Sandra Maria da Solidade Gomes Simões de Oliveira Torres

Quality of life assessment of patients with and without venous ulcer

OBJECTIVES: to compare the quality of life of patients with chronic venous disease with and without ulcer and to identify the most affected aspects. METHOD: cross-sectional study with a sample of 204 patients with chronic venous disease. The quality of life was assessed with the help of the SF-36 questionnaire. To compare the scores between the groups, the Mann-Whitney test was used, considering a statistically significant difference when p<0.05. RESULTS: the quality of life score of patients with ulcer was lower when compared to that of patients without ulcer, in all domains and dimensions of the SF-36, particularly in the domains physical aspect and functional capacity, with very low scores. CONCLUSION: all aspects of quality of life were more compromised in people with ulcers. These findings can contribute towards a better understanding of the effects of chronic venous disease on the quality of life and towards a better orientation of therapeutic interventions in this population.OBJETIVOS: comparar a qualidade de vida de pacientes com doenca venosa cronica com e sem ulcera e identificar quais os aspectos mais afetados. METODO: estudo com desenho transversal e amostra de 204 pacientes com doenca venosa cronica. A qualidade de vida foi avaliada pelo questionario SF-36. Para comparacao dos escores entre os grupos, utilizou-se o teste Mann-Whitney, considerando-se diferenca estatisticamente significativa para p<0,05. RESULTADOS: o escore de qualidade de vida dos pacientes com ulcera foi menor, comparado ao escore dos pacientes sem ulcera, em todos os dominios e dimensoes do SF-36, com destaque para os dominios aspecto fisico e capacidade funcional, que foram muito baixos. CONCLUSAO: todos os aspectos da qualidade de vida estavam mais comprometidos nas pessoas com ulcera. Estes achados podem contribuir para melhor compreensao dos efeitos da doenca venosa cronica na qualidade de vida e melhor direcionamento das intervencoes terapeuticas nessa populacao.

Avaliação da qualidade de vida de pacientes com e sem úlcera venosa

OBJECTIVES: to compare the quality of life of patients with chronic venous disease with and without ulcer and to identify the most affected aspects. METHOD: cross-sectional study with a sample of 204 patients with chronic venous disease. The quality of life was assessed with the help of the SF-36 questionnaire. To compare the scores between the groups, the Mann-Whitney test was used, considering a statistically significant difference when p<0.05. RESULTS: the quality of life score of patients with ulcer was lower when compared to that of patients without ulcer, in all domains and dimensions of the SF-36, particularly in the domains physical aspect and functional capacity, with very low scores. CONCLUSION: all aspects of quality of life were more compromised in people with ulcers. These findings can contribute towards a better understanding of the effects of chronic venous disease on the quality of life and towards a better orientation of therapeutic interventions in this population.OBJETIVOS: comparar a qualidade de vida de pacientes com doenca venosa cronica com e sem ulcera e identificar quais os aspectos mais afetados. METODO: estudo com desenho transversal e amostra de 204 pacientes com doenca venosa cronica. A qualidade de vida foi avaliada pelo questionario SF-36. Para comparacao dos escores entre os grupos, utilizou-se o teste Mann-Whitney, considerando-se diferenca estatisticamente significativa para p<0,05. RESULTADOS: o escore de qualidade de vida dos pacientes com ulcera foi menor, comparado ao escore dos pacientes sem ulcera, em todos os dominios e dimensoes do SF-36, com destaque para os dominios aspecto fisico e capacidade funcional, que foram muito baixos. CONCLUSAO: todos os aspectos da qualidade de vida estavam mais comprometidos nas pessoas com ulcera. Estes achados podem contribuir para melhor compreensao dos efeitos da doenca venosa cronica na qualidade de vida e melhor direcionamento das intervencoes terapeuticas nessa populacao.

Nurses’ evaluation about primary health care of users with venous ulcers: study in Évora, Portugal

