Impact of venous ulcers on patients' quality of life: an integrative review

Joaquim, Fabiana Lopes; Silva, Rose Mary Costa Rosa Andrade; García‐Caro, María Paz; Cruz-Quintana, Francisco; Pereira, Eliane Ramos

doi:10.1590/0034-7167-2017-0516

Cited by 41 publications

(30 citation statements)

References 11 publications

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“…Atrelado ao sintoma físico, indivíduos com UV apresentam dificuldade para realizar as tarefas do seu dia a dia, pois as feridas acometem especificamente os membros inferiores e logo suscitam importantes limitações físicas. Atreladas a isso, feridas extensas e com aparência ruim prejudicam ainda mais a vida diária dos pacientes, além da vergonha e isolamento social 7 .…”

Section: Discussionunclassified

Qualidade De Vida Em Pessoas Com Úlcera Venosa E as Características E Sintomas Associados À Ferida

Kaizer

Domingues

Paganelli

2021

ESTIMA, Braz. J. Enterostomal Ther.

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Objetivo:avaliar a qualidade de vida de pessoas com úlcera venosa e correlacionar com as características clínicas e sintomas associados à ferida. Método: estudo quantitativo, transversal e analítico. Para as análises das associações das variáveis qualitativas foram aplicados os testes Qui-quadrado e exato de Fisher, e para as variáveis quantitativas, o coeficiente de correlação de Spearman. Utilizou-se o instrumento Pressure Ulcer Scale for Healing para a avaliação da ferida e o Freiburg Life Quality Assessment Wound-wk para análise da qualidade de vida. Fizeram parte do estudo 103 sujeitos com tempo de feridas superior a seis semanas, de etiologia venosa. Resultados: houve correlação das características clínicas da úlcera venosa e sintomas associados com a qualidade de vida. Nas dimensões sintomas físicos, pessoas com úlcera venosa apresentraram pior escore em relação ao sintoma dor (p<0,0001). Associadas a isso, as características clínicas como a aparência (p< 0,0001) e a área (p=0,0037) da ferida também manifestaram correlação. Em relação à escala de avaliação da ferida (área, tecido na ferida e exsudato), o pior escore interferiu nos sintomas físicos. Conclusão: a dor, tamanho da ferida e seu aspecto influenciam negativamente na qualidade de vida de pessoas com úlcera venosa

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Section: Discussionunclassified

Qualidade De Vida Em Pessoas Com Úlcera Venosa E as Características E Sintomas Associados À Ferida

Kaizer

Domingues

Paganelli

2021

ESTIMA, Braz. J. Enterostomal Ther.

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“…15,16 During the evaluation, when the wound has existed for more than one year, history of venous stripping, history of great saphenous vein ablation, larger wound, fibrin over 50% of the wound surface, and ankle brachial pressure index <0.8 indicate poor wound prognosis of a patient with chronic and nonhealing ulcers along with DVT, investigating that the patients' hypercoagulatory state is crucial. 2,17,18 This is because many of the affected individuals have a history of thromboph [19][20][21][22] ilias (e.g. protein C deficiency, protein S deficiency, and antiphospholipid syndrome); thus, oral anticoagulation is potentially helpful for these patients.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of static ulcer on lower extremities using wireless wearable near-infrared spectroscopy device: Effect of deep venous thrombosis on TRiggered Angiography Non-Contrast-Enhanced sequence magnetic resonance imaging

