ABSTRACT
PURPOSE: The purpose of this study was to evaluate patients' knowledge of chronic venous disease, venous ulcer occurrence and recurrence, and self-care at baseline, immediately following, 2, and 9 weeks after an educational intervention. SUBJECTS AND SETTING: The study sample comprised 30 patients diagnosed with venous ulcers. The research setting was an outpatient facility specializing in wound care located in South Florida; the educational intervention occurred in subjects' homes. DESIGN: Single group before and after intervention research design. METHODS: Patients diagnosed with a first-time venous ulcer were assessed regarding their disease and self-care knowledge. Assessments were completed at baseline, immediately following an educational intervention, and during 2- and 9-week follow-up home visits. In addition to evaluating patient knowledge, wound healing (evaluated by the treating nurse or reported by the patient) was assessed at 2- and 9-week follow-up and wound recurrence was assessed at 9-week follow-up. RESULTS: The educational intervention resulted in a statistically significant increase in knowledge scores (P = .002). This change persisted when patients were evaluated during 2- and 9-week follow-up visits (P = .003). In addition, half of patients who completed the educational intervention remained free of recurrence when evaluated at 9 weeks. CONCLUSION: Results suggest that patient education related to venous ulcers improves knowledge regarding the disease process and self-care and reduces recurrence when measured at 9 weeks postintervention.
Subject(s)
Patient Education as Topic/methods , Postthrombotic Syndrome/prevention & control , Postthrombotic Syndrome/rehabilitation , Self Care/methods , Varicose Ulcer/prevention & control , Varicose Ulcer/rehabilitation , Wound Healing , Aged , Female , Florida , Health Knowledge, Attitudes, Practice , Humans , Male , Middle Aged , Postthrombotic Syndrome/nursing , Varicose Ulcer/nursingABSTRACT
The article is concerned with the study of use of physical factors in the treatment of chronic lymphphleboid failure of lower limbs. As a result, it was able to show a significant positive dynamic under the complex approach of treating this disease. In patients with chronic lymphphleboid failure of lower limbs justified individual tactics, based on the use of a wide range of modern medicines, physical therapy techniques, therapeutic exercises, lymphatic massage of the lower limbs. This leads to early rehabilitation and improvement of quality of patients' life.
Subject(s)
Lower Extremity/blood supply , Lymphedema/therapy , Physical Therapy Modalities , Postthrombotic Syndrome/therapy , Varicose Veins/therapy , Adult , Combined Modality Therapy , Endovascular Procedures/methods , Female , Humans , Lymphedema/diagnosis , Lymphedema/rehabilitation , Lymphedema/surgery , Male , Postthrombotic Syndrome/diagnosis , Postthrombotic Syndrome/rehabilitation , Postthrombotic Syndrome/surgery , Treatment Outcome , Varicose Veins/diagnosis , Varicose Veins/rehabilitation , Varicose Veins/surgeryABSTRACT
The objective of this report is to represent a case of reflex sympathetic dystrophy (RSD) secondary to the upper extremity deep venous thrombosis (DVT). A 21-year-old man admitted with the complaints of pain and swelling in his right upper limb was presented. The patient had been diagnosed DVT in the right subclavian vein. The thrombosis had recovered completely with the standard treatment of DVT and doppler ultrasound had revealed normal findings at follow-up. After few months, he developed limb edema and pain considering post-thrombotic syndrome (PTS). The patient showed no response to the treatments for PTS. He was diagnosed with RSD according to the clinical findings. The bone scan confirmed the diagnosis. He responded well to the physical therapy and therapeutic exercises program. RSD and PTS are the two conditions having some common features and resembling clinical pictures. RSD also should be kept in mind in differential diagnosis of patients who developed limb pain and edema after DVT. There are some different points in the characteristics of the common symptoms obtained in both of the clinical conditions. Bone scan can help to confirm the diagnosis if RSD is suspected. Because the treatments of two conditions are different, making the differential diagnosis is crucial.
