Qualidade de vida em pacientes com úlcera venosa em terapia compressiva por bota de Unna

Abstract

Salomé GM & Ferreira LM Quality of life in patients with venous ulcers treated with Unna's boot compressive therapy Qualidade de vida em pacientes com úlcera venosa em terapia compressiva por bota de Unna ABSTRACT Background: Venous ulcers are a major public health problem worldwide and are responsible for considerable economic impact because of their high incidence. In addition to restricting daily living and leisure activities, they may result in changes in quality of life and self-esteem, and even lead to depression. The aim of this study is to evaluate the quality of life in patients with venous ulcers who are being treated with Unna's boot compression therapy. Methods: Fifty patients with venous ulcers treated at the Conjunto Hospitalar de Sorocaba were enrolled. Data were collected using the Short Form-36 (SF-36) health survey upon inclusion in the study and after 4, 8, and 12 months of compression therapy. Results: Initial mean SF-36 scores were low (15.10), indicating decreased quality of life. After 12 months of Unna's boot compression therapy, the mean SF-36 score was 95.38, indicating improved quality of life (P = 0.0001). Conclusions: Patients with venous ulcers at the beginning of data collection had lower quality of life but improved after 8 months of treatment with Unna's boot compression therapy.

Tecnologia Bota De Unna Na Cicatrização Da Úlcera Varicosa

“…Nesta pesquisa, o ensino fundamental prevaleceu entre os portadores de úlceras varicosas. Segundo afirmação feita em estudo nacional (15) , este perfil de baixa escolaridade é esperado em pacientes que buscam assistência em um ambulatório de serviço público de saúde, bem como o baixo poder aquisitivo.…”

“…A dor pode ocasionar dificuldade de locomoção, mudança de humor, alterações no relacionamento familiar e convívio social (15) . Nesta pesquisa os pacientes referiram dor moderada e intensa, dados que corroboram com a literatura.…”

Unna's boot: experience of care of people with venous ulcers

“…It evidenced that the use of compression stockings, rest, and the application of a moisturizing cream in the lower limbs (LL) had been considered efficient measures for the prevention of these recurrences (2) . With this epidemiological scenario, there is a need to improve the care of these people, which should include the routine use of compression therapy (CT), and guidelines on basic hygiene care, feeding, rest and physical activity, aiming at healing and prevention of recurrence, and contributing to the improvement of the quality of life of people who live with this health problem (1,3) . Compression therapy is the main care to be provided to this public, both to promote healing and to prevent recurrences (4) .…”

“…In Brazil, Unna's boot is the most known and used inelastic CT in clinical practice (6) . Studies show positive results regarding the use of Unna's boot for treating CVU concerning healing rates (7) , functional capacity (8) , self-esteem improvement (6) , and quality of life (3) . However, CT can be a challenge for the care of people with CVU, mainly regarding the continuity of its use, considering the adaptations that this therapy requires in people's daily lives (9) .…”

Microorganisms present after use of Unna’s boot from ulcers venous patient

“…8 O caráter recidivante e a alta prevalência desta lesão provoca desgaste emocional tanto ao paciente como a sua família. 12 Além de gerar dependência dos serviços de saúde, constituindo um importante problema de saúde pública, e assumir uma importante magnitude no que se refere à repercussão social e econômica em termos de dias de trabalho perdidos, acarreta uma diminuição da qualidade de vida, 9,11,13 gerando, assim, problemas socioeconômicos tanto para o seu portador como para as organizações de saúde e sociedade. 9,14,15 É importante reconhecer e tratar as complicações das úlceras crônicas, que são, sobretudo as infecções de partes moles, dermatite de contato, osteomielites e, mais raramente, transformação neoplásica.…”