and the activation of the perilesional edges. After that, conventional moist wound healing dressings were applied, reaching wound closure after 5-6 weeks from the beginning of the treatment


Assuntos
Humanos , Masculino , Feminino , Adulto , Idoso , Idoso de 80 Anos ou mais , Estresse Oxidativo/fisiologia , Cicatrização/fisiologia , Úlcera Varicosa/terapia , Antioxidantes/administração & dosagem , Depuradores de Radicais Livres/administração & dosagem , Úlcera Varicosa/enfermagem , Bandagens , Radicais Livres/efeitos adversos , Curcuma , Acetilcisteína/uso terapêutico , Comorbidade
15.
Rev. Rol enferm ; 41(11/12,supl): 57-64, nov.-dic. 2018. tab, graf
Artigo em Inglês | IBECS | ID: ibc-179942

RESUMO

Background: Topical ozone has been recently used in the treatment of venous leg ulcers due to its immunological, antimicrobial and oxygenation properties, but its efficacy still lacks evidence. Objectives: To determine the effectiveness of topical ozone therapy in the healing rate, healing time reduction and in the decrease of bacterial load in venous leg ulcers. Methods: A systematic literature review with meta-analysis of studies published between January 2000 and November 2016 was carried out on PubMed, EBSCO, Scielo, and grey literature. The methodology proposed by Cochrane was followed. Critical appraisal, data extraction, and data synthesis were performed by two inde-pendent reviewers.results. Among 275 studies screened, three controlled trials (one of which rando-mized) were included, corresponding to a total of 133 participants. All these trials demonstrated that ozone therapy is more effective than conventional therapy in healing rate, as well as in reducing healing time and signs of infection (bacterial load). The meta-analysis confirmed the higher efficacy of ozone therapy in the healing rate (Odds Ratio = 7.28; CI 95% = 3.56 to 14.89; p < 0.001). For the other outcomes it was not possible to perform meta-analysis due to the use of different assessment methods. Conclusions: Topical ozone therapy may be a therapeutic option for the treatment of venous leg ulcers. However, more randomized and controlled studies are ne-eded to evaluate its efficacy in reducing healing time and bacterial load, as well as on the safety of this therapy. It is also important that these studies use uniform therapeutic and assessment methods


No disponible


Assuntos
Humanos , Úlcera Varicosa/terapia , Ozônio/administração & dosagem , Técnicas de Fechamento de Ferimentos/enfermagem , Cicatrização , Úlcera Varicosa/enfermagem , Administração Tópica , Resultado do Tratamento
16.
Rev. Rol enferm ; 41(11/12,supl): 73-78, nov.-dic. 2018. tab, graf
Artigo em Inglês | IBECS | ID: ibc-179944

RESUMO

Context: Compressive therapy, especially with short-stretch bandage (SSB), is re-commended in the treatment of varicose ulcers, with proved effectiveness in the healing rate or reduction of wound size. However, there is still insufficient evidence of the advantages of this type of therapy in terms of pain, quality of life (QoL) and cost of treatment. Objectives: To compare the effectiveness of SSB with other types of treatments (with or without compression) to improve pain, QoL and cost of the treatment of venous ulcers. Methodology: A systematic literature review (Cochrane methodology) was carried out on PubMed, EBSCO, Scielo, Google Academic, and grey literature. Only experi-mental or quasi-experimental studies, with adults with varicose ulcer were inclu-ded. Two independent reviewers performed critical appraisal, data extraction, and data synthesis. Results: Among 3133 hits screened, 4 randomized controlled trials (RCTs) were in-cluded, including a total of 977 patients. From these 4 trials: 2 analyzed the QoL, without significant differences between SSB and multiple layer compression; 2 showed a trend towards greater reduction of pain with SSB, but without statistically significant difference; 2 studies evaluated the cost of treatment, with contradictory results. It was not possible to perform a meta-analysis due to high heterogeneity. Conclusions: There is no evidence that SSB is more effective than other compression systems in terms of pain, QoL and cost of treatment in people with venous ulcers. More RCT's are needed, using uniform assessment tools, to allow for more robust conclusions, namely through meta-analysis


No disponible


Assuntos
Humanos , Úlcera Varicosa/terapia , Bandagens Compressivas , Manejo da Dor/métodos , Úlcera Varicosa/enfermagem , Avaliação de Custo-Efetividade , Qualidade de Vida , Perfil de Impacto da Doença
17.
Rev. pesqui. cuid. fundam. (Online) ; 10(4): 1041-1049, out.-dez. 2018. tab
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-915945

RESUMO

Objetivo: Conhecer o itinerário terapêutico de pessoas com úlcera venosa crônica e as implicações para o cuidado de Enfermagem. Método: Pesquisa qualitativa desenvolvida em um centro de cuidados de Enfermagem. Participaram do estudo 11 pessoas com diagnóstico de úlcera venosa crônica. Os dados foram coletados entre agosto e setembro de 2016 por meio de entrevista semiestruturada, e analisados de acordo com a análise temática de Minayo. O estudo foi aprovado pelo Comitê de Ética em Pesquisas. Resultados: O itinerário terapêutico da pessoa com úlcera venosa crônica foi influenciado pelo saber popular, o apoio familiar e espiritual, além das relações com os serviços de saúde, que se mostraram fragmentados e nem sempre resolutivos. Conclusão: Evidenciou-se que estudos sobre itinerário terapêutico constituem-se como uma ferramenta para avaliar a qualidade da assistência de Enfermagem. Esta pesquisa teve como limitações poucas publicações na área da Enfermagem sobre essa temática


