Instrumentos de avaliação clínica para úlceras de perna

Olive, Beatriz Guitton Renaud Baptista de; Silva, Joana Aragão da; Silveira, Isabelle Andrade; Santos, Nathália Caldas; Carvalho, Magali Rezende de

doi:10.31011/reaid-2019-v.87-n.especial-art.171

Cited by 6 publications

(6 citation statements)

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“…Among the ulcers found on the lower limbs, venous ulcers are the most prevalent, with chronic venous insufficiency being the main cause for its appearance (15) . Treatment should be focused on elimination and/or control of causal factors, systemic support, and appropriate topical treatment.…”

Section: Discussionmentioning

confidence: 99%

The presence of anemia in patients with leg ulcer: laboratory test

et al. 2022

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Objective: To evaluate the presence of anemia in patients with chronic lower limb ulcers based on profile and hematometric indices. Method: This is a cross-sectional study carried out in a university hospital in Rio de Janeiro. The sample was composed of 64 participants with lower limb ulcers and evolution time greater than 12 weeks. Data was collected between May/2016 and December/2017 from hematological analyses, records from medical records, and wound assessment form. Results: 36 (56.2%) were male; 38 (59.4%) between 60 and 80 years old; 56 (87.5%) with chronic diseases and 52 (81.2%) with venous ulcers. 6 years mean of active ulceration. Anemia was detected in 36 (56.2%), 27 (75%) of which were normochromic and normocytic; 14 (38.8%) had deficiency anemia recorded in their medical chart. Conclusion: The low hemoglobin concentration is recurrent among the participants characterizing an anemia condition, whose profile reveals congruence to the anemia of chronic disease.

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Section: Discussionmentioning

confidence: 99%

The presence of anemia in patients with leg ulcer: laboratory test

et al. 2022

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“…One study, however, compared the use of PUSH with traditional clinical assessment in venous ulcers and found it easy to apply, being an indicated tool for monitoring the healing process of different types of injuries, to measure the outcome of wound interventions and quality of care for services that treat injuries 3,20 . It can also be used as an indicator to relate the cost with dressing materials and characteristics of the pressure ulcers, where the positive evolution was linked to a significant reduction in values.…”

Section: Discussionmentioning

confidence: 99%

“…In addition to contributing to increased morbidity, mortality, length of stay and health care costs, PU is internationally considered as an adverse event and its high incidence is interpreted as a negative indicator in the quality of Nursing care. The knowledge of measures that assist in the assessment and documentation of the injuries allows for the choice of interventions that favor healing, reducing the patient's suffering 3 .PU is characterized by damages to the skin and/or to the underlying structures, usually bony prominences, caused by isolated pressure or combined with shear and/or friction, classified according to the degree of damage observed in the tissues 4 . It can be classified into four distinct stages: Stage I presents intact skin with erythema that does not whiten; Stage II is characterized by loss of skin in its partial thickness with exposure of the dermis; Stage III is characterized by loss of skin in its total thickness; and Stage IV, by loss of skin in its total thickness and tissue loss.…”

Section: Introductionmentioning

confidence: 99%

Pressure Ulcers: Correlation Between the Bates-Jensen Wound Assessment Tool and the Pressure Ulcer Scale for Healing

Macedo¹,

Graciotto²,

Souza³

et al. 2021

Texto contexto - enferm.

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Objective: to verify the correlation between the Bates-Jensen Wound Assessment Tool and the Pressure Ulcer Scale for Healing instruments for assessing pressure ulcers in adults. Method: a cross-sectional study, carried out in the unit for patients with multidrug-resistant germs, in a Brazilian public hospital. Data collection took place in 2017, with a sample of 110 injuries, through direct inspection and application of the proposed instruments. The data were analyzed using descriptive and analytical statistics. Results: the study included 36 patients with a mean age of 45.4±21.3 years old; 23 (63.9%) were male, with higher frequency of involvement of the sacral region (35; 31.9%), with 43 Stage II pressure ulcers (39.1%). The mean score of the Bates-Jensen Wound Assessment Tool was 35.5±8.9, and that of the Pressure Ulcer Scale for Healing was 11.75±3.57 (r=0.74 and p<0.01). Conclusion: the study achieved its objective by verifying a strong correlation and a positive association between BWAT and PUSH. BWAT provides a thorough assessment of the injury while PUSH is easy and quick to apply. It is up to each Nursing service to decide which instrument is best suited to the reality regarding the work demand.

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“…Considering these aspects, an integrative review was carried out with an international search and analysis of ten instruments that addressed parameters for clinical evaluation 6 . Among these, the Leg Ulcer Measurement Tool (LUMT) stood out, as it is a specific tool for the evaluation of leg ulcers, which can be classified as vascular ulcers (for example, venous, arterial or mixed) and diabetic ulcers 7 .…”

Section: Introductionmentioning

confidence: 99%

Construct Validity and Reliability of the Leg Ulcer Measurement Tool Scale Adapted for Brazil

Silveira

Oliveira

Souza

et al. 2022

Texto contexto - enferm.

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Objective: to validate the Portuguese version of the Leg Ulcer Measurement Tool regarding construct and reliability. Method: this is a methodological research study. Data collection was conducted between January and July 2019. A total of 105 participants were included for construct validation and internal consistency and, of these, 50 were selected for intra-observer stability. For the analysis of construct validity, factor analysis was performed; for internal consistency, Cronbach's alpha coefficient was calculated, and for stability, the intraclass correlation coefficient. Results: A total of 12items were confirmed for the Brazilian reality, meeting all the theoretical requirements of the factor analysis model. As for the internal consistency (reliability) analysis, the Cronbach's alpha coefficient values (α=0.711) showed that the set of items that make up the scale measures the same characteristics and presents internal consistency. In the global stability analysis (ICC=0.823), the Leg Ulcer Measurement Tool test and retest scores presented good agreement, showing that the adapted scale is stable. Conclusion: the Leg Ulcer Measurement Tool scale adapted to the Portuguese language contains 12 items, with scores varying from 0 to 4 and, thus, produces a score from 0 to 48 points. It presents construct validity analyzed by means of factor analysis and reliability in terms of internal consistency and stability.

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Instrumentos de avaliação clínica para úlceras de perna

Cited by 6 publications

References 0 publications

The presence of anemia in patients with leg ulcer: laboratory test

The presence of anemia in patients with leg ulcer: laboratory test

Pressure Ulcers: Correlation Between the Bates-Jensen Wound Assessment Tool and the Pressure Ulcer Scale for Healing

Construct Validity and Reliability of the Leg Ulcer Measurement Tool Scale Adapted for Brazil

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