Made available in DSpace on 2014-12-17T14:46:46Z (GMT). No. of bitstreams: 1
IsabelleKFC_DISSERT.pdf: 1938690 bytes, checksum: 22cd4a4b6a66ab1a100e508363b67a58 (MD5)
Previous issue date: 2011-03-29 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / Venous ulcer (VU) is a lower limbs injury resulting from inadequate return of venous blood in feet or legs. Although it is not a deadly disease, it causes chronic wounds, which seriously undermine patients? quality of life (QOL) and sometimes leads to drastic family, social, economic and psychological changes. In this sense, there are several aspects that may influence the venous ulcers patients? QOL. The study?s objective aimed on the association of socio-demographic and health, health care and clinical injury on UV patients‟ QOL. Analytical studies, which consider the complexity of factors involved in changes in UV patients‟ QOL has a cross-sectional and quantitative approach. The HUOL Ethics Committee approved this project (n.279/09). The collection of data lasted a period of 3 months in 2010 and it took place at the clinic of Angiology at Hospital Universit?rio Onofre Lopes (HUOL). The data sample consisted of 60 patients treated by UV angiologists in the HUOL Surgical Clinic. The results were analyzed with SPSS 15.0 by descriptive and inferential statistics. The study was based on UV patients that were predominantly female, average age of 61.4 years, that had low education level and low family income, with occupations requiring long periods of standing or sitting, but mostly retired, unemployed or laid off due to the disease and/or due to chronic diseases associated with the UV. The study took also into consideration patients that used inappropriate products, that were improperly treated by a professional caregiver, that lacked of adequate guidance and compression therapy, that performed no lifting of the lower limbs and regular exercise, that the time of injury were greater than or equal to six months, that were missing specific laboratory tests. The study‟s reference were on recurrent lesions, medium to large lesions area, bed of the lesion (injuries) with fibrin and/or necrosis, with amount of exudate with medium to large, odorless and no signs of infection, with tissue loss between 1st and 2nd degree, without collecting swab or biopsy and with pain. In general, QOL of researched individuals were considered low, the maximum score was 69 points, which the areas that were mostly influenced were the total scores of QOL functional capacity (0.021), emotional (0.000) and social functioning (0.080). Of the 60 individuals, 53.3% had scores between 40 and 69 points in SF-36, and they had the best scores in sociodemographic and health variables (ρ = 0.049). In respect to the assistance and injury characteristics, patients who scored between 40 and 69 points in SF-36 had better scores on these characteristics. By combining the socio-demographic variables, health, and handling characteristics of the injury, we observed a significant difference (ρ = 0.032) when linking them with the QOL total scores. When analyzing separately the domains of the SF-36 scores on the quality of life, we find that the areas that showed statistical significance were functional ability (ρ = 0.035), appearance (ρ = 0.019), emotional (ρ = 0.000), and mental health (ρ = 0.050). Among the socio-demographic characteristics studied, gender and marital status contributed more to the reduction of QOL and among the variables of assistance and the injury, orientation, reference and area of UV contributed the most. By analyzing these five variables all together in accordance with the overall score obtained in the quality of life, we found a significant correlation (ρ = 0.002); with 6.23 times more chances of patients have better QOL in the presence of these five positive factors. By conducting the Mann Whitney U test between all the five demographic variables, health, and clinical care, we found that this combination also proved to be significant (ρ = 0.006). Therefore, patients with these five variables positive tend to have a better QOL. Based on these results, we reject the null hypothesis (H0) and accept the alternative hypothesis (H1) proposed in this study because we noted that the QOL of patients with UV is associated with sociodemographic and health, health care and clinical aspects of the injury / A ?lcera Venosa (UV) ? uma les?o dos membros inferiores resultante do inadequado retorno de sangue venoso nos p?s ou pernas. Embora n?o fatais, tais feridas cr?nicas comprometem seriamente a qualidade de vida (QV) dos