Elaine Aparecida Rocha Domingues

Pain prevalence, socio-demographic and clinical features in patients with chronic ulcers *

Chronic wounds are considered a worldwide epidemic and pain is the most frequently symptom referred by the patients who have this type of wound. The aim was to assess the prevalence of pain in chronic wounds and relate socio-demographic and clinical variables to pain. This is an analytical cross-sectional study, carried out in Basic Health Units (BHU), Family Health Strategy (ESF) and in a university hospital in two cities of Minas Gerais. 200 individuals who had chronic ulcers of different etiologies participated. Data collection took place between October 2012 and January 2013. The majority of participants (69%) reported they were in pain during the interview. Subjects with higher education had more pain. Patients with venous ulcers had less severe pain, and arterial ulcers were responsible for scoring the highest value of pain. It was found that most patients with chronic wounds feel pain; its intensity depends on the type of wound and this symptom should be recognized while caring for these patients.

Effectiveness of the strategies of an orientation programme for the lifestyle and wound‐healing process in patients with venous ulcer: A randomised controlled trial

This study aimed to evaluate the effect of strategies of a lifestyle orientation programme on patients with venous ulcer in elastic compression therapy. This was a single‐blind, 2‐arm, randomised clinical controlled trial. The primary outcome included the reduction of the wound surface area. The secondary outcomes included the perception of pain, questionnaire of ulcer status, and quality of life. Seventy‐one patients with ulcers of venous aetiology were randomised into 2 arms: control group (CG) and intervention group (IG), with a 12‐week follow up. The CG was provided with the routine guidelines of the health services. Meanwhile, the IG was provided with lifestyle guidelines regarding the physiopathology of a venous ulcer, importance of compression therapy, physical exercises and rest in 4 face‐to‐face and 2 telephone interviews. The IG had significant improvement on the wound healing on 30, 60, and 90 days of follow up when compared with the CG (P = .0197; P = .0472; P = .0116). There were no statistical differences between groups; both had improvement in the quality of life and pain perception. Our results demonstrated that elastic compression therapy along with guidelines on lifestyle is effective adjunctive treatment to promote wound healing in patients with leg ulcers.

ADAPTAÇÃO CULTURAL E VALIDAÇÃO DA ESCALA PARA AVALIAR AS CAPACIDADES DE AUTOCUIDADO

Resumo Introdução: A obtenção do autocuidado é o objetivo da enfermagem, pois é um indicativo de qualidade da saúde. Objetivo: realizar a adaptação transcultural e validação da Escala Para Avaliar as Capacidades de Autocuidado. Casuística e Métodos: após a tradução, análise das equivalências e backtranslation, o instrumento foi aplicado em 316 participantes, sendo 216 pessoas da comunidade e 108 pacientes hospitalizados. Resultados: o Alfa de Cronbach foi 0,8493 para o total de entrevistados; 0,8614, para as pessoas da comunidade e 0,8158, para os pacientes hospitalizados. A análise do teste-reteste mostrou concordância entre as respostas (r = 0,873; p = 0,035). A validação concorrente indicou que a Escala de Interesse/Preocupação Com a Saúde se correlacionou com a Escala Para Avaliar as Capacidades de Autocuidado (r = 0,429; p < 0,001). A validação discriminante registrou que não existe diferença entre as capacidades de autocuidado das pessoas da comunidade e hospitalizadas (p = 0,116). Conclusão: os resultados são indicativos de que a Escala Para Avaliar as Capacidades de Autocuidado, adaptada culturalmente, é uma alternativa útil para estudos que se propõem a avaliar as capacidades de autocuidado.

Adaptação cultural e validação do Freiburg Life Quality Assessment-Wound para a língua portuguesa do Brasil

Objetivos: adaptar el Freiburg Life Quality Assessment-Wound para la lengua portuguesa de Brasil y medir sus propriedades psicometricas: confiabilidad y validez; Metodo: la adaptacion cultural fue realizada siguiendo las siguientes etapas de traduccion: a) sintesis de las traducciones, b) retrotraduccion, c) comite de especialistas, d) preprueba y c) grupo focal. Participaron del estudio 200 pacientes con heridas cronicas, reclutados en Unidades Basicas de la Salud, Estrategia de la Salud de la Familia y en hospital filantropico y universitario. La confiabilidad fue evaluada por la consistencia interna y la estabilidad; La validez fue verificada por medio de la correlacion de los valores del instrumento con los dos dominios del Indice de Calidad de Vida Ferrans y Powers−Version Heridas y con la puntuacion de calidad de vida de la escala visual analogica. Resultados: el instrumento presento consitencia interna adecuada (alfa de Cronbach 0,86) y alta estabilidad en la preuba y repreuba (0,93). La validez presento correlaciones de moderada magnitud y significativas (-0,24 la -0,48, p<0,0001). Conclusion: los resultados indicaron que la version adaptada presento medidas psicometricas confiables y validas para la poblacion con heridas cronicas, en la cultura brasilena.Objectives: to adapt the Freiburg Life Quality Assessment - Wound Module to Brazilian Portuguese and to measure its psychometric properties: reliability and validity. Method: the cultural adaptation was undertaken following the stages of translation, synthesis of the translations, back translation, committee of specialists, pre-test and focus group. A total of 200 patients participated in the study. These were recruited in Primary Care Centers, Family Health Strategy Centers, in a philanthropic hospital and in a teaching hospital. Reliability was assessed through internal consistency and stability. Validity was ascertained through the correlation of the instruments values with those of the domains of the Ferrans and Powers Quality of Life Index - Wound Version and with the quality of life score of the visual analog scale. Results: the instrument presented adequate internal consistency (Cronbach alpha =0.86) and high stability in the test and retest (0.93). The validity presented correlations of moderate and significant magnitude (-0.24 to -0.48, p<0.0001). Conclusion: the results indicated that the adapted version presented reliable and valid psychometric measurements for the population with chronic wounds in the Brazilian culture.

