Eurides Araújo Bezerra de Macêdo

Changes in patients' quality of life with venous ulcers treated at the outpatient clinic of a university hospital

Objective: to verify changes in the quality of life (QL) of clinic patients with venous ulcers (VU) in the clinic of a University Hospital in Natal city/RN, Northeast of Brazil. Method: this is about a cross-sectional, descriptive study, from quantitative approach, conducted with 50 patients with VU treated at the vascular clinic of a university hospital in Natal / RN. The study was approved by the Ethics Committee of the UFRN (No. 279/09). Data collection was performed in two months by implementing means of a structured form concerning data of socio-demographic, health, clinical and care of the patient. The data were categorized in the Microsoft Excel and processed by SPSS 15.0 by descriptive and inferential statistics. Results: the respondents have experienced discrimination of society, showed changes in quality of life after the occurrence of ulcer in relation to leisure and pain; social restriction; education and transportation; employment restrictions, financial and social progression; physical appearance and discrimination; restriction of home activity. By comparing these changes with the time of injury, it was observed that the time of injury influences the change in QL (ρ = 0.000). Conclusion: Identified that several socio-demographic factors, clinical and care are influenced by UV, reflecting on the QL of patients. Thus, denoting that the more chronic the injury is more negative changes occur in their QL. Descriptors: quality of life; venous ulcers; nursing.

Utilization the SF-36 in the assessment of quality of life related to chronic diseases: literature review

ABSTRACT Objective : identify in the Brazilian scientific literature, the utilization of the SF-36 in assessing the quality of life related to chronic diseases. Method : this is a literature systematic review study, conducted in October 2009, in the databases of BIREME using the descriptors quality of life (QL) and chronic diseases, being selected one study in BDENF and three in LILACS. In the database Google Scholar were selected 20, using as descriptors quality of life, chronic diseases and SF-36. Inclusion criteria were: studies published from 2004 to 2009, held in Brazil, available in full text and free access. The results will be presented in table form. Results : of the 24 items surveyed, 83.3% were located in Scholar Google, 12.5% in LILACS and 4.2% in BDENF. Articles predominated (79.2%) in the year 2008 (29.2%), the journal of Arquivos de Neuropsiquiatria was the most raised the issue (16.7%), chronic illness was the most discussed renal chronic disease. Conclusion : the SF-36, despite being a tool to evaluate changes in QL in the last 4 weeks has been applied to diseases with chronic obtaining satisfactory results. Descriptors : quality of life; chronic diseases; a literature review. RESUMO Objetivo : Identificar na literatura cientifica nacional a utilizacao do SF-36 na avaliacao da qualidade de vida relacionada a doencas cronicas. Metodo : revisao de literatura realizada em outubro de 2009, nas bases de dados da BIREME utilizando os descritores qualidade de vida (QV) e doencas cronicas, sendo selecionado um estudo na BDENF e tres na LILACS. Na base de dados Google Academico foram selecionados 20 estudos, usando como descritores qualidade de vida, doencas cronicas e SF-36. Os criterios de inclusao foram: estudos publicados no periodo de 2004 a 2009, realizados no Brasil, disponivel em texto completo e de acesso livre. Os resultados serao apresentados em forma de tabela. Resultados : dos 24 artigos pesquisados, 83,3% estava localizado no Google academico, 12,5% no LILACS e 4,2% na BDENF. Predominaram artigos (79,2%), no ano de 2008 (29,2%); o periodico Arquivos de Neuropsiquiatria foi o que mais abordou o tema (16,7%), a doenca cronica mais abordada foi a insuficiencia renal cronica (29,2%) e quanto a aplicabilidade, a maioria (58,3%) nao relatou dificuldades. Conclusao : o SF-36, apesar de ser um instrumento que avalie as alteracoes na QV nas ultimas 4 semanas tem sido aplicado para doencas com carater cronico obtendo resultados satisfatorios. Descritores : qualidade de vida; doencas cronicas; revisao de literatura. RESUMEN Objetivo : identificar en la literatura cientifica brasilena, el uso del SF-36 para evaluar la calidad de vida relacionada con las enfermedades cronicas. Metodo : revision de la literatura realizada en octubre de 2009, las bases de datos indexados usando palabras clave de la calidad de vida (CV) y enfermedades cronicas, siendo seleccionada 1 estudio en la BDENF y 3 en el LILACS. En la base de datos Google Scholar, fueron seleccionados 20 estudios, con los descriptores calidad de vida, enfermedades cronicas y SF-36. Los criterios de inclusion fueron: estudios publicados desde 2004 hasta 2009, realizada en Brasil, disponible en texto completo y acceso libre. Los resultados se presentan en forma tabular. Resultados : de los 24 articulos de la encuesta, 83,3% estaban localizados en Google Academico, un 12,5% en LILACS y 4,2% en BDENF. Predominaron articulos (79,2%) en el ano 2008 (29,2%), en la revista Arquivos de Neuropsiquiatria (16,7%), la enfermedad cronica mas abordada fue la insuficiencia renal cronica (29, 2%) y cuanto la aplicabilidad, la mayoria (58,3%) no informaron dificultades. Conclusion : el SF-36, a pesar de ser una herramienta para evaluar los cambios en la calidad de vida en las ultimas 4 semanas ha sido aplicado a las enfermedades cronicas con la obtencion de resultados satisfactorios. Descriptores : calidad de vida; enfermedad cronica; revision de la literatura.

