Predictive factors for worsening chronic wounds

Keywords: Nursing; Primary Health Care; Wounds and Injuries.

Abstract

Objective: to analyze the predictive factors for the aggravation of chronic wounds. Methods: quantitative, cross-sectional study, whose collection was performed using the Bates-Jensen Wound Assessment Tool. For data analysis, the independent t test, analysis of variance and multiple linear regressions were applied. The level of significance adopted was 0.05. Results: in the bivariate analysis, it was observed that the variables making use of tobacco (p=0.005), presenting food restriction (p=0.001), signs of infection (p=0.005), odor characteristics (p<0.001) and evaluation pain (p=0.012) contributed to the worsening of chronic wounds. Conclusion: it was found as predictors for the worsening of wounds: using tobacco, having food restriction of the hypo sodium or hypoglycemic type, in addition to presenting edema in the surrounding area, as a sign of infection.

References

Al-Gharibi KA, Sharstha S, Al-Faras MA. Cost-effectiveness of wound care: a concept analysis. SQU Med J. 2018; 18(4):e433-9. doi: https://doi.org/10.18295/squmj.2018.18.04.002

Chibante CLP, Santo FHE, Santos TD, Porto IS, Daher DV, Brito WAP. Knowledge and practices in care focused on individuals with wounds. Esc Anna Nery. 2017; 21(2):e20170036. doi: http://dx.doi.org/10.5935/1414-8145.20170036

Lentsck MH, Baratieri T, Trincaus MR, Mattei AP, Miyahara CTS. Quality of life related to clinical aspects in people with chronic wound. Rev Esc Enferm USP. 2018; 52:e03384. doi: http://dx.doi.org/10.1590/S1980-220X2017004003384

Vieira CPB, Araújo TME. Prevalence and factors associated with chronic wounds in older adults in primary care. Rev Esc Enferm USP. 2018; 52:e03415. doi: http://dx.doi.org/10.1590/s1980-220x2017051303415

Araújo RO, Silva DC, Souto RQ, Pergola-Marconato AM, Costa IKF, Torres GV. Impact of varicose ulcers on the quality of life of persons receiving primary care. Aquichan. 2016; 16(1):56-6. doi: https://dx.doi.org/10.5294/aqui.2016.16.1.7

Azevedo IC, Costa RKS, Ferreira Júnior MA. Profile of scientific production of national nursing on wounds. Rev Cubana Enfermería [Internet]. 2018 [cited Apr 13, 2020]; 34(1). Available from: http://www.revenfermeria.sld.cu/index.php/enf/rt/printerFriendly/1440/339

Alves DFS, Almeida AO, Silva JLG, Morais FI, Dantas SRPE, Alexandre NMC. Translation and adaptation of the Bates-Jensen Wound Assessment Tool for the Brazilian culture. Texto Contexto Enferm. 2015; 24(3):826-33. doi: https://doi.org/10.1590/0104-07072015001990014

Bates-Jensen BM, McCreath HE, Harputlu D, Patlan A. Reliability of the Bates-Jensen wound assessment tool for pressure injury assessment: The pressure ulcer detection study. Wound Rep Reg. 2019; 27(4):386-95. doi: http://dx.doi.org/10.1111/wrr.12714

Squizatto RH, Braz RM, Lopes AO, Rafaldini BP, Almeida DB, Poletti NAA. Profile of users attended at a wound care outpatient clinic. Cogitare Enferm. 2017; 22(1):1-9. doi: http://dx.doi.org/10.5380/ce.v22i1.48472

Vieira CPB, Furtado AS, Almeida PCD, Luz MHBA, Pereira AFM. Prevalence and characterization of chronic wounds in elderly persons assisted in primary care. Rev Baiana Enferm. 2017; 31(3):e17397. doi: http://dx.doi.org/10.18471/rbe.v31i3.17397

Oliveira MF, Viana BJF, Matozinhos FP, Silva MMS, Pinto DM, Moreira AD, et al. Lower limb wounds in diabetic and non-diabetic patients: survival analysis. Rev Gaúcha Enferm. 2019; 40:e20180016. doi: https://doi.org/10.1590/1983-1447.2019.20180016

Blanc G, Meier MJ, Stocco JGD, Roehrs H, Crozeta K, Barbosa DA. Effectiveness of enteral nutritional therapy in the healing process of pressure ulcers: a systematic review. Rev Esc Enferm USP. 2015; 49(1):152-61. doi: https://doi.org/10.1590/S0080-623420150000100020

Dium E, Sá FHC, Duarte YAO, Oliveira RCB, Lebrão ML. Prevalence and characteristics of lesions in elderly people living in the community. Rev Esc Enferm USP. 2015; 49(Esp):51-7. doi: http://dx.doi.org/10.1590/S0080-623420150000700008

Castro DLV, Santos VLCG. Controlling wound odor with metronidazole: a systematic review. Rev Esc Enferm USP. 2015; 49(05):858-63. doi: https://doi.org/10.1590/S0080-623420150000500021

Oliveira IC, Veríssimo RCSS, Bastos MLA, Lúcio IML. The frequency of nursing diagnoses in patients with wound. Rev Enferm UFPE online [Internet]. 2014 [cited Apr 13, 2020]; 8(7):1937-46. Available from: https://pdfs.semanticscholar.org/b86f/b9f615bc5d7c5119e9d4ff1776246874b400.pdf

Dutra RM, Silva ML, Coelho MMF, Azevedo MCA, Bezerra STF. Profile of patients followed by the interdisciplinary wound care commission. Rev Enferm UFPE online [Internet]. 2017 [cited Apr 13, 2020]; 11(2):941-9. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/13463

Almeida WA, Ferreira AM, Ivo ML, Rigotti MA, Barcelos LS, Silva ALNV. Factors associated with quality of life of people with chronic complex wounds. J Res Fundam Care Online 2018; 10(1):9-16. doi: http://dx.doi.org/10.9789/2175-5361.2018.v10i1.9-16

Cardoso DS, Carvalho FMO, Rocha GB, Mendes JR, Cardoso SB, Rocha FCV. The Nurses’ Knowledge With Regards to Both Classification and Prevention of Pressure Injury. J Res Fundam Care Online. 2019; 11(3):560-6. doi: http://dx.doi.org/10.9789/2175-5361.2019.v11i3.560-566

Kreindl C, Basfi-fer K, Rojas P, Carrasco G. Tratamiento nutricional en úlceras por presión y úlceras venosas. Rev Chil Nut. 2019; 46(2):197-204. doi: https://doi.org/10.4067/s0717-75182019000200197

Horn SD, Barrett RS, Fife CE, Thomson B. A predictive model for pressure ulcer outcome: the wound healing index. Adv Skin Wound Care. 2015; 28(12):560-72. doi: http://dx.doi.org/10.1097/01.ASW.0000473131.10948.e7

Published
2020-07-17
Section
Research Article