Cultural adaptation and validation of the Freiburg Life Quality Assessment--Wound Module to Brazilian Portuguese.

Objetivos: adaptar el Freiburg Life Quality Assessment-Wound para la lengua portuguesa de Brasil y medir sus propriedades psicometricas: confiabilidad y validez; Metodo: la adaptacion cultural fue realizada siguiendo las siguientes etapas de traduccion: a) sintesis de las traducciones, b) retrotraduccion, c) comite de especialistas, d) preprueba y c) grupo focal. Participaron del estudio 200 pacientes con heridas cronicas, reclutados en Unidades Basicas de la Salud, Estrategia de la Salud de la Familia y en hospital filantropico y universitario. La confiabilidad fue evaluada por la consistencia interna y la estabilidad; La validez fue verificada por medio de la correlacion de los valores del instrumento con los dos dominios del Indice de Calidad de Vida Ferrans y Powers−Version Heridas y con la puntuacion de calidad de vida de la escala visual analogica. Resultados: el instrumento presento consitencia interna adecuada (alfa de Cronbach 0,86) y alta estabilidad en la preuba y repreuba (0,93). La validez presento correlaciones de moderada magnitud y significativas (-0,24 la -0,48, p<0,0001). Conclusion: los resultados indicaron que la version adaptada presento medidas psicometricas confiables y validas para la poblacion con heridas cronicas, en la cultura brasilena.Objectives: to adapt the Freiburg Life Quality Assessment - Wound Module to Brazilian Portuguese and to measure its psychometric properties: reliability and validity. Method: the cultural adaptation was undertaken following the stages of translation, synthesis of the translations, back translation, committee of specialists, pre-test and focus group. A total of 200 patients participated in the study. These were recruited in Primary Care Centers, Family Health Strategy Centers, in a philanthropic hospital and in a teaching hospital. Reliability was assessed through internal consistency and stability. Validity was ascertained through the correlation of the instruments values with those of the domains of the Ferrans and Powers Quality of Life Index - Wound Version and with the quality of life score of the visual analog scale. Results: the instrument presented adequate internal consistency (Cronbach alpha =0.86) and high stability in the test and retest (0.93). The validity presented correlations of moderate and significant magnitude (-0.24 to -0.48, p<0.0001). Conclusion: the results indicated that the adapted version presented reliable and valid psychometric measurements for the population with chronic wounds in the Brazilian culture.

Adaptación cultural y validación del Freiburg Life Quality Assessment-Wound para la lengua portuguesa de Brasil

Objetivos: adaptar el Freiburg Life Quality Assessment-Wound para la lengua portuguesa de Brasil y medir sus propriedades psicometricas: confiabilidad y validez; Metodo: la adaptacion cultural fue realizada siguiendo las siguientes etapas de traduccion: a) sintesis de las traducciones, b) retrotraduccion, c) comite de especialistas, d) preprueba y c) grupo focal. Participaron del estudio 200 pacientes con heridas cronicas, reclutados en Unidades Basicas de la Salud, Estrategia de la Salud de la Familia y en hospital filantropico y universitario. La confiabilidad fue evaluada por la consistencia interna y la estabilidad; La validez fue verificada por medio de la correlacion de los valores del instrumento con los dos dominios del Indice de Calidad de Vida Ferrans y Powers−Version Heridas y con la puntuacion de calidad de vida de la escala visual analogica. Resultados: el instrumento presento consitencia interna adecuada (alfa de Cronbach 0,86) y alta estabilidad en la preuba y repreuba (0,93). La validez presento correlaciones de moderada magnitud y significativas (-0,24 la -0,48, p<0,0001). Conclusion: los resultados indicaron que la version adaptada presento medidas psicometricas confiables y validas para la poblacion con heridas cronicas, en la cultura brasilena.Objectives: to adapt the Freiburg Life Quality Assessment - Wound Module to Brazilian Portuguese and to measure its psychometric properties: reliability and validity. Method: the cultural adaptation was undertaken following the stages of translation, synthesis of the translations, back translation, committee of specialists, pre-test and focus group. A total of 200 patients participated in the study. These were recruited in Primary Care Centers, Family Health Strategy Centers, in a philanthropic hospital and in a teaching hospital. Reliability was assessed through internal consistency and stability. Validity was ascertained through the correlation of the instruments values with those of the domains of the Ferrans and Powers Quality of Life Index - Wound Version and with the quality of life score of the visual analog scale. Results: the instrument presented adequate internal consistency (Cronbach alpha =0.86) and high stability in the test and retest (0.93). The validity presented correlations of moderate and significant magnitude (-0.24 to -0.48, p<0.0001). Conclusion: the results indicated that the adapted version presented reliable and valid psychometric measurements for the population with chronic wounds in the Brazilian culture.