Renata Cardoso Couto

Perfil clínico e sociodemográfico dos portadores de doença venosa crônica atendidos em centros de saúde de Maceió (AL)

BACKGROUND: Chronic venous disease (CVD) is to change the system causing a venous valvular incompetence associated with obstruction of flow or not. It affects 10 to 20% of world population, with higher prevalence in females. It presents as the most common symptoms and pain and swelling in advanced form, venous ulcer, and brings functional limitations, social isolation, affecting quality of life. OBJECTIVE: Profiling of patients with CVD, the survey data indicate that clinical and socio-demographic characteristics that may contribute to possible change of habit in the life, who for reasons of work, lack of knowledge and/or instructions had affected their routine by the disease, with consequent decline in their quality of life. METHODS: A descriptive, observational, cross-sectional study that evaluated patients with CVD treated at health centers in Maceio (AL) Brazil, applying a form for collecting data, such as CEAP, Brazil Criterion of Economic Classification Questionnaire and SF-36. RESULTS: The sample consisted of 66 patients with CVD, 83% were female and 17% male. The patients had predominantly aged between 50 and 60 years who were sedentary, assuming prolonged standing, low educational level and economic status, severe clinical disease (symptomatic C6), and quality of life variable. CONCLUSION: The results showed a predominance of females, 50 to 60 years old, with triggering factors and/or aggravating factors for development of CVD as lack of physical activity, low education and low economic income, affecting quality of life.

Tradução e adaptação cultural do Questionário Aberdeen para Veias Varicosas

BACKGROUND: Currently there is a growing interest in health assessment tools produced and validated throughout the world. Nevertheless, it is still inadequate the number of instruments that assess the impact of chronic venous disease in the life of its bearer. To use these measures it is necessary to accomplish the translation and cultural adaptation to the language in question. OBJECTIVE: Translate to Portuguese and culturally adapted for the Brazilian population the Aberdeen Varicose Veins Questionnaire (AVVQ-Brazil). METHODS: The process consisted of two translations and two back-translations performed by freelance translators, then the evaluation versions of the development of consensual version and commented pretest. RESULTS: The patients in the pre-test were female, mean age 49.9 years, average response time of 7.73 minutes, which ranged from 4.55 minutes (minimum) to 10.13 minutes (maximum time). Education: 20% functional illiteracy and first and second complete degrees; 30% first incomplete degree, and 10% third complete degree. Clinical severity: 40% C3 and C6s, 10% C2 and C5, with five misunderstood terms in the application. CONCLUSION: The Portuguese version of the Aberdeen Varicose Veins Questionnaire has been translated and adapted for use in the Brazilian population, and can be used after further analysis of their clinimetric properties, which is underway.

Tradução e adaptação cultural do Charing Cross Venous Ulcer Questionnaire - Brasil

BACKGROUND: The translation and cultural adaptation are steps that will allow an instrument created in a particular language and culture might be used in another cultural context. The Charing Cross Venous Ulcer Questionnaire (CCVUQ) is a quality of life questionnaire in English for patients with venous ulcers that need to be translated and culturally adapted to be used in Brazil. OBJECTIVE: To translate and culturally adapt to the Brazilian the CCVUQ. METHODS: The process consisted of two translations and two back translations performed by freelance translators, evaluation of versions, followed by the development of consensus version and pre-test commented. RESULTS: In the process of translating some words and expressions were changed in its literal aspect. Pre-test evaluation indicated changes were needed for better understanding of the respondent. The average time to respond to the questionnaire was 5 minutes and 23 seconds. CONCLUSION: The Portuguese version of the Charing Cross Venous Ulcer Questionnaire was translated and adapted for use in Brazilian population.

Validação no Brasil de Questionário de Qualidade de Vida na Doença Venosa Crônica (Questionário Aberdeen para Veias Varicosas no Brasil/AVVQ-Brasil)