et al. 2020

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Background Venous leg ulcers, or static leg ulcers, are chronic wounds associated with ambulatory venous hypertension of the lower extremities as a consequence of venous valve reflux, reduce venous capacitance, poor calf venous pump, heart failure, or in conjunction with venous obstruction. A static ulcer with venous thrombosis in a pelvic or thigh vein responds favorably to anticoagulation agents. However, anticoagulation is less effective and even harmful when ambulatory venous hypertension has another cause such as venous reflux, poorly heart function, and poor calf venous pump. Method TRiggered Angiography Non-Contrast-Enhanced (TRANCE) magnetic resonance imaging (MRI) exploits differences in vascular signal intensity during the cardiac cycle for subsequent image subtraction, providing detailed radiation-free venograms without the use of contrast agents. The method is a new tool for evaluating the presence of thrombosis in the venous systems. TRANCE-MRI was employed to document the existence of venous thrombosis within the eight patients in this study. Subsequently, we used a wireless wearable near-infrared spectroscopy device to compare deep vein thrombosis-associated and non-deep vein thrombosis-associated static ulcers. The sampling depths were 5 and 10 mm, representing the dermis and subcutaneous tissue, respectively. Result There are four patients with venous leg ulcers proven with venous thrombosis by TRANCE-MRI and are classified as deep vein thrombosis group. Compared with the non-deep vein thrombosis group, the deep vein thrombosis group had less deoxyhemoglobin, less total hemoglobin, and a significantly lower H2O signal in the 5-mm sampling depth (dermis level). And eight health participants were included as control group. Wounded patients (including deep vein thrombosis and non-deep vein thrombosis patients) have higher H2O concentration on the 5-mm depth sampling than control group. In the 10-mm sampling depth (subcutaneous level), the deoxyhemoglobin and tissue oxygen saturation of the deep vein thrombosis group were lower than those of the non-deep vein thrombosis group, and the H2O concentration was higher than non-deep vein thrombosis group. Patients with static foot ulcers and deep vein thrombosis had similar oxyhemoglobin, deoxyhemoglobin, total hemoglobin, and tissue oxygen saturation than did those without deep vein thrombosis in 5-mm depth sampling (dermis level). Notably, the H2O signal of patients with non-deep vein thrombosis-associated static ulcers was higher for the 5-mm sampling depth. Conclusion In patients with static ulcers and deep vein thrombosis, the H2O level may be higher in the 10-mm sampling depth, indicating that those patients had more subcutaneous water. In patients with non-deep vein thrombosis static foot ulcer, the near-infrared spectroscopy (NIRS) indicated worse fluid retention in the dermis level. The H2O value in the NIRS may be different owing to underline the cause of the venous leg ulcers.

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“…Leg ulcer prevalence increases with age ( Briggs & Closs, 2003 ;Martinengo et al, 2019 ), with people developing these chronic wounds often experiencing multiple comorbidities, increasing complexity of management ( Guest, Fuller & Vowden, 2018 ;Vowden & Vowden, 2009 ). Venous leg ulcers are associated with negative impacts on physical psychological and social wellbeing ( Phillips et al, 2018 ), and financial burden ( Cheng, Gibb, Graves, Finlayson & Pacella, 2018 ) leading to lower quality of life ( Joaquim, Silva, Garcia-Caro, Cruz-Quintana & Pereira, 2018 ;Phillips et al, 2018 ), with significant costs to the health system ( Cheng et al, 2018 ). Best practice management of venous leg ulcers includes appropriate assessment, followed by application of compression of at least 30 mmHg and monitoring progress over time ( AWMA & NZWCS, 2011 ).…”

Section: Introductionmentioning

confidence: 99%

Characteristics of people receiving wound care at home versus in a clinic

Ogrin¹,

Parker

Finlayson

et al. 2021

Collegian

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Impact of venous ulcers on patients' quality of life: an integrative review

Abstract: Chronic venous ulcers act on patients' bio-psycho-social-spiritual and socioeconomic spheres, having a negative impact on their quality of life.

Cited by 41 publications

References 11 publications

Qualidade De Vida Em Pessoas Com Úlcera Venosa E as Características E Sintomas Associados À Ferida

Qualidade De Vida Em Pessoas Com Úlcera Venosa E as Características E Sintomas Associados À Ferida

Evaluation of static ulcer on lower extremities using wireless wearable near-infrared spectroscopy device: Effect of deep venous thrombosis on TRiggered Angiography Non-Contrast-Enhanced sequence magnetic resonance imaging

Characteristics of people receiving wound care at home versus in a clinic

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