Medidas para prevenção de recidivas de úlceras venosas

2020 ◽  
Vol 10 (31) ◽  
pp. 96-104
Author(s):  
Caroline Muller Almeida ◽  
Suelen Elias da Veiga Freitas ◽  
Aline Affonso Luna ◽  
Cintia Silva Fassarella ◽  
Priscilla Alfradique de Souza
Keyword(s):  
Relapse Prevention ◽  
Selection Criteria ◽  
Preventive Measures ◽  
Venous Ulcer ◽  
Limiting Factor ◽  
Venous Ulcers ◽  
Ulcer Relapse ◽  
Varicose Ulcer ◽  
Key Word ◽  
Review Study

Identificar e analisar evidências científicas adotadas na prevenção de recidivas de úlceras venosas. Trata-se de um estudo de revisão integrativa da literatura, descritivo, de abordagem qualitativa, realizado entre outubro e novembro de 2017, a partir de consulta de bases de dados nacionais e internacionais. Os descritores utilizados foram “úlcera venosa”, “úlcera varicosa”, “recidiva” associados à palavra chave “prevenção”. Recorreu análise temática de conteúdo, emergindo duas categorias. Dos 305 artigos encontrados, 10 foram selecionados atendendo aos critérios de seleção. As principais evidências observadas foram “medidas para a prevenção de recidivas de úlceras venosas” e “facilidades e dificuldades da implementação de medidas preventivas”. Evidenciou-se que as medidas são diversas para prevenir as recidivas de úlcera venosa, no entanto, a adesão ainda é fator limitador as práticas devido à complexidade que a envolve.Descritores: Úlcera Venosa, Recidiva, Prevenção. Measures to prevent recurrence of venous ulcersAbstract: To identify and analyze scientific evidences adopted in the prevention of venous ulcers recurrences. It is an integrative literature review study, descriptive, with a qualitative approach, carried out between October and November 2017, based on consultation of national and international databases. The descriptors used were "venous ulcer", "varicose ulcer", "relapse" associated with the key word "prevention". It resorted to thematic analysis of content, emerging two categories. Of the 305 articles found, 10 were selected according to the selection criteria. The main evidences observed were "measures for the prevention of relapses of venous ulcers" and "facilities and difficulties of the implementation of preventive measures". It was evidenced that the measures are diverse to prevent the recurrence of venous ulcer, however, adherence is still a limiting factor to the practices due to the complexity that involves it.Descriptors: Venous Ulcer, Relapse, Prevention. Medidas para la prevención de recidivas de úlceras venosasResumen: Identificar y analizar evidencias científicas adoptadas en la prevención de recidivas de úlceras venosas. Este es un estudio integrador de revisión de literatura, descriptivo, con un enfoque cualitativo, realizado entre octubre y noviembre de 2017, basado en la consulta de bases de datos nacionales e internacionales. Los descriptores utilizados fueron "úlcera venosa", "úlcera varicosa", "recidiva" asociados a la palabra clave "prevención". Se recurrió análisis temático de contenido, emergiendo dos categorías. De los 305 artículos encontrados, 10 fueron seleccionados atendiendo a los criterios de selección. Las principales evidencias observadas fueron "medidas para la prevención de recidivas de úlceras venosas" y "facilidades y dificultades de la aplicación de medidas preventivas". Se evidenció que las medidas son diversas para prevenir las recidivas de úlcera venosa, sin embargo, la adherencia todavía es factor limitante en las prácticas debido a la complejidad que la envuelve.Descriptores: Úlcera Varicosa, Recurrencia, Prevención.

scholarly journals Protocol Proposal For The Care Of The Person With Venous Ulcer

10.3823/2293 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Rodrigo Assis Neves Dantas ◽  
Daniele Vieira Dantas ◽  
Gilson De Vasconcelos Torres ◽  
Quinídia Lúcia Duarte de Almeida Quithé ◽  
Katia Regina Barros Ribeiro ◽  
...  
Keyword(s):  
Literature Review ◽  
Disease Recurrence ◽  
Venous Ulcer ◽  
University Hospital ◽  
Chronic Venous Disease ◽  
Venous Disease ◽  
Clinical Context ◽  
Venous Ulcers ◽  
Care Protocol ◽  
Varicose Ulcer

