Healing of Venous Leg Ulcers Influenced by Individual Aspects: Cluster Analysis in a Specialist Wound Management Clinic
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 sociodem...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2024-01-01
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| Series: | Journal of Primary Care & Community Health |
| Online Access: | https://doi.org/10.1177/21501319231223458 |
| _version_ | 1797338723684188160 |
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| author | 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 |
| author_facet | 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 |
| author_sort | Maria Angélica Gomes Jacinto |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-08T09:35:24Z |
| format | Article |
| id | doaj.art-fce8430c599a4ccba69a12687d9813d5 |
| institution | Directory Open Access Journal |
| issn | 2150-1327 |
| language | English |
| last_indexed | 2024-03-08T09:35:24Z |
| publishDate | 2024-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Primary Care & Community Health |
| spelling | doaj.art-fce8430c599a4ccba69a12687d9813d52024-01-30T11:03:25ZengSAGE PublishingJournal of Primary Care & Community Health2150-13272024-01-011510.1177/21501319231223458Healing of Venous Leg Ulcers Influenced by Individual Aspects: Cluster Analysis in a Specialist Wound Management ClinicMaria Angélica Gomes Jacinto0Adriana Catarina de Souza Oliveira1Carmelo Sergio Gómez Martínez2Thalyta Cristina Mansano Schlosser3Bruno Araújo da Silva Dantas4Gilson de Vasconcelos Torres5Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, BrazilUniversidad Católica de Murcia, Murcia, SpainUniversidad Católica de Murcia, Murcia, SpainUniversidade Estadual de Campinas, Campinas, São Paulo, BrazilUniversidade Federal do Rio Grande do Norte, Santa Cruz, Rio Grande do Norte, BrazilUniversidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, BrazilIntroduction/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.https://doi.org/10.1177/21501319231223458 |
| spellingShingle | 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 Healing of Venous Leg Ulcers Influenced by Individual Aspects: Cluster Analysis in a Specialist Wound Management Clinic Journal of Primary Care & Community Health |
| title | Healing of Venous Leg Ulcers Influenced by Individual Aspects: Cluster Analysis in a Specialist Wound Management Clinic |
| title_full | Healing of Venous Leg Ulcers Influenced by Individual Aspects: Cluster Analysis in a Specialist Wound Management Clinic |
| title_fullStr | Healing of Venous Leg Ulcers Influenced by Individual Aspects: Cluster Analysis in a Specialist Wound Management Clinic |
| title_full_unstemmed | Healing of Venous Leg Ulcers Influenced by Individual Aspects: Cluster Analysis in a Specialist Wound Management Clinic |
| title_short | Healing of Venous Leg Ulcers Influenced by Individual Aspects: Cluster Analysis in a Specialist Wound Management Clinic |
| title_sort | healing of venous leg ulcers influenced by individual aspects cluster analysis in a specialist wound management clinic |
| url | https://doi.org/10.1177/21501319231223458 |
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