Objective To evaluate self-esteem and body image in patients with venous leg ulcers (VLUs). Design A multicenter, prospective, descriptive, analytical, clinical study. Settings A nursing care and education center of a university hospital, a health center, and an outpatient wound care clinic in Brazil. Patients Fifty-nine consecutive adult patients with VLUs and Doppler ankle-brachial index ranging from 0.8 to 1.0 were recruited for the study. Exclusion criteria were mixed ulcers, arterial ulcers, and diabetic foot ulcers. Main outcome measures A questionnaire assessing sociodemographic and clinical characteristics of patients, the Brazilian version of the Body Investment Scale, and the Rosenberg Self-esteem (RSE)/UNIFESP-EPM (Sao Paulo da Universidade Federal de Sao Paulo-Escola Paulista de Medicina) scale were administered to all patients. Main results Most participants were women, aged between 60 and 70 years, and smokers; 33 (56%) were divorced, widowed, or single, and 26 (44%) were married. The patients had the ulcer for a mean of 5.42 years. Exudate and foul odor were present in most cases. Twenty-one ulcers (36%) measured 29 cm or less in surface area, and 17 (29%) ulcers measured between 30 and 49 cm (mean, 3.39 cm). The mean RSE score was 22.66, indicating low self-esteem. The mean Body Investment Scale total score was 27.49, and the scores on the body image and body touch subscales were also low, indicating negative feelings about the body. Conclusion Patients with VLUs had low self-esteem and negative feelings about their bodies.

The Impact of Venous Leg Ulcers on Body Image and Self-esteem.

OBJECTIVE:The objective of the study was to evaluate the association of sociodemographic factors with hope for cure and levels of religiosity and spirituality in patients with venous leg ulcers (VLUs).DESIGN:This was a primary, prospective, descriptive, analytical, clinical, nonrandomized st

Association of sociodemographic factors with hope for cure, religiosity, and spirituality in patients with venous ulcers.

Objective: To assess feelings of powerlessness in patients with venous leg ulcers. Method: An exploratory, descriptive, analytic, cross-sectional study was conducted at the Plastic Surgery outpatient Clinic of the Sao Paulo Hospital (HSP) and at the outpatient Wound-Care Clinic of the Sorocaba Hospital Complex (CHS), brazil, from may 2010 to April 2012. Sixty patients with venous leg ulcers (VLUs), of both sexes, aged s≥18 years, from the two outpatient wound-care clinics were selected to participate in the study. All participants responded to the Powerlessness Assessment Tool (PAT) for adult patients. Statistical analysis was performed using the Chi-square test, Mann-Whitney U test and Kruskal-Wallis test at a significance level of 5% (p<0.05). Results: Forty-four (73%) patients were women and 38 (63%) were aged 61–70 years. Eight (13%) patients were alcoholics and 46 (77%) were smokers. Thirty-two (53%) patients had a VLU for more than 10 years; the ulcer area ranged from 11–20 cm2 in 19 (32%) patients ...

Feelings of powerlessness in patients with venous leg ulcers

Objective : to evaluate pain in patients with lower limb venous ulcer who used non-adherent Ibuprofen foam dressing (IFD) Methods : we conducted a prospective study of patients with lower limb venous ulcers treated from April 2013 to August 2014 We used the Numerical Scale and McGill Pain Questionnaire, performing the assessments at the moment of inclusion of the patient in the study and every eight days thereafter, totaling five consultations We divided the patients into two groups: 40 in the Study Group (SG), who were treated with IFD, and 40 in the Control Group (CG), treated with primary dressing, according to tissue type and exudate Results : at the first consultation, patients from both groups reported intense pain On the fifth day, SG patients reported no pain and the majority of CG reported moderate pain Regarding the McGill Pain Questionnaire, most patients of both groups reported sensations related to sensory, affective, evaluative and miscellaneous descriptors at the beginning of data collection; after the second assessment, there was slight improvement among the patients in the SG After the third consultation, they no longer reported the mentioned descriptors CG patients displayed all the sensations of these descriptors until the fifth visit Conclusion : non-adherent Ibuprofen foam dressing is effective in reducing the pain of patients with venous ulcers

/pdf/impact-of-non-adherent-ibuprofen-foam-dressing-in-the-lives-4o3es7cjzu.pdf

Impact of non-adherent Ibuprofen foam dressing in the lives of patients with venous ulcers.

Objective To evaluate levels of spirituality and hope in patients with diabetic foot ulcers (DFUs) according to sociodemographic factors. Design This was a primary, prospective, descriptive, analytical, and clinical study. Questionnaires assessing sociodemographic and clinical characteristics of the patients, the Spirituality Self-rating Scale (SSRS), and the Herth Hope Index (HHI) were administered to all participants. Setting University-affiliated skilled nursing center and outpatient wound care clinic in Pouso Alegre, Brazil. Patients Fifty adult patients with DFUs participated in the study. Patients with ischemic diabetic foot and mixed ulcers were excluded from the study. Main results On average, patients with DFUs had low levels of spirituality (mean SSRS score, 12.6) and low hope for cure (mean HHI, 16.5). Patients younger than 60 years reported significantly lower levels of spirituality (mean SSRS scores, 11.0), and those older than 70 years had significantly lower hope for cure (mean HHI, 12.5) than other age groups (P = .040). Level of spirituality was significantly lower among women (P = .015) and those living with an ulcer for more than 2 years, who also reported significantly lower hope for cure (P = .029) compared with patients having an ulcer for less than 2 years. Conclusion On average, patients with DFUs, especially women and older adults, had a low sense of hope and spirituality. Except for gender, age, and ulcer duration, other sociodemographic and ulcer characteristics had no significant effect on the study population's spirituality and hope.

Association of Sociodemographic Factors with Spirituality and Hope in Patients with Diabetic Foot Ulcers

Objective: To assess feelings of powerlessness and hope for cure in patients with chronic venous leg ulcers (VLUs) and diabetic foot ulcers (DFUs). Method: A clinical, analytical, descriptive study was conducted from April to September 2012 in a wound-care clinic in Brazil, on consecutive patients presenting with VLUS and DFUS. The Powerlessness Assessment Tool for Adult Patients (PAT) and the Herth Hope Index (HHI) were used. Total PAT scores range 12–60 and the higher the score, the stronger the feelings of powerlessness. The HHI ranges 12–48, with higher scores indicating higher levels of hope Results: In total, 80 consecutive patients were recruited (40 VLU and 40 DFU). Mean PAT score was 53.3 ± 9.6 (range 21–60) for DFU patients and 34.3 ± 7.7 (range 21–60; p=0.001) for VLU patients, suggesting these individuals had strong feelings of powerlessness. The mean HHI was 16.5 ± 16.5 (range 12–40) for DFU patients and 27.5 ± 27.5 (range 12–40; p=0.001) for patients with VLUs, indicating low levels of hope....

Feelings of powerlessness and hope for cure in patients with chronic lower-limb ulcers.

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Feelings of powerlessness and hope for cure in patients with chronic lower-limb ulcers.