Clinical evaluation of patients with leg ulcers attended in outpatient clinic
Evaluación clínica de pacientes con úlceras de piernas en tratamiento ambulatorio
Avaliação clínica de pacientes com úlceras de perna acompanhados em ambulatório
Fernanda Rabello Sergio; Isabelle Andrade Silveira; Beatriz Guitton Renaud Baptista de Oliveira
Abstract
Objective: to perform clinical and sociodemographic evaluation of patients with leg ulcers.
Method: cross-sectional study with a quantitative approach, performed with 105 patients with leg ulcers in public outpatient clinics located in Niterói/RJ, approved by the Research Ethics Committee of the Medical School of Universidade Federal Fluminense. Data were collected from January to August 2019, analyzed by descriptive statistics and organized in tables.
Results: most were male patients (57.1%), aged between 60-80 years (60%), with incomplete primary education (45.7%) and monthly income up to 1 minimum wage (64.8%). Most ulcers were of venous etiology (76.2%), present for 40 months or more (54.3%), with size greater than 10cm2 (53.3%), having serous exudate (91.4%) in small quantity (40%) and predominance of granulation tissue (36.2%). Pain was a frequent finding, related with the leg position (31.4%).
Conclusion and implications for practice: the knowledge of the population profile and clinical characteristics of wounds favors treatment optimization, allowing specific nursing care planning.
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Resumo
Objetivo: realizar avaliação clínica e sociodemográfica de pacientes com úlceras de perna.
Método: estudo transversal, quantitativo, com 105 pacientes com úlceras de perna em ambulatórios da rede pública de Niterói/RJ, aprovado pelo Comitê de Ética em Pesquisa da Faculdade de Medicina da Universidade Federal Fluminense. Os dados foram coletados no período de janeiro a agosto de 2019, analisados por estatística descritiva e dispostos em tabelas.
Resultados: pacientes do sexo masculino (57,1%), de 60 a 80 anos (60%), com ensino fundamental incompleto (45,7%), renda de até 1 salário mínimo (64,8%). A maioria das lesões foi de etiologia venosa (76,2%), de tempo igual ou superior a 40 meses (54,3%), com tamanho maior que 10cm2 (53,3%), apresentando exsudato seroso (91,4%) em pequena quantidade (40%) e predominância de tecido granulado (36,2%). A dor foi um achado frequente, relacionada com a posição do membro (31,4%).
Conclusão e implicações para a prática: o conhecimento do perfil da população acompanhada e das características clínicas das lesões favorece a otimização do tratamento, permitindo um planejamento específico da assistência de enfermagem.
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Referências
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Submetido em:
01/05/2020
Aceito em:
21/07/2020
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