Characterization socio-demographic of patients with venous ulcers treated at a university hospital

ABSTRACT Objective : to characterize sociodemographic patients with venous ulcers (UV) participating in a study developed at University Hospital, Natal/RN. Methodology : this is an analytical study of therapeutic intervention intra-group, not randomized, with 18 patients performed with UV outpatient clinic of Angiology from a university hospital in Natal/RN. D ata collection was performed in four months, through a survey instrument consisting of a structured interview applied in the patients admission to the study and an observation script checks implemented in the ten checks subsequent admission following the categorization in Microsoft Excel and processed using the SPSS 15.0 by descriptive statistics. This study has been approved by the Ethics and Research/CEP HUOL UFRN (no 276/09). Results : identified himself a predominance among patients with UV female (88.9%), equality in the two age ranges, mostly with low education (83.3%) and low family income (77.8%), with any profession (94,4%), and for the current occupation most patients were retired or unemployed (55.6%). Conclusion : it was noticed a trend of emergence of UV, in females, with socio-economic conditions unfavorable and with low education. Descriptors : venous ulcer; nursing; hospital care. RESUMO Objetivo : caracterizar sociodemograficamente os portadores de ulcera venosa (UV) participantes de um estudo desenvolvido no Hospital Universitario, Natal/RN. Metodologia : trata-se de um estudo analitico de intervencao, do tipo terapeutico, nao randomizado intragrupo, realizado com 18 portadores de UV atendidos no ambulatorio de angiologia de um hospital universitario em Natal/RN. A coleta de dados foi realizada em quatro meses, por meio de um instrumento de pesquisa composto por um roteiro de entrevista aplicado na admissao do paciente ao estudo e um roteiro de observacao implementado nas dez verificacoes subsequentes a admissao . Os dados foram categorizados no Microsoft Excel e processados no SPSS 15.0 pela estatistica descritiva, apos parecer favoravel do Comite de Etica e Pesquisa/CEP do HUOL/UFRN (no 276/09 ). Resultados : identificou-se predominância entre os portadores de UV pesquisados, do sexo feminino (88,9%), igualdade quanto as duas faixas etarias consideradas, em sua maioria, com baixa escolaridade (83,3%) e baixa renda familiar (77,8%), como tambem tinham alguma profissao (94,4%) e quanto a ocupacao atual a maioria encontrava-se aposentado/desempregado (55,6%). Conclusao : percebeu-se uma tendencia de surgimento de UV, no sexo feminino, com condicoes socio-economicas desfavoraveis e com baixo nivel de escolaridade. Descritores : ulcera venosa; enfermagem;assistencia hospitalar. RESUMEN Objetivo : caracterizar los factores sociodemograficos de los pacientes con ulceras venosas (UV) los participantes en un estudio realizado en el Hospital Universitario, Natal / RN. Metodologia : se trata de un estudio analitico de la intervencion terapeutica de tipo no aleatorio intragrupo realizado realizado con 18 pacientes en la clinica de Angiologia de un hospital universitario en Natal/RN. Los datos fueron recolectados en cuatro meses mediante una encuesta que consiste en una entrevista estructurada al ingreso en el estudio y una guia de observacion. Los datos fueron categorizados en Microsoft Excel y procesados utilizando el paquete estadistico SPSS 15.0 por estadistica descriptiva e inferencial depues de la aprobacion por el Comite de Etica de la Universidad Federal del Rio Grande do Norte/UFRN. Resultados : la prevalencia en los pacientes con UV encuestados fueron de mujeres (88,9%), igual en los dos niveles de edad considerados, en su mayoria con bajo nivel educativo (83,3%) y de bajos ingresos (77,8%), (94, 4%) tuvieron alguna ocupacion y la ocupacion actual de la mayoria de los pacientes estaban jubilados o desempleados (55,6%). Conclusion : se observo una tendencia de aparicion de UV en las mujeres, con las condiciones socio-economicas desfavorables y con bajo nivel educativo. Descriptores : las ulceras; venosas de enfermeria; atencion hospitalaria.

Preventive Actions in Pressure Ulcer Development in Intensive Care Units

Introduction: Preventive care of Pressure Ulcers have been increasingly enhanced, especially in the care of critically ill patients because they are exposed to intrinsic and extrinsic risk factors to develop them.Objective: To show the contributions of scientific productions for the Prevention of Pressure Ulcers in Intensive Care Units.Methods: Study of an integrative literature review held in April 2016. For the survey of the articles discussing the preventive action of pressure ulcers in critically ill patients, electronic searches were carried out in LILACS, SCIELO, and BDENF.Results: The sample consisted of nine studies that allow the preparation of a summary of care, education, and management, fundamental actions for a culture of prevention injuries.Conclusion: The study allowed summarizing the main care to guide the clinical practice of nurses in the daily care to critical patients.