Nursing Interventions Aimed at Persons with Venous Ulcers: an Integrative Review

14 páginas

Autores:: Cifuentes Rodriguez, Johana Enyd
Guerrero Gamboa, Sandra

Tipo de recurso:

Fecha de publicación:: 2020

Institución:: Universidad de la Sabana

Repositorio:: Repositorio Universidad de la Sabana

Idioma:: eng

id	REPOUSABA2_2469d4e3237b275a3b77a282ba85f067
oai_identifier_str	oai:intellectum.unisabana.edu.co:10818/40777
network_acronym_str	REPOUSABA2
network_name_str	Repositorio Universidad de la Sabana
repository_id_str
dc.title.es_CO.fl_str_mv	Nursing Interventions Aimed at Persons with Venous Ulcers: an Integrative Review
dc.title.alternative.es_CO.fl_str_mv	Intervenciones de enfermería dirigidas a las personas con úlceras venosas: una revisión integrativa Intervenções de Enfermagem dirigidas às pessoas com úlceras varicosas: uma revisão integrativa
title	Nursing Interventions Aimed at Persons with Venous Ulcers: an Integrative Review
spellingShingle	Nursing Interventions Aimed at Persons with Venous Ulcers: an Integrative Review Úlcera varicosa Úlcera de la pierna Atención de enfermería Estudios controlados antes y después Enfermería práctica
title_short	Nursing Interventions Aimed at Persons with Venous Ulcers: an Integrative Review
title_full	Nursing Interventions Aimed at Persons with Venous Ulcers: an Integrative Review
title_fullStr	Nursing Interventions Aimed at Persons with Venous Ulcers: an Integrative Review
title_full_unstemmed	Nursing Interventions Aimed at Persons with Venous Ulcers: an Integrative Review
title_sort	Nursing Interventions Aimed at Persons with Venous Ulcers: an Integrative Review
dc.creator.fl_str_mv	Cifuentes Rodriguez, Johana Enyd Guerrero Gamboa, Sandra
dc.contributor.author.none.fl_str_mv	Cifuentes Rodriguez, Johana Enyd Guerrero Gamboa, Sandra
dc.subject.es_CO.fl_str_mv	Úlcera varicosa Úlcera de la pierna Atención de enfermería Estudios controlados antes y después Enfermería práctica
topic	Úlcera varicosa Úlcera de la pierna Atención de enfermería Estudios controlados antes y después Enfermería práctica
description	14 páginas
publishDate	2020
dc.date.accessioned.none.fl_str_mv	2020-04-25T13:54:26Z
dc.date.available.none.fl_str_mv	2020-04-25T13:54:26Z
dc.date.issued.none.fl_str_mv	2020-03-13
dc.type.es_CO.fl_str_mv	article
dc.type.coar.fl_str_mv	http://purl.org/coar/resource_type/c_6501
dc.type.hasVersion.es_CO.fl_str_mv	acceptedVersion
dc.identifier.citation.es_CO.fl_str_mv	Cifuentes JE, Guerrero S. Nursing Interventions Aimed at Persons with Venous Ulcers: an Integrative Review. Aquichan. 2020;20(1):e2017. DOI: https://doi.org/10.5294/aqui.2020.20.1.7
dc.identifier.issn.none.fl_str_mv	1657-5997
dc.identifier.other.none.fl_str_mv	https://aquichan.unisabana.edu.co/index.php/aquichan/article/view/11753 https://aquichan.unisabana.edu.co/index.php/aquichan/article/view/11753/5725
dc.identifier.uri.none.fl_str_mv	http://hdl.handle.net/10818/40777
dc.identifier.doi.none.fl_str_mv	https://doi.org/10.5294/aqui.2020.20.1.7
identifier_str_mv	Cifuentes JE, Guerrero S. Nursing Interventions Aimed at Persons with Venous Ulcers: an Integrative Review. Aquichan. 2020;20(1):e2017. DOI: https://doi.org/10.5294/aqui.2020.20.1.7 1657-5997
url	https://aquichan.unisabana.edu.co/index.php/aquichan/article/view/11753 https://aquichan.unisabana.edu.co/index.php/aquichan/article/view/11753/5725 http://hdl.handle.net/10818/40777 https://doi.org/10.5294/aqui.2020.20.1.7
dc.language.iso.es_CO.fl_str_mv	eng
