OBJECTIVES: to compare the quality of life of patients with chronic venous disease with and without ulcer and to identify the most affected aspects. METHOD: cross-sectional study with a sample of 204 patients with chronic venous disease. The quality of life was assessed with the help of the SF-36 questionnaire. To compare the scores between the groups, the Mann-Whitney test was used, considering a statistically significant difference when p<0.05. RESULTS: the quality of life score of patients with ulcer was lower when compared to that of patients without ulcer, in all domains and dimensions of the SF-36, particularly in the domains physical aspect and functional capacity, with very low scores. CONCLUSION: all aspects of quality of life were more compromised in people with ulcers. These findings can contribute towards a better understanding of the effects of chronic venous disease on the quality of life and towards a better orientation of therapeutic interventions in this population.
Aim: To investigate the content validity of the Assistance Protocol for people with venous ulcers in primary care. Method: Methodological study, conducted from September to November 2012. A set of items to consider in multidisciplinary care protocol was produced. This proposal was submitted to content validation by judges selected from the Lattes Platform. With a list of items grouped into categories, 51 judges opined in relation to whether or not to keep them in the protocol. For the analysis, we adopted the Kappa index (K) and the Content Validity Index (CVI), with the cutoff point values > 0.80. Results: Nurses and doctors participated as judges. After removing items with K or CVI values lower than those previously set, the scores of categories achieved optimal values. Conclusion: The content of the protocol was validated, representing the initial consensus-based approach for people with venous ulcers in primary care.
Objective: to characterize assistance of 88 elderly with venous ulcers attended in the tertiary and primary levels of health service in Natal city. Methods: integrative and descriptive study, from quantitative approach, with retrospective data of patients with venous ulcers who were studied in two dissertations presented at the Post-Graduate Program in Nursing/UFRN and a search report of CNPQ. Data was carried out from 2005 to 2007 through structured interview, physical examination and observation of the exchange of dressing, being organized in Excel and transported to the SPSS 14.0. These studies were approved by the Committees of Ethics in Research of the Federal University of Rio Grande do Norte (55/05; 54/05; 196/06). Results: we studied 88 elderly, mainly female sex (68,2%), literate (81,8%), outcomes two basic salary (69,3%), (52,3%) with edema (69,3%) and pain (86,4%). The main mismatches in assistance were: dressing kit (71,6%), angiologist consultation (60,2%) and monitoring specialist (56.8%). Conclusion: the assistance was considered inappropriate, mainly in the tertiary level, fragmented, with low resolution level and integration between the levels of complexity of the Public Health System. Descriptors: venous ulcerations; elderly people; health assistance.
Aims: to confirm and refine the multidisciplinary care protocolstructure for people with venous ulcers treated in primary care. Method: a methodological, quantitative study, carried out in three steps: development of the instrument from the literature review; and validation of the content, through the Delphi technique in two stages: one with 51 judges and one with 35. The analysis used the K appa index ≥0,81 and C ontent V alidity I ndex (C V I )> 0.80, and the W ilcoxon test for comparison between the two validation steps. Results: it was found that, from the 15 categories of the protocol, 12 had better scores in phase Delphi 2. For the assessment requirements of the protocol, it was found that the points awarded by the judges in the second phase were higher in nine of the 10 items, confirming the validity of the instrument. Conclusion: the elaborate and validated version by a professional consists of an approach script for patients with venous ulcer in primary care
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