ABSTRACT Objective : to identify the nurses’ knowledge that work in primary health care (Evora, Portugal) about the basic aspects of venous ulcers and identify which self-evaluation of nursing care provided to injured users. Method : this was a descriptive study, was conducted with 20 nurses who work in assisting people with venous ulcers in primary health care in Evora, Portugal. It was obtained the favorable allow of the Ethics Committee (n. 100208). Data collection was performed in two months, with a structured questionnaire. Categorized data in Microsoft Excel and analyzed with SPSS 15.0. Results : the nurses had an excellent level of knowledge in the aspects of the pathophysiology (90.0%), signs and symptoms (95,5%), therapeutic (90,0%), criteria in the choice of bandage (95,0%), user orientation in the treatment and care (85,0%) and good knowledge of the criteria in the evaluation of ulcer (70,0%). The main suggestions were better coordination of multidisciplinary teams and training for nurses. Conclusion : the respondents have good technical and scientific preparation and excellent knowledge in the basics of care people with venous ulcers and assessed positively the assistance. Descriptors : primary health care; nursing; organization & administration; health care evaluation mechanisms; venous ulcer. RESUMO Objetivo : identificar o conhecimento dos enfermeiros que atuam nos cuidados de saude primarios (Evora-Portugal) a respeito dos aspectos basicos das ulceras venosas e identificar qual a auto-avaliacao dos enfermeiros da assistencia prestada aos usuarios lesionados. Metodo : trata-se um estudo descritivo, realizado com 20 enfermeiros que atuam na assistencia as pessoas com ulceras venosas nos cuidados de saude primarios em Evora, Portugal. Obteve-se parecer favoravel do Comite de Etica (parecer n. 100208). A coleta de dados foi realizada em dois meses, com aplicacao de questionario estruturado. Os dados foram categorizados no Microsoft Excel e analisados no SPSS 15.0. Resultados : os enfermeiros apresentaram excelente nivel de conhecimento nos aspectos da fisiopatologia (90,0%), sinais e sintomas (95,5%) , conduta terapeutica (90,0%) , criterios na escolha de curativo (95,0%), orientacao do usuario no tratamento e cuidados (85,0%) e bom conhecimento dos criterios na avaliacao da ulcera (70,0%). As principais sugestoes foram melhor articulacao da equipe multidisciplinar e formacao aos enfermeiros. Conclusao : os pesquisados apresentam bom preparo tecnico cientifico e excelente conhecimento nos aspectos basicos da assistencia as pessoas com ulceras venosas e avaliaram de forma positiva a assistencia. Descritores : atencao primaria a saude; enfermagem; mecanismos de avaliacao da assistencia a saude; ulcera venosa. RESUMEN Objetivo : identificar los conocimientos de las enfermeras que trabajan en la atencion primaria de salud (Evora, Portugal) sobre los aspectos basicos de las ulceras venosas e identificar que auto-evaluacion de los enfermeria de cuidados prestado a los usuarios heridos. Metodo : se realizo un estudio descriptivo, se realizo con 20 enfermeras que trabajan en la asistencia a las personas con ulceras venosas en la atencion primaria de salud en Evora, Portugal. Obtenido el dictamen favorable del Comite de Etica (protocolo n. 100208). La recoleccion de datos se realizo en dos meses, con un cuestionario estructurado. Los datos fueran clasificados en Microsoft Excel y analizados con SPSS 15.0. Resultados : las enfermeras fueron excelente nivel de conocimientos en los aspectos de la fisiopatologia (90,0%), los signos y sintomas (95,5%), terapeuticos (90,0%), los criterios en la eleccion de apositos (95,0%) , la orientacion del usuario en el conocimiento tratamiento y la atencion (85,0%) y bueno de los criterios en la evaluacion de la ulcera (70,0%). Las principales sugerencias fueron una mejor coordinacion de equipos multidisciplinares y la formacion para las enfermeras. Conclusion : los encuestados tienen una buena preparacion tecnico y cientifico y un excelente conocimiento en los aspectos basicos de la asistencia a las personas con las ulceras venosas e evaluaron positivamente la asistencia. Descriptores : atencion primaria de salud; enfermeria; organizacion & administracion; mecanismos de evaluacion de la atencion de salud, ulcera venosa.

Evaluación de la calidad de vida de pacientes con y sin úlcera venosa

OBJECTIVES: to compare the quality of life of patients with chronic venous disease with and without ulcer and to identify the most affected aspects. METHOD: cross-sectional study with a sample of 204 patients with chronic venous disease. The quality of life was assessed with the help of the SF-36 questionnaire. To compare the scores between the groups, the Mann-Whitney test was used, considering a statistically significant difference when p<0.05. RESULTS: the quality of life score of patients with ulcer was lower when compared to that of patients without ulcer, in all domains and dimensions of the SF-36, particularly in the domains physical aspect and functional capacity, with very low scores. CONCLUSION: all aspects of quality of life were more compromised in people with ulcers. These findings can contribute towards a better understanding of the effects of chronic venous disease on the quality of life and towards a better orientation of therapeutic interventions in this population.OBJETIVOS: comparar a qualidade de vida de pacientes com doenca venosa cronica com e sem ulcera e identificar quais os aspectos mais afetados. METODO: estudo com desenho transversal e amostra de 204 pacientes com doenca venosa cronica. A qualidade de vida foi avaliada pelo questionario SF-36. Para comparacao dos escores entre os grupos, utilizou-se o teste Mann-Whitney, considerando-se diferenca estatisticamente significativa para p<0,05. RESULTADOS: o escore de qualidade de vida dos pacientes com ulcera foi menor, comparado ao escore dos pacientes sem ulcera, em todos os dominios e dimensoes do SF-36, com destaque para os dominios aspecto fisico e capacidade funcional, que foram muito baixos. CONCLUSAO: todos os aspectos da qualidade de vida estavam mais comprometidos nas pessoas com ulcera. Estes achados podem contribuir para melhor compreensao dos efeitos da doenca venosa cronica na qualidade de vida e melhor direcionamento das intervencoes terapeuticas nessa populacao.

Self-efficacy, self-esteem and adherence to treatment in people with venous ulcer in primary health care

To analyze the correlation between self-efficacy, self-esteem and adherence to treatment with the Charing Cross Venous Ulcer Questionnaire in people with Venous Ulcer in Primary Health Care. This is a cross-sectional, descriptive and quantitative study, carried out between February and September 2014 at the Primary Health Care of the city of Natal, Rio Grande do Norte, Brazil, with 101 people with VU. A structured form of sociodemographic, health and care characterization; Charing Cross Venous Ulcer Questionnaire; Self-efficacy Scale for Chronic Pain; Multidimensional Therapeutic Adherence Scale; Rosenberg Self-Esteem Scale were used to collect data. The data were tabulated in Microsoft Excel and exported to the Statistical Package for Social Sciences 20.0, in which descriptive and inferential analyses were performed. There were weak to moderate correlations, mostly positive, with significance only between the “emotional state” of Quality of Life and the “Healthy lifestyle” of adherence to treatment. About the correlations of the Charing Cross Venous Ulcer Questionnaire domains with the domains of self-efficacy, self-esteem, there were negative correlations between weak and moderate and significant. Self-efficacy, self-esteem and adherence to treatment showed a correlation with Quality of Life. There is a need to address them in the health evaluation of the person with VU, seeking to impact on a better quality of life.