language	eng
dc.relation.ispartofseries.none.fl_str_mv	Aquichan. 2020;20(1):e2017
dc.rights.*.fl_str_mv	Attribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.coar.fl_str_mv	http://purl.org/coar/access_right/c_abf2
dc.rights.uri.*.fl_str_mv	http://creativecommons.org/licenses/by-nc-nd/4.0/
rights_invalid_str_mv	Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ http://purl.org/coar/access_right/c_abf2
dc.format.es_CO.fl_str_mv	application/pdf
dc.publisher.es_CO.fl_str_mv	Universidad de La Sabana
dc.publisher.department.none.fl_str_mv	Dirección de Publicaciones
dc.source.es_CO.fl_str_mv	Universidad de La Sabana Intellectum Repositorio Universidad de La Sabana
institution	Universidad de la Sabana
bitstream.url.fl_str_mv	https://intellectum.unisabana.edu.co/bitstream/10818/40777/2/license_rdf https://intellectum.unisabana.edu.co/bitstream/10818/40777/3/license.txt
bitstream.checksum.fl_str_mv	4460e5956bc1d1639be9ae6146a50347 f52a2cfd4df262e08e9b300d62c85cab
bitstream.checksumAlgorithm.fl_str_mv	MD5 MD5
repository.name.fl_str_mv	Intellectum Universidad de la Sabana
repository.mail.fl_str_mv	contactointellectum@unisabana.edu.co
_version_	1811952208591192064
spelling	Cifuentes Rodriguez, Johana EnydGuerrero Gamboa, Sandra2020-04-25T13:54:26Z2020-04-25T13:54:26Z2020-03-13Cifuentes JE, Guerrero S. Nursing Interventions Aimed at Persons with Venous Ulcers: an Integrative Review. Aquichan. 2020;20(1):e2017. DOI: https://doi.org/10.5294/aqui.2020.20.1.71657-5997https://aquichan.unisabana.edu.co/index.php/aquichan/article/view/11753https://aquichan.unisabana.edu.co/index.php/aquichan/article/view/11753/5725http://hdl.handle.net/10818/40777https://doi.org/10.5294/aqui.2020.20.1.714 páginasObjetivos: identificar y describir los fundamentos teóricos, los componentes, la duración, el modo de entrega y los resultados de las intervenciones de enfermería dirigidas a personas con úlceras venosas disponibles en la literatura. Materiales y método: revisión integrativa entre los años 2000 y 2018 en las bases de datos electrónicas Pubmed, Ovidnursing y EBSCOhost. Resultados: esta revisión incluye dieciséis artículos. En su mayoría, las intervenciones fueron de carácter educativo, tres se desarrollaron en la comunidad (bajo el modelo Leg Club) y el resto de intervenciones fueron entregadas personalmente, cara a cara, por una enfermera profesional. El tiempo mínimo de duración de aquellas fue de ocho semanas, con seguimientos telefónicos. Las variables de resultados más comunes fueron la cicatrización de la úlcera venosa y la reducción del área de la herida. Conclusiones: hubo diversidad en relación con los componentes de las intervenciones y los resultados esperados. Se debe reforzar el reporte de las intervenciones y el uso de teorías de enfermería que respalden su diseño.application/pdfengUniversidad de La SabanaDirección de PublicacionesAquichan. 2020;20(1):e2017Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/http://purl.org/coar/access_right/c_abf2Universidad de La SabanaIntellectum Repositorio Universidad de La SabanaÚlcera varicosaÚlcera de la piernaAtención de enfermeríaEstudios controlados antes y despuésEnfermería prácticaNursing Interventions Aimed at Persons with Venous Ulcers: an Integrative ReviewIntervenciones de enfermería dirigidas a las personas con úlceras venosas: una revisión integrativaIntervenções de Enfermagem dirigidas às pessoas com úlceras varicosas: uma revisão integrativaarticleacceptedVersionhttp://purl.org/coar/resource_type/c_6501Harding K, Dowsett C, Fias L, Jelnes R, Mosti G, Oien R, et al. Simplifying venous leg ulcer management. 