Objective: To propose a care protocol for the care of the person with a venous ulcer in highly complex services. Methods and results: This is a methodological study, in three stages: literature review, validation of content and validation in the clinical context. The literature review was carried out from June to August/2011, being the basis for the construction of the Protocol for Venous Ulcers. The content validation included 53 judges (44 nurses, 8 physicians and 1 physiotherapist) selected through the Lattes platform to evaluate the items of the protocol. Validation in the clinical context occurred at the University Hospital Onofre Lopes, in Natal/RN with four judges (nurses), who worked in pairs, evaluating 32 patients with venous ulcers. The protocol was validated with 15 categories: sociodemographic data; anamnesis; examinations; ulcer characteristics; care with the lesion and perilesional area; medicines used to treat the lesion; evaluation and treatment of pain; surgical treatment of chronic venous disease; recurrence prevention (clinical and educational strategies); reference; counter-reference; and quality of life. Conclusion: The validated protocol regarding content and clinical context was applicable. Its implementation is a viable measure that assists in the reorientation of the team in high complexity services, aiming at wound healing and restoration of the patient´s integral health. Keywords: Varicose ulcer; Tertiary Health Care; Protocols; Validation studies.

scholarly journals Conhecimento de auxiliares e técnicos de enfermagem sobre o tratamento da úlcera venosa

2019 ◽  
Vol 81 (19) ◽  
Author(s):  
Cristiane Costa Reis Silva ◽  
Márcia de Matos da Fonseca
Keyword(s):  
Family Health ◽  
Venous Ulcer ◽  
Qualitative Approach ◽  
Licensed Practical Nurses ◽  
Venous Ulcers ◽  
Varicose Ulcer ◽  
Practical Nurses ◽  
Health Centres ◽  
Topical Treatments ◽  
Antiseptic Solutions

O presente estudo teve como objetivo identifi car o conhecimento de auxiliares e técnicos de enfermagem deUnidades Básicas de Saúde e Unidades de Saúde da Família de um distrito de Salvador/BA, Brasil, quanto aotratamento da úlcera venosa. Trata-se de um estudo exploratório, descritivo, com abordagem qualitativa, realizadoatravés de uma pesquisa de campo. Os dados foram coletados por meio de um questionário semiestruturado,aplicados a 6 auxiliares e 20 técnicos de enfermagem. Para a análise dos dados foi utilizada a técnica de análise deconteúdo proposta por Bardin. A temática do estudo foi dividida em cinco categorias: identifi cação da úlcera venosa;tratamentos tópicos utilizados para a úlcera venosa; processo de escolha do tratamento; recursos disponíveis naunidade para a realização do curativo; e utilização de soluções antissépticas. Os resultados demonstraram que apopulação do estudo não possui conhecimento científi co sufi ciente sobre a utilização dos materiais necessáriospara o tratamento da úlcera venosa, nem sobre quanto a identifi cação patológica. Diante disso, recomenda-se ummaior investimento na educação continuada dos profi ssionais de enfermagem.Palavras-chave: Úlcera Varicosa; Auxiliares de Enfermagem; Técnicos de Enfermagem; Cuidados de Enfermagem. ABsTRAcTThe present study aims to identify the knowledge of nurses’ aides and licensed practical nurses, who work inPrimary Care and Family Health centres of district of Salvador/BA, Brasil, about the treatment of venous ulcer. Itis a fi eld research with an exploratory, descriptive, qualitative approach. The data were collected through a semistructured questionnaire, applied to 6 nurses’ aides and 20 licensed practical nurses. Data analysis was performedaccording to Bardin’s content analysis. The study was divided into fi ve categories: venous ulcer identifi cation;topical treatments used for venous ulcer; the process treatment choice; resources available for dressing in theprimary health centres and using of antiseptic solutions. The results showed that these professionals have notenough scientifi c knowledge about the use of necessary materials for the venous ulcers treatment and theidentifi cation of it. Therefore, it is recommended greater investment in continuing education of these professionals.Keywords: Varicose Ulcer; Nurses’ Aides; Licensed Practical Nurses; Nursing Care.