Objective: To know the therapeutic itinerary of people with chronic venous ulcer and the implications for nursing care. Method: Qualitative research developed in a Center of Nursing Care. Eleven people diagnosed with chronic venous ulcer participated in the study. Data were collected between August and September of 2016 through a semi-structured interview, and analyzed according to Minayo's thematic analysis. The study was approved by the Research Ethics Committee. Results: The therapeutic itinerary of the person with chronic venous ulcer was influenced by popular knowledge, family and spiritual support, as well as relationships with health services, which were fragmented and not always decisive. Conclusion: It was evidenced that studies on therapeutic itinerary constitute a tool to evaluate the quality of nursing care. This research had as limitations few publications in the area of nursing on this subject


Objetivo: Conocer el itinerario terapéutico de las personas con úlcera venosa crónica y las implicaciones para la atención de enfermería. Método: Investigación cualitativa llevada a cabo em un Centro de atención de enfermería. En el estudio participaron 11 personas con úlceras venosas crónicas. Los datos fueron recogidos entre agosto y septiembre 2016 a través de entrevistas semiestructuradas y analizados según el análisis temático de Minayo. El estudio fue aprobado por el Comité de Ética de la Investigación. Resultados: El tinerario terapéutico de las personas con úlcera venosa crónica fue influenciado por el conocimiento popular, el apoyo familiar y espiritual, además de las relaciones com los servicios de salud, que están fragmentados. Conclusión: Conocer que los estudios sobre itinerario terapéutico constituyen como una herramienta para evaluar la calidad de los cuidados de enfermería. Esta investigación tuvo el menor número de publicaciones limitaciones en el campo de la enfermería en este tema


Assuntos
Humanos , Masculino , Feminino , Cuidados de Enfermagem , Qualidade da Assistência à Saúde , Úlcera Varicosa/enfermagem , Úlcera Varicosa/terapia , Brasil
18.
Gerokomos (Madr., Ed. impr.) ; 29(3): 153-154, sept. 2018. ilus
Artigo em Espanhol | IBECS | ID: ibc-175051

RESUMO

Varón de 49 años, que presentó una úlcera venosa en maléolo interno de la extremidad inferior derecha de más de 2 años de evolución. En el caso clínico se exponen las pautas de tratamiento utilizadas, la evolución de dicha lesión y las medidas de prevención recomendadas una vez cicatrizada. Debido a que las úlceras venosas tienen una elevada prevalencia, que se sitúa entre el 70% y el 80%1 del total de las heridas en extremidades inferiores, lo que conlleva un elevado gasto sanitario, creemos importante la realización del índice tobillo-brazo, así como la correcta utilización de los tratamientos tópicos


A 49 years old male presented a venous ulcer on the internal malleolus of the right lower extremity of more than 2 years of evolution. In the clinical case, the treatment guidelines used, the evolution of the injury and the recommended prevention measures once healed are exposed. Because venous ulcers have a high prevalence between 70-80% of the total wounds in the lower extremities, which entails a high health expenditure, this is because we believe that the anklebrachial index is important, as well as the correct use of topical treatments


Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Úlcera Varicosa/terapia , Bandagens Compressivas , Úlcera Varicosa/tratamento farmacológico , Úlcera Varicosa/enfermagem , Geleificantes , Úlcera da Perna , Infecção dos Ferimentos/tratamento farmacológico
19.
Br J Community Nurs ; 23(Sup9): S30-S36, 2018 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-30156872

RESUMO

Venous ulcers or stasis ulcers account for 80% of lower extremity ulcerations. Approximately 1-2% of the population will suffer from the chronic debilitating condition, with chronic venous insufficiency affecting up to 50% of the adult population. There are many methods of treatment and common treatments include conventional, surgical or mechanical methods. This article examines the complications of leg ulcer management, with the emphasis on the use of antibiotics. The case study demonstrates the positive impact self-care can have as part of a treatment plan.


Assuntos
Higiene da Pele/enfermagem , Úlcera Varicosa/enfermagem , Idoso , Antibacterianos/uso terapêutico , Doença Crônica , Bandagens Compressivas , Humanos , Masculino , Qualidade de Vida , Úlcera Varicosa/microbiologia , Cicatrização/fisiologia
20.
Br J Community Nurs ; 23(Sup9): S6-S15, 2018 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-30156878

RESUMO

Venous leg ulcers are open lesions between the knee and the ankle joint, which occur in the presence of venous insufficiency. There are theories to explain the causes of venous insufficiency, which ultimately leads to venous hypertension and can result in leg ulceration. Although many patients present with evidence of venous hypertension, others do not, except for the manifestation of the ulcer. There are risk factors associated with venous insufficiency and a holistic approach must be taken in order to influence the management approach of venous leg ulceration. This article discusses venous insufficiency as a disease process, and explores the nursing assessment process, when assessing venous leg ulcers related to venous insufficiency.


Assuntos
Avaliação em Enfermagem , Úlcera Varicosa/etiologia , Úlcera Varicosa/enfermagem , Insuficiência Venosa/etiologia , Insuficiência Venosa/enfermagem , Humanos , Fatores de Risco
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