2015 [cited 2019 Mar. 20]. Available in: https://www.woundsinternational.com/resources/details/simplifying-venous-leg-ulcermanagement-consensus-recommendationsXie T, Ye J, Rerkasem K, Mani R. The venous ulcer continues to be a clinical challenge: An update. Burn Trauma. [Internet]. 2018;6(18):1-7. DOI: https://doi.org/10.1186/s41038-018-0119-yBerenguer-Pérez M, López-Casanova P, Sarabia-Lavín R, González de la Torre H, Verdú-Soriano J. Epidemiology of venous leg ulcers in primary health care: Incidence and prevalence in a health centre: A time series study ( 2010-2014 ). Int Wound J. [Internet]. 2019;16(1):256-65. DOI: https://doi.org/10.1111/iwj.13026González-Consuegra RV, Verdú J. Quality of life in people with venous leg ulcers: An integrative review. J Adv Nurs. [Internet]. 2011;67(5):926-44. DOI: https://doi.org/10.1111/j.1365-2648.2010.05568.xFinlayson K, Wu M-L, Edwards HE. Identifying risk factors and protective factors for venous leg ulcer recurrence using a theoretical approach: A longitudinal study. Int J Nurs Stud. [Internet]. 2015;52(6):1042-51. DOI: https://doi. org/10.1016/j.ijnurstu.2015.02.016De Araujo ICF, Yoshida WB, Abbade LPF, Deffune E. The pernicious cycle of VLUs in Brazil: Epidemiology, pathogeny and auxiliary healing methods. J Wound Care. [Internet]. 2013;22(4):186-93. DOI: https://doi.org/10.12968/ jowc.2013.22.4.186Hopkins A. Disrupted lives: Investigating coping strategies for non-healing leg ulcers. Br J Nurs. [Internet]. 2004;13(9):556-63. DOI: https://doi.org/10.12968/bjon.2004.13.9.12972Green J, Jester R, McKinley R, Pooler A. The impact of chronic venous leg ulcers: A systematic review. J Wound Care. [Internet]. 2014;23(12):601–12. DOI: https://doi.org/10.12968/jowc.2014.23.12.601Briggs M, Flemming K. Living with leg ulceration: A synthesis of qualitative research. J Adv Nurs. [Internet]. 2007;59(4):319-28. DOI: https://doi.org/10.1111/j.1365-2648.2007.04348.x. Alavi A, Sibbald RG, Phillips TJ, Miller OF, Margolis DJ, Marston W, et al. What’s new: Management of venous leg ulcers treating venous leg ulcers. J Am Acad Dermatol. [Internet]. 2016;74(4):643-64. DOI: https://doi.org/10.1016/j. jaad.2015.03.059Whittemore R, Knafl K. The integrative review: Updated methodology. J Adv Nurs. [Internet]. 2005;52(5):546-53. DOI: https://doi.org/10.1111/j.1365-2648.2005.03621.xThe Joanna Briggs Institue. New JBI Levels of Evidence [Internet]. New JBI Levels of Evidence. 2013 [cited 2019 Feb. 21]. Available in: http://joannabriggs.org/assets/docs/approach/JBI-Levels-of-evidence_2014.pdfO’Brien J, Finlayson K, Kerr G, Edwards H. Evaluating the effectiveness of a self-management exercise intervention on wound healing, functional ability and health-related quality of life outcomes in adults with venous leg ulcers: A randomised controlled trial. Int Wound J. [Internet]. 2016;14(1):1-8. DOI: https://doi.org/10.1111/iwj.12571Brooks J, Ersser SJ, Lloyd A, Ryan TJ. Nurse-led education sets out to improve patient concordance and prevent recurrence of leg ulcers. J Wound Care. [Internet]. 2004;13(3):111-6. DOI: https://doi.org/10.12968/jowc.2004.13.3.26585Meagher H, Ryan D, Clarke-Moloney M, O’Laighin G, Grace PA. An experimental study of prescribed walking in the management of venous leg ulcers. J Wound Care. [Internet]. 