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

2018 ◽  
Vol 71 (4) ◽  
pp. 2021-2029 ◽  
Author(s):  
Fabiana Lopes Joaquim ◽  
Rose Mary Costa Rosa Andrade Silva ◽  
Maria Paz Garcia-Caro ◽  
Francisco Cruz-Quintana ◽  
Eliane Ramos Pereira
Keyword(s):  
Quality Of Life ◽  
Negative Impact ◽  
Integrative Approach ◽  
Inclusion Criteria ◽  
Venous Ulcers ◽  
Varicose Ulcer ◽  
Review Study ◽  
Methodological Approaches ◽  
The Impact

ABSTRACT Objective: To analyze knowledge gathered about the impact of venous ulcers on patients' quality of life. Method: Systematic bibliographic review study with an integrative approach. Databases of MEDLINE, LILACS, IBECS, CINAHL Complete, Web of Science, Scopus, and CUIDEN Plus were used for selection with the PICOT guiding criteria, through the DeCS and MeSH: adult, aged, varicose ulcer, and quality of life, in Portuguese, Spanish, and English. The inclusion criteria were: full original articles available in the databases selected with adherence to the theme in Portuguese, Spanish, and English, published from 2007 to 2016. Results: The sample included 14 national and international articles with different methodological approaches and investigative contexts, published from 2012 to 2016. Conclusion: Chronic venous ulcers act on patients' bio-psycho-social-spiritual and socioeconomic spheres, having a negative impact on their quality of life.

Incidence of Recurrent Venous Ulcer in Patients Treated at an Outpatient Clinic: Historical Cohort

2022 ◽  
pp. 153473462110659
Author(s):  
Michele Neves Brajão Rocha ◽  
Carol Viviana Serna Gonzalez ◽  
Eline Lima Borges ◽  
Vera Lúcia Conceição de Gouveia Santos ◽  
Soraia Assad Nasbine Rabeh ◽  
...  
Keyword(s):  
Risk Factors ◽  
Outpatient Clinic ◽  
Onset Time ◽  
Venous Ulcer ◽  
High Recurrence Rate ◽  
Ulcer Recurrence ◽  
Clinical Approach ◽  
Historical Cohort ◽  
Venous Ulcers

The recurrence of venous ulcers is the wound reopening after a period of completed epithelisation of a previous ulcer due to exposure to causal factors and lack of prevention. Venous ulcers have a high recurrence rate that may increase through the years. Epidemiological evidence on its incidence and risk factors is scarce due to the lack of patient follow-up in outpatient clinics and adherence to treatment after healing. The objective was to analyze the incidence of venous ulcers recurrency in outpatients and the risk factors for its occurrence. It is an observational historical cohort with retrospective data collection, performed through electronic medical records. Setting: private health insurance outpatient clinic. The participants were adult patients with healed venous ulcers. Incidence of venous ulcer recurrence was calculated within individuals with healed ulcers from 2014 and 2018 with a follow-up of at least one year. Bivariate analysis and logistic regression were used to explore risk factors considering demographic, clinical, and wound-related variables. As a result, sixty-five (65) of the 134 patients with healed venous ulcers had a recurrence, leading to an incidence of 48.5%, with a mean onset time of 230.1 (SD 267) days. Patients with recurrent venous ulcers were primarily women (39/48.1%), with a mean age of 64 (SD 15.5) years, 57 (50.8%) had some comorbidity, with systemic arterial hypertension as the most frequent (47/51%). Obesity (15/88.2%) increased the risk of venous ulcers recurrence by 8.7 (OR 95% CI 2.1-60.8; P = .009) times. In conclusion, venous ulcers recurrence incidence was 48.5%, with obesity as a risk factor. This study demonstrates that the clinical approach of people with venous ulcers should not finish when the wound is healed. For ulcer recurrence prevention interventions addressing systemic factors, besides topical management of the wound, are essential.

scholarly journals Treatment of venous ulcers in drug addicts: A case report

2021 ◽  
Vol 12 (4) ◽  
pp. 439-441
Author(s):  
Mirela Vasileva ◽  
Vesna Brishkoska Boshkovski ◽  
Andrej Petrov
Keyword(s):  
Wound Healing ◽  
Case Report ◽  
Multidisciplinary Approach ◽  
Venous Ulcer ◽  
Lifestyle Changes ◽  
Drug Addicts ◽  
Wound Botulism ◽  
Venous Ulcers ◽  
Serious Infections ◽  
Cutaneous Anthrax

Venous ulcers are common in drug addicts and, although the management of these wounds is the same as in other patients, there are differences in the approach and the outcome of treatment. Those injecting drugs are at risk of serious infections, such as necrotizing fasciitis, wound botulism, and cutaneous anthrax due to the nature of the substances being injected. Herein, we present two cases of venous ulcers in drug addicts in their thirties. Both patients had been suffering from a venous ulcer for several years and the final result differed in the two patients. We concluded that it is necessary to raise awareness of the importance of treatment and lifestyle changes. The multidisciplinary approach in these patients may contribute to the improvement of wound healing.

