Obstáculos y apoyos percibidos en la aplicación de terapia compresiva en úlceras venosas de la pierna

  1. Camilo Daniel Raña-Lama
  2. María Ángeles Bouza-Prego
  3. Jesús Luís Saleta-Canosa
  4. José María Rumbo-Prieto
  5. Luis Arantón-Areosa
Revista:
ENE Revista de Enfermería

ISSN: 1988-348X

Ano de publicación: 2016

Número: 10

Tipo: Artigo

Outras publicacións en: ENE Revista de Enfermería

Resumo

Objective: To identify barriers and facilitators perceived by nurses in relation to the application of compression therapy at uncomplicated venous leg ulcers. Method: Descriptive, exploratory qualitative study. An intentional, convenience and voluntary sampling was done into nursing professionals of the mailing list of the National Group for the Study and Consulting Pressure Ulcers and Chronic Wounds with experience giving care to patients with venous leg ulcers. The information was collected by an ad hoc self-administered questionnaire on line. The analysis of the socio-professional variables was done using descriptive statistics; narrative data were analyzed using thematic content analysis. Results: We obtained the response of 123 participants. The age range was 46.7 years; 65.9% were women, professional experience of 22.6 years; 51.2% worked in primary health care, 34.1% in hospital, 9.8% in socio-health centers and 4.9% elsewhere. Following the narrative analysis identified three thematic categories: 1) Elements attributed to health care professionals 2) Elements attributed to patients 3) Elements attributed to health /society system. Discussion: The low use of compressive therapy in clinical practice is a reality that must be reversed, through the involvement of professionals and healthcare managers by following and implementation the recommendations for clinical practice based on scientific evidence, the patients' preferences, the experience of clinicians and, in the availability of instrumental and/or materials resources.

Referencias bibliográficas

  • Nettel, F, Rodríguez, N, Rodríguez, N, Nigro, J, González, M, Conde, A, Muñoa, A. (2013). Primer Consenso Latinoamericano de úlceras Venosas: Resumen. Rev Mex Angiol.. 41. 95-126
  • Verdú-Soriano, J, Marinel·lo, J, Armans, E, Carreño, P, March, JR, Soldevilla-Agreda, JJ. (2009). Conferencia Nacional de Consenso sobre úlceras de la Extremidad Inferior: Documento de Consenso C.O.N.U.E.I. EdikaMed. Barcelona.
  • Asociación Española de Enfermería Vascular y Heridas (AEEVH). (2014). Guía de Práctica Clínica: Consenso sobre úlceras Vasculares y Pie Diabético. AEEVH. Sevilla.
  • Fonseca, C, Franco, T, Ramos, A, Silva, C. (2012). A pessoa com úlcera de perna, intervenção estruturada dos cuidados de enfermagem: revisção sistemática da literatura. Rev Esc Enferm USP. 46. 480
  • Do Prado Firmino, MR, De Oliveira Araújo, J, Sanches Bermudes, JP, De Fátima Mantovani, M, Verdú Soriano, J, Castanho Moreira, R. (2013). Prevalencia de úlceras de pierna en la región sur de Brail. Gerokomos. 24. 179
  • Ylnen, M, Stolt, M, Leino-Kilpi, M, Suhonen, R. (2014). Nurses' knowledge about venous leg ulcer care: a literature review. Int Nurs Rev.. 61. 194-202
  • González-Consuegra, RV, Verdú-Soriano, J. (2010). Proceso de adaptación al castellano del Charing Cross Venous Ulcer Questionnaire (CCVUQ) para medir la calidad de vida relacionada con la salud en pacientes con úlceras venosas. Gerokomos. 21. 80
  • Álvarez-Fernández, LJ, Lozano, F, Marinel·lo-Roura, J, Masegosa-Medina, JA. (2008). Encuesta Epidemiológica sobre la Insuficiencia Venosa Crónica en España: Estudio DETECT-IVC 2006. Angiología. 60. 27-36
  • Green, J, Jester, R. (2010). Health-related quality of life and chronic venous leg ulceration: Part 2. Br J Community Nurs.. 15. 4-6810
  • Marinel·lo-Roura, J. (2011). Úlceras de la Extremidad Inferior. 2. Glosa. Barcelona.
  • González-Consuegra, RV, Verdú-Soriano, J. (2011). Quality of life in people with venous leg ulcer: an integrative review. J Adv Nurs.. 67. 926
  • Lopes de Figueirido, M, Bonato Zuffi, F. (2012). Atención a pacientes con úlcera venosa: percepción de los enfermeros de Estrategia de Salud Familiar. Enferm Glob.. 28. 137
  • Wound, Ostomy, and Continence Nurses Society (WOCN). (2011). Guidelines for management of wounds in patients with lower-extremity venous disease. WOCN. Mount Laurel^eNJ NJ.
  • Scottish Intercollegiate Guidelines Network (SIGN). (2010). Management of chronic venous leg ulcers: A National Clinical Guideline. SIGN. Edinburgh.
  • Australian Wound Management Association (AWMA), New Zealand Wound Care Society (NZWCS). (2011). Australian and New Zealand Clinical Practice Guideline for Prevention and Management of Venous Leg Ulcer. Cambridge publishing.
  • O´Donnell, TF, Passman, MA, Marston, WA, Ennis, WJ, Dalsing, M, Kistner, RL. (2014). Management of Venous Leg Ulcers: Clinical Practice Guidelines of the Society for Vascular Surgery and the American Venous Forum. J Vasc Surg.. 60. 3-59
  • O´Meara, S, Cullum, N, Nelson, EA, Dumville, JC. (2012). Compression for venous leg ulcers. Cochrane Database Syst Rev.. 14.
  • Nelson, EA, Hillman, A, Thomas, K. (2014). Intermittent pneumatic compression for treating venous leg ulcers. Cochrane Database Syst Rev.. 12.
  • Calderón Gómez, C, Fernández-Sanmamed Santos, MJ. (2014). Atención Primaria: Conceptos, organización y práctica clínica. 7. Elsevier. Barcelona.
  • Van Hecke, A, Beeckman, D, Grypdonck, M, Meuleneire, F, Hermie, L, Verhaeghe, S. (2013). Knowledge deficits and information-seeking behavior in leg ulcer patients: an exploratory qualitative study. J Wound Ostomy Continence Nurs.. 40. 381
  • Folgueira-Álvarez, C, Verdú-Soriano, J. Why do patients with venous ulcers not adhere to compression therapy treatment?. Abstract book. 24 Conference of the European Wound Management Association, EWMA-GNEAUPP. Madrid. 2014, may 24.
  • Folgueira-Álvarez, C, Verdú-Soriano, J. Why do patients with venous ulcers not adhere to compression therapy treatment?. Abstract book. 24 Conference of the European Wound Management Association, EWMA-GNEAUPP. Madrid. 2014, may 24.