2012;21(9):421-430. DOI: https://doi.org/10.12968/ jowc.2012.21.9.421Domingues E, Oliveira U, Lima MHM. Effectiveness of the strategies of an orientation programme for the lifestyle and wound-healing process in patients with venous ulcer: A randomised controlled trial. Int Wound J. [Internet]. 2018;15(5):798-806. DOI: https://doi.org/10.1111/iwj.12930O’Brien J, Edwards H, Stewart I, Gibbs H. A home-based progressive resistance exercise programme for patients with venous leg ulcers: A feasibility study. Int Wound J. [Internet]. 2012;10(4):389–96. DOI: https://doi.org/10.1111/j.1742- 481X.2012.00995.xJull A, Parag V, Walker N, Maddison R, Kerse N, Johns T. The PREPARE pilot RCT of home-based progressive resistance exercises for venous leg ulcers. J Wound Care. [Internet]. 2009;18(2):497–503. DOI: https://doi.org/10.12968/ jowc.2009.18.12.45606González A. Education project to improve venous stasis self-management knowledge. J Wound Ostomy Cont Nurs. [Internet]. 2014;41(6):556-9. DOI: https://doi.org/10.1097/WON.0000000000000088Kelechi TJ, Mueller M, Spencer C, Rinard B, Loftis G. The effect of a nurse-directed intervention to reduce pain and improve behavioral and physical outcomes in patients with critically colonized/infected chronic leg ulcers. J Wound, Ostomy Cont Nurs. [Internet]. 2014;41(2):111-21. DOI: https://doi.org/10.1097/WON.0000000000000009Heinen M, Borm G, Van der Vleuten C, Evers A, Oostendorp R, Van Achterberg T. The Lively Legs self-management programme increased physical activity and reduced wound days in leg ulcer patients: Results from a randomized controlled trial. Int J Nurs Stud. [Internet]. 2012;49(2):151-61. DOI: https://doi.org/10.1016/j.ijnurstu.2011.09.005Kapp S, Miller C, Sayers V, Donohue L. The Leg Ulcer Prevention Program: effectiveness of a multimedia client education package for people with venous leg ulcers. Wound Pract Res [Internet]. 2010 May [cited 2019 Mar. 20];18(2):80. Available in: https://search.informit.com.au/documentSummary;dn=174647821217129;res=IELHEAVan Hecke A, Grypdonck M, Beele H, Vanderwee K, Defloor T. Adherence to leg ulcer lifestyle advice: Qualitative and quantitative outcomes associated with a nurse-led intervention. J Clin Nurs. [Internet]. 2011;20(3-4):429-43. DOI: https://doi.org/10.1111/j.1365-2702.2010.03546.xFinlayson KJ, Courtney MD, Gibb MA, O’Brien JA, Parker CN, Edwards HE. The effectiveness of a four-layer compression bandage system in comparison with Class 3 compression hosiery on healing and quality of life in patients with venous leg ulcers: A randomised controlled trial. Int Wound J. [Internet]. 2012;11(1):21-7. DOI: https://doi.org/10.1111/ j.1742-481X.2012.01033.xWong IKY, Andriessen A, Charles HE, Thompson D, Lee DTF, So WKW, et al. Randomized controlled trial comparing treatment outcome of two compression bandaging systems and standard care without compression in patients with venous leg ulcers. J Eur Acad Dermatology Venereol. [Internet]. 2012;26(1):102-10. DOI: https://doi.org/10.1111/j.1468- 3083.2011.04327.xEdwards H, Courtney M, Finlayson K, Shuter P, Lindsay E. A randomised controlled trial of a community nursing intervention: Improved quality of life and healing for clients with chronic leg ulcers. J Clin Nurs. [Internet]. 2009;18(11):1541-9. DOI: https://doi.org/10.1111/j.1365-2702.2008.02648.xEdwards H, Courtney M, Finlayson K, Lewis C, Lindsay E, Dumble J. Improved healing rates for chronic venous leg ulcers: Pilot study results from a randomized controlled trial of a community nursing intervention. Int J Nurs Pract. [Internet]. 