Healing of Venous Leg Ulcers Influenced by Individual Aspects: Cluster Analysis in a Specialist Wound Management Clinic.

IF 3 Q1 PRIMARY HEALTH CARE
Maria Angélica Gomes Jacinto, Adriana Catarina de Souza Oliveira, Carmelo Sergio Gómez Martínez, Thalyta Cristina Mansano Schlosser, Bruno Araújo da Silva Dantas, Gilson de Vasconcelos Torres
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Abstract

Introduction/objective: Venous Leg Ulcers (VLU) present a challenging healing process. Attaining healing is a primary treatment objective, commonly pursued in Primary Health Care (PHC) or Specialist Wound Management Clinics. Our objective was to examine the association and interplay between sociodemographic, health, clinical, and care factors with the outcomes of VLU treatment in patients undergoing care at a Specialist Wound Management Clinic.

Methods: Longitudinal, observational study took place in a center for the treatment of chronic injuries linked to PHC. The sociodemographic aspects, health status and habits, clinical and care aspects of patients with VLU were scrutinized over a 1-year period.

Results: The sample comprised 103 participants, with some still under treatment (Treatment Group-TG/ n = 60) and others having achieved VLU healing (Healing Group-HG/ n = 43). An association between sociodemographic, health, clinical, and care factors and the healing outcome (HG) was identified. A moderate correlation was observed between factors predisposing to healing in the sociodemographic group and health habits. Notably, among sociodemographic factors, the older age group and improvements in health, particularly the reduced use of alcohol/smoking, appeared to exert the most significant influence on healing. Additionally, specialized service monitoring and the application of compression therapy were contributory factors.

Conclusions: These findings substantiate the hypothesis that sociodemographic, health, clinical, and care-related aspects are intertwined with VLU healing. Protective factors associated with healing interacted synergistically, fostering a positive outcome over one year of treatment.

静脉腿部溃疡的愈合受个体因素的影响:伤口管理专科门诊的聚类分析
导言/目的:静脉腿部溃疡(VLU)的愈合过程充满挑战。实现愈合是初级卫生保健(PHC)或专科伤口管理诊所通常追求的主要治疗目标。我们的目标是研究社会人口学、健康、临床和护理因素与在伤口管理专科诊所接受治疗的 VLU 患者的治疗效果之间的关联和相互作用:方法:在一家与初级保健中心有联系的慢性损伤治疗中心进行纵向观察研究。结果:样本包括 103 名参与者,其中有 10%的患者在接受专科伤口管理诊所的治疗后病情有所改善,有 10%的患者在接受专科伤口管理诊所的治疗后病情有所好转:样本包括 103 名参与者,其中一些人仍在接受治疗(治疗组-TG/ n = 60),另一些人已实现 VLU 愈合(愈合组-HG/ n = 43)。社会人口学、健康、临床和护理因素与治愈结果(HG)之间存在关联。在社会人口学组中,观察到容易导致痊愈的因素与健康习惯之间存在中等程度的相关性。值得注意的是,在社会人口因素中,年龄较大的群体和健康状况的改善,尤其是酗酒/吸烟的减少,似乎对痊愈的影响最大。此外,专业服务监测和加压疗法的应用也是有利因素:这些发现证实了社会人口、健康、临床和护理相关方面与 VLU 愈合相互交织的假设。与痊愈相关的保护性因素相互作用,在一年的治疗过程中产生了积极的效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.80
自引率
2.80%
发文量
183
审稿时长
15 weeks
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