Qualidade de vida e fatores associados em pacientes com ulcera venosa

Ulcera venosa

Autores

DOI:

https://doi.org/10.31011/reaid-2023-v.97-n.3-art.1743

Palavras-chave:

Úlcera varicosa, qualidade de vida, enfermagem, estomaterapia

Resumo

Objetivo: Avaliar a qualidade de vida e fatores associados em pacientes com úlcera venosa.

Método: Estudo transversal realizado com adultos com lesões venosas atendidos pelo sistema de saúde público. Os dados foram coletados por meio de entrevista. Foi utilizado um instrumento com variáveis sócio demográficas e a escala Freiburg Life Quality Assessment – Wound. Os dados foram analisados por estatística descritiva e inferencial, com Testes de Mann Whitney e correlação de Spearman. Foi considerado um valor p<0,05 como significativo.

Resultados: Houve predominância de mulheres (52,6%), com até um ano de lesão (68,4%), que realizavam o curativo no domicilio sem ajuda (77,2%). Em relação à qualidade de vida, os domínios satisfação, sintomas físicos e vida diária tiveram menor pontuação. Obteve-se resultados significativos ao comparar gênero e tratamento (p=0,017), companheiro e satisfação (p=0,049), auxilio no curativo em casa e tratamento (p=0,007), terapia compressiva com tratamento (p=0,012) e satisfação (p = 0,013).

Conclusões: A úlcera venosa repercute negativamente na qualidade de vida das pessoas e está associada ao gênero, idade, presença do companheiro, ter auxílio no curativo em casa, uso de tratamento compressivo, recidiva e tempo de lesão.

Downloads

Não há dados estatísticos.

Referências

Madeira ACM, Oliveira LSN, Brandão ES. Self-care measures to prevent venous ulcer recurrence: a scoping review protocol. Online Braz J Nurs 2023;22 Suppl 1:e20236613. Available from: https://doi.org/10.17665/1676-4285.20236613.

Raffetto JD, Ligi D, Maniscalco R, Khalil RA, Mannello F. Why Venous Leg Ulcers Have Difficulty Healing: Overview on Pathophysiology, Clinical Consequences, and Treatment. J Clin Med [Internet]. 2020 [cited 2021 Fev 23];10(1):2-34. Available from: https://doi.org/10.3390/jcm10010029.

Vogt TV, Koller FJ, Santos PMD, Lenhani BE, Guimarães PRB, Kalinke LP. Quality of life assessment in chronic wound patients using the Wound - QoL and FLQA-Wk instruments. Invest Educ Enferm [Internet]. 2020 [cited 2021 Fev 20];38(3):e11. Available from: https://doi.org/10.17533/udea.iee.v38n3e11.

Folguera-Álvarez C, Garrido-Elustondo S, Rico-Blázquez M, Verdú-Soriano J. Factors Associated With the Quality of Life of Patients With Venous Leg Ulcers in Primary Care: Cross-Sectional Study. Int J Low Extrem Wounds [Internet]. 2020 [cited 2021 Fev 20];1534734620967562. Available from: https://doi.org/10.1177/1534734620967562.

Abbade LPF, Frade MAC, Pegas JRP, Dadalti-Granja P, Garcia LC, Filho RB, et al. [Consensus on the diagnosis and management of chronic leg ulcers - Brazilian Society of Dermatology]. An Bras Dermatol [Internet]. 2020 [cited 2021 Fev 24];95(1):1-18. Available from: https://doi.org/10.1016/j.abd.2020.06.002.

Bobbink P, Pugliese MT, Larkin P, Probst S. Nurse-led patient education for persons suffering from a venous leg ulcer in outpatient's clinics and homecare settings: A scoping review. J Tissue Viability [Internet]. 2020 [cited 2021 Fev 24];29(4):297-309. Available from: https://doi.org/10.1016/j.jtv.2020.08.006.

Probst S, Bobbink P, Séchaud L, Buehrer SM. Venous leg ulcer recurrences – The relationship to self‐efficacy, social support and quality of life – A mixed method study. J Adv Nurs [Internet]. 2021 [cited 2021 Fev 21];77(1):367-75. Available from: https://doi.org/10.1111/jan.14611.

Gohel MS, Heatley F, Liu X, Bradbury A, Bulbulia R, Cullum N, et al. Early versus deferred endovenous ablation of superficial venous reflux in patients with venous ulceration: the EVRA RCT. Health Technol Assess [Internet]. 2019 [cited 2021 Mar 02];23(24):1-96. Available from: https://doi.org/10.3310/hta23240.

