Prevention of venous leg ulcer recurrence: patient perception of caregiver and nurse intervention
DOI:
https://doi.org/10.29352/mill0215e.34331Keywords:
venous ulcer; recurrence; relapse prevention; life experience; nursing careAbstract
Introduction: The recurrence rate of venous leg ulcers is approximately 70% at 12 months, after healing. The low adherence to known recurrence prevention measures reveals the need to know the perception of patients with venous leg ulcers regarding nursing interventions aimed at promoting self-care, particularly surveillance and post-healing monitoring to prevent its recurrence.
Objectives: To characterize the perception of users enrolled in a Group of Health Centers of the Regional Health Administration of the Center, in the interior region of Portugal, regarding the intervention of the caregiver and nurse in preventing the recurrence of venous leg ulcers.
Methods: Qualitative, exploratory and descriptive phenomenological study. Conducting a semi-structured, individual interview with 16 participants, selected for convenience in a Group of Health Centers, of the Regional Health Administration of the Center. Using content analysis using the WebQda software. All formal and ethical assumptions inherent to the development of empirical research were met.
Results: As a result of the process of aggregating information by themes, categories and subcategories, the following themes emerged as factors that interfere in the promotion of self-care measures to prevent recurrence: Who helps me with care to prevent the recurrence of my wound, giving visibility and relevance to the independence and role of caregivers (formal and informal) and How can the Nurse help me prevent the recurrence of my wound, through their availability to provide care, through the adequacy of the information transmitted by them and through the continuity of the surveillance provided by you.
Conclusion: In the perception of people with venous leg ulcers, all caregivers play a fundamental role in implementing relapse prevention measures, helping to implement them or reminding them of their importance. The nurse intervenes with caregivers (formal and informal) and those with venous leg ulcers, within the scope of knowledge about the origin of the wound and training on prevention measures, with continuous surveillance and monitoring after healing being essential.
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