Prevenção de recidiva de úlcera varicosa: um estudo de coorte

Abstract

Objective: Determine the relapse rate of varicose ulcer and check the association between relapse and prevention measures adopted. Methods: Cohort study involving 50 patients over 18 years of age post-healing of varicose ulcer monitored over ten years. Relapse was assessed through direct inspection during the clinical assessment, and the preventive measures used were informed by the patient. Pearson's chi-square test was used with p ≤0.05. Results: Relapse of varicose ulcer corresponded to 62.2%, mostly in women, followed by elderly, illiterate and retired people. The following combination was effective to prevent relapses: use of compressive stockings, rest and application of moisturizer. Conclusion: The relapse rate of varicose ulcer was high and the main combination of preventive measures applied was the use of compressive stockings, rest and application of moisturizer. ResumoObjetivo: Determinar a taxa de recidiva de úlcera varicosa, e verificar a associação entre recidiva e medidas de prevenção adotadas. Métodos: Estudo de coorte com 50 pacientes maiores de 18 anos com úlcera varicosa pós-cicatrização acompanhados durante 10 anos. A recidiva foi avaliada por meio de inspeção direta durante a avaliação clínica, e as medidas de prevenção usadas foram informadas pelo paciente. Utilizou-se o teste qui quadrado de Pearson, sendo significante p-value ≤0,05. Resultados: A recidiva de úlcera varicosa foi de 62,2%, a maioria em mulheres, seguida por idosos, analfabetos e aposentados. Mostrou-se medida eficaz na prevenção de recidivas o seguinte conjunto: uso da meia de compressão, repouso e aplicar creme hidratante. Conclusão: A taxa de recidiva de úlcera varicosa foi elevada e as principais medidas de prevenção aplicadas em conjunto foram usar meia de compressão, repousar e aplicar creme hidratante.

Experiência de pessoas adultas e idosas frente à adesão aos cuidados com a úlcera varicosa

“…Regarding compression therapy, one Brazilian study carried out with 50 patients older than 18 years with post-healing VU, monitored for ten years, showed that the most significant recurrence prevention measures were the use of elastic stockings, resting, and applying hydrating cream to the skin of the lower limbs (5) .…”

“…This condition requires interventions of specialized multidisciplinary teams able to develop care based on evidence and, at the same time, encourage individuals with VU in the adherence to care, thus contributing to co-responsibility (4) . Edema treatment has practical importance for VU healing and an appropriate compression therapy is considered gold standard for the care of this type of wound (1,(4)(5) .…”

“…Scientific studies show that individuals with VU present low rates of adherence to compression therapies (4) , practice of physical activities and rest (6) , and adoption of healthy eating habits for weight control (7) . Therefore, low adherence to care aimed at VU treatment may lead to the maintenance of the wound and a high recurrence rate (62.2% of cases) (5) .…”

O cotidiano de pacientes com úlcera venosa: uma revisão integrativa

“…parcial abandono do tratamento da lesão, bem como de orientações adequadas para o auto cuidado (PEREIRA et al, 2014;BORGES et al, 2016).…”

Hyperelastic Properties of Platinum Cured Silicones and its Applications in Active Compression

“…CVD, including varicose veins and chronic venous insufficiency is one of the most common chronic medical condition, affecting around 5%-30% of adult population in the developed countries [9][10][11][12][13][14]. The sheer prevalence of varicose veins and substantial costs of treating late complications such as chronic ulcers contribute to a high burden on health systems, which accounts for a 1%-3% of total health care budget of many Western countries [15][16][17].…”