scholarly journals Treatment of Chronic Venous Ulcers Using New Four Layers Compressive Bandage Dressing

2015 ◽  
Vol 53 (199) ◽  
pp. 156-161 ◽  
Author(s):  
Kaushal K Tiwari ◽  
Krishna G Shrestha ◽  
Bijay Sah ◽  
D.Jaypal Reddy
Keyword(s):  
Compression Therapy ◽  
Venous Ulcer ◽  
Term Treatment ◽  
Lower Limbs ◽  
High Morbidity ◽  
Current Standard ◽  
Venous Ulcers ◽  
Long Term Treatment ◽  
Group A ◽  
Group B

Introduction: Lower-extremity ulcers represent the largest group of ulcers presenting to an outpatient department. It is a cumbersome, difficult to treat disease, which causes high morbidity and huge cost for the patient and healthcare system. Current standard treatment includes compression therapy. However, majority of patients need long term treatment with minimal efficacy. Aim of our study is to evaluate efficacy of four layers compressive bandages for the management of chronic venous ulcers. Methods: In Group A, we have prospectively included 20 patients with chronic venous ulcers on lower limbs for four layers hosiery bandage using Velfour bandage. Other 15 patients, Group B, were treated with conventional wound dressing. Velfour and crepe bandage were done once weekly for three weeks. Results: DVT was cause of chronic venous ulcer in 70% patient in group A and in 73.3% in Group B. Majority of patients were having left sided chronic venous ulcers. The mean duration of the ulcers was 15.6 vs 10.86 months (group A vs. group B). At the end of 3rd week, in 55% wounds in Group A were healed except few big and deep wounds remained. Most of these wounds also became smaller with minimal discharge. Size of wounds significantly decreased in Group A vs. Group B patients (0.7±0.81 cm vs. 1.73±0.77 cm, p<0.00031). However, cost of treatment in group A remained higher than group B. Conclusions: Our study has shown that four layer compressive bandage using Velfour is an easy, effective, and reproducible method of treatment for the chronic venous ulcer.  Keywords: compression bandage; treatment; venous ulcer.

scholarly journals ROLE OF PLATELET RICH PLASMA IN TREATMENT OF CHRONIC NON-HEALING VENOUS ULCER

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Firdaus A. Dekhaiya ◽  
Jignesh K. Joshi ◽  
Sarav Bamania
Keyword(s):  
Growth Factors ◽  
Platelet Rich Plasma ◽  
Autologous Blood ◽  
Healing Process ◽  
Venous Ulcer ◽  
Lower Limbs ◽  
Venous Ulcers ◽  
Autologous Platelet Rich Plasma ◽  
Adhesive Proteins ◽  
Autologous Platelet

Introduction: Venous ulcers are wounds that are thought to occur due to improper functioning of venous valves, usually of the lower limbs. Considering that PRP is a source of growth factors, and consequently has mitogenic, angiogenic, and chemotactic properties, it represents an adjunctive treatment for recalcitrant wounds. Moreover, PRP provides the wound with adhesive proteins, such as fibrinogen, which are important in wound healing. PRP contain more amount of platelets, cytokines and growth factors which are dispersed in a very small amount of plasma which can be prepared from a sample of centrifuged autologous blood. Application of PRP has been reported to be effective in both acute as well as chronic non healing venous ulcers. Aim and Objective: To evaluate the efficacy of autologous platelet rich plasma in the management of chronic venous ulcer. Material and Method: A Prospective study conducted on 100 patients of chronic venous ulcers admitted in Sir T. Hospital Bhavnagar from June 2018 to June 2019 after fulfilled our inclusion and exclusion criteria. PRP then injected intalesionally inside and around the periphery of the wound/ulcer. This process was done once/week for 12 weeks. At every week, the area and volume of ulcer was calculated and photographs were taken. Result: All the patients showed healing of the ulcer with reduction in size of ulcer more than 90% was observed in 72 patients, followed by 80–90% reduction in wound size in 18 patients after the 12 weeks follow-up. Overall, significant reduction in size of ulcer was observed in all the treated patients. Conclusion: Autologous platelet rich plasma (PRP) as an autologous method, it is biocompatible, simple, safe, affordable and less expensive procedure in the treatment of chronic venous ulcers. PRP is found to be useful in improving and enhancing the healing process in chronic venous leg ulcers without any side effect. Keywords:  Venous ulcer, Platelet rich plasma

scholarly journals Role of free tissue transfer in management of chronic venous ulcer