Jull A, Muchoney S, Parag V, Wadham A, Bullen C, Waters J. Impact of venous leg ulceration on health‐related quality of life: A synthesis of data from randomized controlled trials compared to population norms. Wound Repair Regen [Internet]. 2018 [cited 2021 Fev 18];26(2):206-212. Available from: https://doi.org/10.1111/wrr.12636.

Miertová M, Dlugošová K, Ovšonková A, Čáp J. Chosen aspects of quality of life in patients with venous leg ulcers. Cent Eur J Nurs Midw [Internet]. 2016 [cited 2021 Mar 25];7(4):527-533. Available from: https://doi.org/10.15452/cejnm.2016.07.0025

Torre HG, Lorenzo MLQ, Pérez EP, Verdú J. Correlation between health-related quality of life and venous leg ulcer’s severity and characteristics: a cross-sectional study. Int Wound J [Internet]. 2017 [cited 2021 Mar 18];14(2):360-368. Available from: https://doi.org/10.1111/iwj.12610.

Vásquez, LJP. Health-related quality of life: Exclusion of subjectivity. Cien Saude Colet [Internet]. 2020 [cited 2021 Fev 18];25(2):693-702. Available from: https://doi.org/10.1590/1413-81232020252.16382017.

Nascimento Filho, HM, Blanes L, Castro NFGP, Prado BM, Borges DTM, Cavichioli FCT, Ferreira LM. Quality of life and self-esteem of patients with venous ulcer. Nursing [Internet]. 2021 [cited 202 jan 20]; 24(272): 5115-5127. Available from: https://doi.org/10.36489/nursing.2021v24i272p5115-5127.

Augustin M, Dieterle W, Zschocke I, Brill C, Trefzer D, Peschen M, et al. Development and validation of a disease-specific questionnaire on the quality of life of patients with chronic venous insufficiency. Vasa [Internet]. 1997 [cited 2020 Jun 20];26(4):291-301. Available from: https://pubmed-ncbi-nlm-nih.ez51.periodicos.capes.gov.br/9409180/.

Domingues EAR, Alexandre NMC, Silva JV. Cultural adaptation and validation of the Freiburg Life Quality Assessment –Wound Module to Brazilian Portuguese. Rev Latino-Am Enferm [Internet]. 2016 [cited 2019 Mar 0];24:e2684. Available from: http://dx.doi.org/10.1590/1518-8345.0289.2684.

Souza AJG, Campos SMDL, Salvetti MG, Queiroz CG, Torres GV, Costa IKF. Self-esteem of people with venous ulcers. Rev Rene [Internet]. 2017 [cited 2021 Ago 02];18(5):569-576. Available from: https://doi.org/10.15253/2175-6783.2017000500002.

Cortez DN; Moraes JT; Ferreira IR; Silva EL; Lanza FM. Costs of treating skin lesions in Primary Health Care. ESTIMA, Braz. J Enterostomal Ther [Internet]. 2019 [cited 2021 Mar 02]; 17:e2419. Available from: https://doi.org/10.30886/estima.v17.824_IN.

Jockenhöfer RF, Babadagi Z, Hoppe HD, Risse A, Rammos C, Cyrek A, et al. Association of wound genesis on varying aspects of health-related quality of life in patients with different types of chronic wounds: Results of a cross-sectional multicentre study. Int Wound J [Internet]. 2021 [cited 2021 Ago 18] 18(4):432-439. Available from: https://doi.org/10.1111/iwj.13543.

Torres SMDSSO, Araújo ROE, Costa IKF, Tibúrcio MP, Sousa AJG, Marconato PAM, et al. Health-related quality of life in patients with venous leg ulcer treated in primary care in Brazil and Portugal. PLoS One [Internet]. 2018 [cited 2021 Ago 20];13(4):e0195990. Available from: https://doi.org/10.1371/journal.pone.0195990

Santos LSF, Camacho ACLF, Oliveira BGRB, Bertanha ASM, Nogueira GA, Joaquim FL, et al. [Functional capacity of patients with venous ulcers]. Rev Nurs [Internet]. 2019 [cited 2021 Ago 17]; 22(250):2805-2813. Available from: http://www.revistanursing.com.br/revistas/250/pg100.pdf.

