The impact of compression therapy with Unna's boot on the functional status of VLU patients

The impact of compression therapy with Unna's boot on the functional status of VLU patients

Author Lima, Edson Luiz de Google Scholar
Salomé, Geraldo Magela Google Scholar
Rocha, Maria José Azevedo de Brito Autor UNIFESP Google Scholar
Ferreira, Lydia Masako Autor UNIFESP Google Scholar
Institution Univ Vale Sapucai UNIVAS
Universidade Federal de São Paulo (UNIFESP)
Abstract Objective: To assess disability in patients with venous leg ulcers treated with compression therapy with Unna's boot.Method: A descriptive analytic case control study was conducted from June 2010 to May 2011 in an outpatient wound care clinic in interior Brazil. Fifty patients of both sexes, aged 18 years or above, who had had a venous leg ulcer for more than 1 year and a Doppler ankle-brachial index of 0.8-1.0 were selected for the study. Patients were treated with wound dressings and Unna's boot. Disability was assessed using the 20-item Stanford Health Assessment Disability Scale (HAQ-20). Statistical analysis was performed using the Student's t-test, the Kruskal-Wallis test and the chi-square test of independence, all at a significance level of 0.05 (p<0.05).Results: The mean overall HAQ score at inclusion (baseline) was 2.98, indicating impaired functional capacity. After 8 and 12 months of compression treatment with Unna's boot, the mean overall HAQ scores were 1.35 and 1.0, respectively, indicating good functional capacity.Conclusion: Patients with venous leg ulcer reported severe difficulty or serious disability in their daily functioning at baseline; after 8 months of treatment with Unna's boot, these patients were able to perform activities of daily living.
Keywords disability evaluation
quality of life
leg ulcer
varicose ulcer
Language English
Date 2013-10-01
Published in Journal Of Wound Care. London: Ma Healthcare Ltd, v. 22, n. 10, p. 558-561, 2013.
ISSN 0969-0700 (Sherpa/Romeo, impact factor)
Publisher Ma Healthcare Ltd
Extent 628-+
Origin http://dx.doi.org/10.12968/jowc.2013.22.10.558
Access rights Closed access
Type Article
Web of Science ID WOS:000325182900006
URI http://repositorio.unifesp.br/11600/44794

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