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Randomized Controlled Trial
. 2018 Oct;15(5):798-806.
doi: 10.1111/iwj.12930. Epub 2018 May 28.

Effectiveness of the strategies of an orientation programme for the lifestyle and wound-healing process in patients with venous ulcer: A randomised controlled trial

Elaine Aparecida Rocha Domingues  1   2 , Uiara Aline Oliveira Kaizer  1 , Maria Helena Melo Lima  1
Affiliations
Randomized Controlled Trial

Effectiveness of the strategies of an orientation programme for the lifestyle and wound-healing process in patients with venous ulcer: A randomised controlled trial

Elaine Aparecida Rocha Domingues et al. Int Wound J. 2018 Oct.

Abstract

This study aimed to evaluate the effect of strategies of a lifestyle orientation programme on patients with venous ulcer in elastic compression therapy. This was a single-blind, 2-arm, randomised clinical controlled trial. The primary outcome included the reduction of the wound surface area. The secondary outcomes included the perception of pain, questionnaire of ulcer status, and quality of life. Seventy-one patients with ulcers of venous aetiology were randomised into 2 arms: control group (CG) and intervention group (IG), with a 12-week follow up. The CG was provided with the routine guidelines of the health services. Meanwhile, the IG was provided with lifestyle guidelines regarding the physiopathology of a venous ulcer, importance of compression therapy, physical exercises and rest in 4 face-to-face and 2 telephone interviews. The IG had significant improvement on the wound healing on 30, 60, and 90 days of follow up when compared with the CG (P = .0197; P = .0472; P = .0116). There were no statistical differences between groups; both had improvement in the quality of life and pain perception. Our results demonstrated that elastic compression therapy along with guidelines on lifestyle is effective adjunctive treatment to promote wound healing in patients with leg ulcers.

Keywords: compression therapy; exercise; healing; venous leg ulcers.

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Figures

Figure 1
Figure 1
Flow of participants through study
Figure 2
Figure 2
Mean of variables: Quality of life, PUSH score, wound area, and NRS Pain
See this image and copyright information in PMC

References

    1. Gillespie DL. Venous ulcer diagnosis, treatment, and prevention of recurrences. J Vasc Surg. 2010;52(5 suppl):8S‐14S. - PubMed
    1. Markova A, Mostow EN. US skin disease assessment: ulcer and wound care. Dermatol Clin. January 2012;30(1):107‐111. - PubMed
    1. Abbade LPF, Lastoria S. Venous ulcer: epidemiology, physiopathology, diagnosis and treatment. Int J Dermatol. 2005;44:449‐456. - PubMed
    1. Alavi A, Sibbald R, Phillips T, et al. What's new: management of venous leg ulcers. Approach to venous leg ulcers. J Am Acad Dermatol. 2016;74(4):627‐640. - PubMed
    1. da Silva FA, Freitas CH, Jorge MS, Moreira TM, de Alcântara MC. Nursing in stomatherapy: clinical care for the patient with varicose ulcer. Rev Bras Enferm. 2009;62(6):889‐893. - PubMed

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