2004 ◽  
Vol 37 (01) ◽  
pp. 28-33
Author(s):  
K. Murali Mohan Reddy ◽  
D. Mukunda Reddy
Keyword(s):  
Standard Method ◽  
Satisfactory Result ◽  
Free Tissue Transfer ◽  
Working Hours ◽  
Venous Ulcer ◽  
Wide Excision ◽  
Venous Ulcers ◽  
Tissue Transfer ◽  
Chronic Problem

ABSTRACTMost of the venous ulcers will heal with the treatment of primary venous problem. But a few patients will have refractory, recurrent chronic venous ulcers causing inconvenience to the patients in terms of loss of productive working hours. There is no standard method available for treatment of this chronic problem. Our modality of treatment includes wide excision of ulcer, ligation of incompetent perforators and coverage of defect with well vascularized tissue by free tissue transfer. We have analyzed this form of treatment in five patients with satisfactory result.

Management of venous ulcers according to their anatomical relationship with varicose veins

2017 ◽  
Vol 33 (1) ◽  
pp. 44-52 ◽  
Author(s):  
Yun-Nan Lin ◽  
Tung-Ying Hsieh ◽  
Shu-Hung Huang ◽  
Chia-Ming Liu ◽  
Kao-Ping Chang ◽  
...  
Keyword(s):  
Recurrence Rate ◽  
Varicose Veins ◽  
Venous Ulcer ◽  
Perforating Veins ◽  
Venous Ulcers ◽  
Kaplan Meier ◽  
High Satisfaction ◽  
Anatomical Relationship ◽  
Primary Varicose Veins ◽  
Satisfaction Rates

Background Adequately excising varicose and incompetent perforating veins is necessary for reducing their recurrence rate of venous ulcer. Method In total, 66 venous ulcers (C6) in 1083 legs with primary varicose veins were managed through endoscopic-assisted surgery. In an endoscopic operative view, the nonvaricose, varicose, and incompetent perforating veins were clearly visualized and precisely dissected. The varicose and incompetent perforating veins were divided and completely excised. Result The varicose veins were traced to the base or periphery of the 55 ulcers. Moreover, 89.4% of the ulcers healed within 14 weeks. Kaplan–Meier analysis revealed a five-year recurrence rate of 0.0%, and the satisfaction mean score was 4.6. Conclusion Endoscopic-assisted surgery can be used to radically excise varicose veins complicated with venous ulcers; the surgery yields low recurrence and high satisfaction rates.

Evaluation of the Jobst UlcerCare System for the Treatment of Venous Ulcers

1998 ◽  
Vol 13 (4) ◽  
pp. 163-165 ◽  
Author(s):  
U. Baccaglini ◽  
E. Giraldi ◽  
G. Spreafico ◽  
P. Sorrentino ◽  
C. Castoro ◽  
...  
Keyword(s):  
Venous Ulcer ◽  
Healing Time ◽  
Complete Healing ◽  
Compression Stocking ◽  
Venous Ulcers ◽  
Ambulatory Patients ◽  
Elastic Stockings ◽  
University Of Padua ◽  
The University ◽  
Care System

Objective: To test the Jobst ulcer care system (JUCS), a combination of two elastic stockings and a dressing, for the treatment of venous ulcers. Design: Cohort study. Setting: Therapy was performed at home by the patient with weekly visits to the outpatient clinic at the teaching hospital of the University of Padua. Patients: Thirty-one consecutive ambulatory patients with confirmed venous ulcer. Treatment: Patients were instructed to wear the low-compression stocking (liner) day and night and the higher compression stocking (therapeutic stocking with zipper) during the day. The wound dressing (Cutinova foam) was changed as judged by the patient. Main outcome measures: Healing of the ulcer, and tolerance, safety and ease of using the JUCS by the patient. Results: Twenty-four patients completed the study; 23 Patients showed complete healing of the ulcer within 16 weeks and in the 24th patient the healing was completed in 18 weeks. The mean healing time was 5.8 weeks. Conclusions: The Jobst ulcer care system is effective in achieving ulcer healing and the elastic stockings showed no significant side-effects and were easy to use.

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