2005;11(4):169–76. DOI: https://doi.org/10.1111/j.1440-172X.2005.00521.x. Edwards H, Kathleen F, Lindsay E, Patricia S, Allan C. Chronic Venous leg ulcers: Effect of a community nursing intervention on pain and healing. Nurs Stand. [Internet]. 2005;19(52):47-54. DOI: https://doi.org/10.7748/ ns2005.09.19.52.47.c3950Hoffmann TC, Glasziou PP, Barbour V, Macdonald H. Better reporting of interventions: Template for intervention description and replication (TIDieR) checklist and guide. Br Med J. [Internet]. 2014 Mar.;1-12. DOI: https://doi.org/10.1136/ bmj.g1687Meleis AI. Theoretical Nursing: Development and Progress. 5th Edit. Journal of Neuroscience Nursing. Wolters Kluwer Health. Lippincott Williams & Wilkins; 2012. 690 p.Lindsay E. Lindsay leg clubs: Clinically effective, cost effective. J Community Nurs. [Internet] 2013 [cited 2019 Feb. 18];27(1):5-8. Available in: https://www.jcn.co.uk/journal/01-2013/wound-management/1529-lindsay-leg-clubs--clinically-effective--cost-effective/Upton D, Upton P, Alexander R. Contribution of the Leg Club model of care to the well-being of people living with chronic wounds. J Wound Care [Internet]. 2015;24(9):397-405. DOI: https://doi.org/10.12968/jowc.2015.24.9.397Lindsay E. Leg Clubs®: a clinically and cost-effective approach to lower limb management. Br J Community Nurs. [Internet]. 2014;15(Sup4:S16-23). DOI: https://doi.org/10.12968/bjcn.2010.15.Sup4.48379Lindsay E. The Lindsay Leg Club Model: A model for evidence-based leg ulcer management. Br J Community Nurs. [Internet]. 2014; (Supplement: S15-20). DOI: https://doi.org/10.12968/bjcn.2004.9.Sup2.13128Zajkowski PJÃ, Draper T, Bloom JÃ, Henke PKÃ, Wakefield TWÃ. Exercise with compression stockings improves reflux in patients with mild chronic venous insufficiency. Phlebology. [Internet]. 2006;21(2):9-13. DOI: https://doi. org/10.1258/026835506777304764. Araujo D, Riberiro C, Maciel A, Bruno S, Freonezi G, FAL D. Physical exercise for the treatment of non-ulcerated chronic venous insufficiency (review). Cochrane Database Syst Rev. [Internet]. 2016;3(12):1-35. DOI: https://doi. org/10.1002/14651858.CD010637.pub2Orr L, Klement KA, Mccrossin L, Drombolis DO, Houghton PE, Spaulding S, et al. A systematic review and meta-analysis of exercise intervention for the treatment of calf muscle pump impairment in individuals with chronic venous insufficiency. Ostomy Wound Manag. [Internet]. 2017; 63(8):30-43. DOI: https://doi.org/10.25270/owm.2017.08.3043Partsch H. Compression therapy in leg ulcers. Rev Vasc Med [Internet]. 2013;1(1):9-14. DOI: https://doi.org/10.1016/j. rvm.2013.02.001O’Donnell TF, Passman MA, Marston WA, Ennis WJ, Dalsing M, Kistner RL, et al. Management of venous leg ulcers: Clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. J Vasc Surg. [Internet]. 2014;60(2):3S-59S. DOI: https://doi.org/10.1016/j.ejvs.2015.02.007Raphael D, Waterworth S, Gott M. Telephone communication between practice nurses and older patients with long term conditions: a systematic review. J Telemed Telecare. [Internet]. 2017;23(1):142-8. DOI: https://doi. org/10.1177/1357633X15625398. Inglis SC, Clark RA, Cleland JG, McAlister F, Stewart S, Cleland J. Structured telephone support or telemonitoring programs for patients with chronic heart failure. Cochrane Database Syst Rev. [Internet]. 