BackgroundThere is growing global interest in validated health assessment instruments. In order to use these instruments in different countries, it is necessary to conduct translation, cultural adaptation and validation in the target language. In Brazil, there are few instruments for assessment of the impact of chronic venous disease (CVD) on the quality of life (QoL) of patients.ObjectiveTo validate the AVVQ-Brazil.MethodThis was an analytical, observational study to validate the AVVQ questionnaire with 107 individuals with CVD. The version of the AVVQ adapted for Brazilian Portuguese was administered three times. The first two administrations were successive, with a 30-minute interval (interobserver reproducibility) and the third administration took place 7 to 15 days later (intraobserver reproducibility). Internal consistency and validity were also assessed.ResultsA total of 107 people took part, 87.9% were female, mean age was 50.1 years ± 14.7; the majority had spent long periods standing up (57.0%) throughout their lives and did not engage in physical exercise (96.3%). Many had not completed primary education (25.2%); were members of economic class C2 (36.4%); and had disease severity class C4 (22.4%) or C6 (23.3%) on the CEAP scale. Interobserver and intraobserver reliability of the AVVQ were excellent. Internal consistency was excellent to moderate for the majority of domains. Spearman correlations showed that total AVVQ score and its Pain and Dysfunction domains were negatively correlated with all SF-36 domains. The Mann-Whitney test showed that patients with CEAP 1, 2 or 3 exhibited differences that were statistically significant from those with CEAP 4, 5 or 6 for total AVVQ scores and for Complications domain scores.ConclusionsThe AVVQ has been validated for Brazil and can now be used.

Fisioterapia vascular no tratamento da doença venosa crônica

Background: In chronic venous disease (CVD), vascular physiotherapy in the form of therapeutic exercises and manual lymph drainage (MLD) contributes to reducing vascular disorders, with improved venous return, reduced venous stasis and improved clinical status. Objective: To investigate the efficacy of vascular physiotherapy in treatment of CVD. Methods: A prospective, longitudinal pilot study that assessed ten patients with CVD, with CEAP classifications from 1 to 5. Patients were administered the SF-36 and AVVQ quality of life questionnaires and underwent water plethysmography and goniometry of the lower limbs. After initial assessments they were given ten 60-minute sessions of vascular physiotherapy consisting of therapeutic exercises and MLD. After treatment they were once more assessed using the same questionnaires and methods for volumetric measurement and assessment of joint movement amplitude (JMA). Results: The patients were all female, with a mean age of 43.1 years. Their predominant positions during practical activities of life was prolonged and orthostatic. The majority of the patients had a CEAP classification of C 3 and just 10% were C2. When questioned about their principal complaints, they reported feelings of heaviness and tiredness in their limbs, pain in their legs, itching and swelling. After the vascular physiotherapy sessions all patients were free from complaints. Both JMA and quality of life improved significantly after the intervention with vascular physiotherapy. Conclusions: Vascular physiotherapy contributed to controlling the clinical manifestations of CVD, improving edema and JMA, and promoting improved quality of life for patients.

Validação do questionário de qualidade de vida na úlcera venosa crônica em língua portuguesa (Charing Cross Venous Ulcer Questionnaire – CCVUQ-Brasil)

Background: The use of quality of life instruments has become widespread over recent years. There is an important questionnaire specifically designed for patients with venous ulcers, the Charing Cross Venous Ulcer Questionnaire (CCVUQ), which has already been translated into Portuguese as part of a recent study, but its psychometric properties still need to be tested to complete its validation for use in Brazil. Objectives: To validate the Portuguese version of a venous ulcer quality of life questionnaire, the CCVUQ-Brazil. Methods: The translated version of the questionnaire was administered to 50 individuals and its internal consistency was analyzed. It was re-administered (30 minutes and 7 to 15 days after the first administration) in order to test its reproducibility. Results were compared with results for the 36-Item Short Form Health Survey (SF-36) to test validity. Results: The Portuguese version is semantically and culturally similar to the original version in English. It has satisfactory internal consistency, it exhibited high correlations in tests of reproducibility and it has significant construct validity. Conclusions: The Portuguese version of the CCVUQ-Brazil has been validated for use.

Tratamento fisioterapêutico vascular para a doença venosa crônica: artigo de revisão

A fisioterapia tem papel importante no processo de prevencao e recuperacao de danos causados pela doenca venosa cronica (DVC), com tecnicas adequadas e focadas no quadro clinico da doenca, sendo entao denominada de fisioterapia vascular. O tratamento fisioterapeutico vascular precoce pode aliviar os sintomas da doenca, reduzir o risco de ulceras venosas e melhorar a qualidade de vida do portador de DVC. O objetivo desta revisao de literatura foi elaborar um protocolo de tratamento fisioterapeutico vascular, mostrando evidencias e beneficios das tecnicas da fisioterapia vascular e sugerindo como podem ser utilizadas no tratamento da DVC. Trata-se de um estudo de revisao de literatura atraves de referencias sobre o tema, considerando os materiais disponiveis nas bases de dados bibliograficos LILACS e SciELO, publicados no periodo de 1990 a 2014. Esse protocolo constitui uma proposta de tratamento direcionada as necessidades dos individuos com DVC, a fim de proporcionar uma melhor qualidade de vida.