Silva PAS, Souza NVDO, Santos DM, Oliveira EB, Souza MB, Nascimento DC. Men with leg venous ulcers and implications for working life. Rev Enferm UERJ [Internet]. 2019 [cited 2021 Ago 02];27:e40876. Available from: http://dx.doi.org/10.12957/reuerj.2019.40876.

Oliveira AS, Correia DL, Vasconcelos KVP, Ferreira SL, Silva FAA, Alexandre SG. Venous ulcer: characterization of outpatient care at a university hospital. Estima Braz. J. Enterostomal Ther [Internet]. 2020 [cited 2021 Ago 02];18:e2320. Available from: https://doi.org/10.30886/estima.v18.928_IN.

Duffrayer KM, Joaquim FLC, Camacho ACLF. Health guidelines: strategy for promotion of functional capacity of venous ulcer patients. Rev Enferm UFPE [Internet]. 2018 [cited 2021 Ago 02];12(7):1901-1911. Available from: https://doi.org/10.5205/1981-8963-v12i7a231417p1901-1911-2018.

Alves NA, Coura AS, França ISX, Magalhães IMO, Rocha MA, Araújo RS. Access of first contact in the primary health care: an evaluation by the male population. Rev Bras Epidemiol [Internet]. 2020 [cited 2021 Ago 20];23:e200072. Available from: https://doi.org/10.1590/1980-549720200072.

Joaquim FL, Camacho ACLF, Silva RMCRA, Leite BS, Queiroz RS, Assis CRC. Impact of home visits on the functional capacity of patients with venous ulcers. Rev Bras Enferm [Internet]. 2017 [cited 2021 Ago 20]; 70(2):287-293. Available from: http://dx.doi.org/10.1590/0034-7167-2016-0291.

Atkin L, Bućko Z, Montero EC, Cutting K, C Moffatt, PA, et al. Implementing TIMERS: the race against hard-to-heal wounds. J Wound Care [Internet]. 2019 [cited 2021 Mar 22]; 28(3):S1–S49. Available from: https://doi.org/10.12968/jowc.2019.28.Sup3a.S1.

Hearn BL, Elliott B. Chronic venous insufficiency: A review for nurses. Nursing [Internet]. 2019 [cited 2021 Ago 18];49(12):24-31. Available from: https://doi.org/10.1097/01.NURSE.0000604688.03299.aa.

Hearn BL, Elliott B. Chronic venous insufficiency: A review for nurses. Nursing [Internet]. 2019 [cited 2021 Ago 18];49(12):24-31. Available from: https://doi.org/10.1097/01.NURSE.0000604688.03299.aa.

Boey J, Tang TY, Galea E. Management of venous leg ulcers with a two-layer compression bandage and a polyacrylate fibre dressing. Wound Practice Research. [Internet] 2020 [cited 2021 Ago 19];28(3):127-132. Available from: https://doi.org/10.33235/wpr.28.3.127-132.

Viana LRC, Pimenta CJL, Ferreira GRS, Oliveira JS, Costa TF, Costa KNFM. Health-related quality of life and therapeutic adherence in breast and prostate cancer. Texto Contexto Enferm [Internet]. 2021 [cited 2021 Ago 24];30:e20200217. Available from: https://doi.org/10.1590/1980-265X-TCE-2020-0217.

Finlayson K, Miaskowski C, Alexander K, Liu W, Aouizerat B, Parker C, et al. Distinct Wound Healing and Quality-of-Life Outcomes in Subgroups of Patients With Venous Leg Ulcers With Different Symptom Cluster Experiences. J Pain Symptom Manage [Internet]. 2017 [cited 2021 Ago 24];53(5):871-879. Available from: https://doi.org/10.1016/j.jpainsymman.2016.12.336.

Publicado

04-07-2023

Como Citar

1.
Goulart de Oliveira Constanci J, Nascimento Vilerá A, Malaguti Toffano SE, Teixeira Moraes J, Machado dos Santos E, Santos MA. Qualidade de vida e fatores associados em pacientes com ulcera venosa : Ulcera venosa. Rev. Enferm. Atual In Derme [Internet]. 4º de julho de 2023 [citado 19º de novembro de 2024];97(3):e023119. Disponível em: http://revistaenfermagematual.com.br/index.php/revista/article/view/1743

Edição

Seção

ARTIGO ORIGINAL