2010;(8):147. DOI: https://doi. org/10.1002/14651858.CD007228.pub2Choi NG, Dinitto DM. The digital divide among low-income homebound older adults: Internet use patterns, ehealth literacy, and attitudes toward computer/internet use. J Med Internet Res. [Internet]. 2013;15(5):1-16. DOI: https://doi. org/10.2196/jmir.2645Korda H, Itani Z. Harnessing social media for health promotion and behavior change. Health Promot Pract. 2013;14(1):15- 23. DOI: https://doi.org/10.1177/1524839911405850Segal J, Sacopulos M, Sheets V, Thurston I, Brooks K, Puccia R. Online doctor reviews: Do they track surgeon volume, a proxy for quality of care? J Med Internet Res. [Internet]. 2005;14(2):e50. DOI: https://doi.org/10.2196/jmir.2005Skavberg Roaldsen K, Biguet G, Elfving B. Physical activity in patients with venous leg ulcer - between engagement and avoidance. A patient perspective. Clin Rehabil [Internet]. 2011;25(3):275-86. DOI: https://doi. org/10.1177/0269215510371424Poku E, Aber A, Phillips P, Essat M, Buckley H, Palfreyman S, et al. Systematic review assessing the measurement properties of patient-reported outcomes for venous leg ulcers. BJS Open. [Internet]. 2017;1(5):138-47. DOI: https://doi. org/10.1002/bjs5.25Walburn J, Vedhara K, Hankins M, Rixon L, Weinman J. Psychological stress and wound healing in humans: A systematic review and meta-analysis. J Psychosom Res. [Internet]. 2009;67(3):253-71. DOI: https://doi.org/10.1016/j.jpsychores.2009.04.002Vegas O, VanBuskirk J, Richardson S, Parfitt D, Helmreich D, Rempel M, et al. Effects of psychological stress and housing conditions on the delay of wound healing. Psicothema. [Internet]. 2012;24(4):581-6. DOI: https://doi.org/10.1016/j. bbi.2008.04.043Glaser R, Kiecolt-Glaser JK, Marucha PT, MacCallum RC, Laskowski BF, Malarkey WB. Stress-related changes in proinflammatory cytokine production in wounds. Arch Gen Psychiatry. [Internet]. 1999;56(5):450-6. DOI: https://doi. org/10.1001/archpsyc.56.5.450Pieper B, Szczepaniak K, Templin T. Psychosocial adjustment, coping, and quality of life in persons with venous ulcers and a history of intravenous drug use. J Wound, Ostomy, Cont Nurs. [Internet]. 2000;27(4):227-37. DOI: https://doi. org/10.1067/mjw.2000.107877Upton D, Solowiej K. Pain and stress as contributors to delayed wound healing. Wound Pract Res [Internet]. 2010 ausgust [cited 2019 Mar. 28];18(3):114-22. Available: https://search.informit.com.au/documentSummary;dn=364536431 309445;res=IELHEAFinlayson K, Miaskowski C, Alexander K, Liu W-H, Aouizerat B, Parker C, et al. Distinct wound healing and quality of life outcomes in subgroups of patients with venous leg ulcers with different symptom cluster experiences. J Pain Symptom Manage. [Internet]. 2017;53(5):871-9. DOI: https://doi.org/10.1016/j.jpainsymman.2016.12.336Marinel Lo Roura J, Verdú Soriano J. Conferencia Nacional de Consenso sobre las Úlceras de la Extremidad Inferior. 2nd ed. Madrid: Ergon; 2018. 146 p.CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8805https://intellectum.unisabana.edu.co/bitstream/10818/40777/2/license_rdf4460e5956bc1d1639be9ae6146a50347MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-8498https://intellectum.unisabana.edu.co/bitstream/10818/40777/3/license.txtf52a2cfd4df262e08e9b300d62c85cabMD5310818/40777oai:intellectum.unisabana.edu.co:10818/407772020-10-08 17:27:13.732Intellectum Universidad de la Sabanacontactointellectum@unisabana.edu.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

Nursing Interventions Aimed at Persons with Venous Ulcers: an Integrative Review

Publicaciones similares