doentes trazendo mudan?as por vezes dr?sticas no ?mbito familiar, social, econ?mico e psicol?gico. Nesse sentido, s?o diversos os aspectos que podem estar associados ? QV da pessoa com UV. O estudo teve o objetivo de analisar a associa??o dos aspectos sociodemogr?ficos e de sa?de, de assist?ncia ? sa?de e cl?nicos da les?o na QV dos portadores de UV. Estudo anal?tico, com delineamento transversal e abordagem quantitativa. O projeto obteve parecer favor?vel do Comit? de ?tica do HUOL (n.279/09). A coleta de dados realizou-se no ambulat?rio de angiologia do Hospital Universit?rio Onofre Lopes (HUOL), num per?odo de tr?s meses em 2010. A amostra foi de 60 pessoas com UV atendidos por angiologistas no ambulat?rio de Cl?nica Cir?rgica do HUOL. Os resultados foram processados no programa SPSS 15.0 por estat?stica descritiva e inferencial. Identificamos usu?rios com UV predominantemente do sexo feminino, idade m?dia de 61,4 anos, baixo n?vel de escolaridade e de renda familiar, com profiss?es que exigiam longos per?odos em p? ou sentados, aposentados, desempregados ou afastados do trabalho devido ? doen?a e com doen?as cr?nicas associadas, em uso de produtos inadequados, curativos realizados por profissional ou cuidador sem treinamento, aus?ncia de terapia compressiva e orienta??es adequadas, sem realizar eleva??o de membros inferiores e exerc?cios regulares, com tempo de les?o maior ou igual a seis meses, falta de exames laboratoriais espec?ficos, sem registro no prontu?rio, com les?es recidivantes, ?rea de m?dia a grande, leito da les?o com fibrina e/ou necrose, exsudato com quantidade de m?dia a grande, sem odor e sinais de infec??o, perda tecidual entre grau I e II, sem coleta de swab ou biopsia e com presen?a de dor. Em geral, a QV dos pesquisados foi considerada baixa, com pontua??o m?xima de 69 pontos. Sendo os dom?nios que mais influenciaram nos escores totais da QV a capacidade funcional (0,021), aspecto emocional (0,000) e aspecto social (0,080). Dos 60 pesquisados, 53,3% tiveram pontua??o entre 40 a 69 pontos no SF-36, e apresentaram os escores melhores nas vari?veis sociodemogr?ficas e de sa?de (ρ=0,049). Quanto ?s caracter?sticas da assist?ncia e da les?o, os pacientes que tiveram pontua??o entre 40 a 69 pontos no SF-36 apresentaram escores melhores em tais caracter?sticas. Ao associar as vari?veis sociodemogr?ficas, de sa?de, caracter?sticas da assist?ncia e da les?o, verificamos que houve uma diferen?a significante (ρ=0,032) ao relacion?-las com o escore total da QV. Analisando separadamente os dom?nios do SF-36 com os escores obtidos na QV, verificamos que os dom?nios que apresentaram signific?ncia estat?stica foram a capacidade funcional (ρ= 0,035), aspecto f?sico (ρ= 0,019), aspecto emocional (ρ= 0,000) e sa?de mental (ρ= 0,050). Dentre as caracter?sticas sociodemogr?ficas estudadas, o sexo e estado civil contribu?ram mais para a redu??o da QV; e entre as vari?veis da assist?ncia e da les?o destacam-se as vari?veis: orienta??es, refer?ncia e ?rea da UV. Ao analisarmos o conjunto dessas cinco vari?veis de acordo com o escore geral obtido na QV, verificamos correla??o significativa (ρ= 0,002), sendo 6,23 vezes maior a chance de os pacientes apresentarem melhor QV na presen?a desses cinco fatores positivos. Ao realizarmos o Teste de Mann Whitney U entre o conjunto das cinco vari?veis sociodemogr?ficas, de sa?de, cl?nica e assistencial, verificamos que tal conjunto tamb?m demonstrou ser significativo (ρ=0,006). Portanto, os pacientes que apresentam essas cinco vari?veis positivas tendem a ter melhor QV. Diante dos resultados obtidos, rejeitamos a hip?tese nula (H0) e aceitamos a hip?tese alternativa (H1) proposta no estudo, pois evidenciamos que a QV dos portadores de UV est? associada aos aspectos sociodemogr?ficos e de sa?de, de assist?ncia ? sa?de e dos aspectos cl?nicos da les?o
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/14714 |
| Date | 29 March 2011 |
| Creators | Costa, Isabelle Katherinne Fernandes |
| Contributors | CPF:51326728415, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4708368Z6&dataRevisao=null, Ara?jo, Ednaldo Cavalcante de, CPF:44284721453, http://lattes.cnpq.br/7392652886296731, Miranda, Francisco Arnoldo Nunes de, CPF:04960360330, http://lattes.cnpq.br/9242337504601387, Tourinho, Francis Solange Vieira, CPF:78150361987, http://lattes.cnpq.br/5614479933447169, Torres, Gilson de Vasconcelos |
| Publisher | Universidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Enfermagem, UFRN, BR, Assist?ncia ? Sa?de |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
Page generated in 0.0025 seconds