Empowerment e cura centrata sulla persona: un progetto d'educazione terapeutica dedicato al paziente affetto da ulcere venose. Studio p

Ricevuto: 18 marzo 2021
Accettato: 17 maggio 2021
Published: 30 luglio 2021
Abstract Views: 1574
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PDF (English): 64
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Autori

Il progetto ha previsto lo sviluppo, la validazione e la sperimentazione di uno strumento formativo cartaceo dedicato al paziente seguito presso l'ambulatorio infermieristico per ulcere venose dell'arto inferiore. Un infermiere esperto in wound care ha progettato e, in seguito, sottoposto a validazione da parte di un team multiprofessionale un questionario composto da 5 domande concernenti la consapevolezza di malattia, la necessità  di essere sottoposti a terapia e la verifica delle conoscenze di alcuni basilari concetti di fisiopatologia. Il questionario è stato somministrato ai pazienti arruolati prima e dopo l'intervento formativo attuato, al fine di testarne l'efficacia (studio pre-post test senza gruppo di controllo). L'analisi dell'efficacia dell'intervento formativo è stata effettuata testando la variazione della media dei punteggi pre (Pre-I) e post intervento (Post-I). Risultati: in base all'analisi statistica effettuata è possibile ritenere l'intervento formativo efficace per il campione selezionato con un buon livello di significatività  (p<0,001): media dei punteggi Pre-I 6,22 (95% IC 5,22-7,21) e media Post-I 10,83 (95% IC 10,59-11,06). In linea con quanto presente in letteratura scientifica, lo studio condotto ha permesso all'infermiere esperto in wound care di sperimentare l'effetto della personalizzazione dell'intervento di cura e dell'empowerment sull'outcome. L'intervento formativo, così strutturato, pur risultando perfettibile, rappresenta un importante punto di partenza per ulteriori sviluppi futuri.

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Cavorsi GP. Venous ulcers of the lower extremities: current and newer management techniques. Topics Geriatric Rehab 2000;16:24-34. DOI: https://doi.org/10.1097/00013614-200012000-00005
Charles H. The impact of leg ulcers on patients' quality of life. Prof Nurse 1995;10:571-4.
Morgan PA, Moffatt CJ. Non healing leg ulcers and the nurse-patient relationship. Part 1: the patient's perspective. Int Wound J 2008;5:340-8. DOI: https://doi.org/10.1111/j.1742-481X.2007.00373.x
Ashton J. Managing leg and foot ulcers: the role of Kerraboot. Br J Community Nurs 2004;9:S26-30. DOI: https://doi.org/10.12968/bjcn.2004.9.Sup3.15943
Hampton S. The complexities of heel ulcers. Nurs Stand 2003;17(31): 68-70, 72, 74 passim. DOI: https://doi.org/10.7748/ns.17.31.68.s61
Goldman MP, Fronek A. Consensus paper on venous leg ulcer. J Dermatol Surg Oncol 1992;18:592-602. DOI: https://doi.org/10.1111/j.1524-4725.1992.tb03513.x
Pickwell KM, Siersma VD, Kars M, et al. Diabetic foot disease: impact of ulcer location on ulcer healing. Diabetes Metab Res Rev 2013;29:377-83. DOI: https://doi.org/10.1002/dmrr.2400
Christensen CR, Yeager AA. Case study: a unique approach to compliance in a patient with venous ulcers. J Vasc Nurs 2001;19:52-4. DOI: https://doi.org/10.1067/mvn.2001.115783
Moore Z, Cowman S. A systematic review of wound cleansing for pressure ulcers. J Clin Nurs 2008;17:1963-72. DOI: https://doi.org/10.1111/j.1365-2702.2008.02381.x
Wounds UK. Two-component compression: Concordance, evidence and clinical use. London: Wounds UK, 2014. Supplement. Available to download from: https://www.wounds-uk.com/resources/details/two-component-compression-concordance-evidence-and-clinical-use
Gilchrist B. Innovations in leg ulcer care. J Wound Care 1998;7:151-2. DOI: https://doi.org/10.12968/jowc.1998.7.3.151
Moore Z, Butcher G, Corbett LQ, et al. AAWC, AWMA, EWMA Position Paper: Managing Wounds as a Team. J Wound Care 2014;23:S1–38. DOI: https://doi.org/10.12968/jowc.2014.23.Sup5b.S1
Gottrup F, Holstein P, Jà¸rgensen B, Lohmann M, Karlsmar T. A New Concept of a Multidisciplinary Wound Healing Center and a National Expert Function of Wound Healing. Arch Surg 2001;136:765–72. DOI: https://doi.org/10.1001/archsurg.136.7.765
Kelechi TJ, Mueller M, Hankin CS, et al. A randomized, investigator-blinded, controlled pilot study to evaluate the safety and efficacy of a poly-N-acetyl glucosamine–derived membrane material in patients with venous leg ulcers. J Am Academy Dermatol 2012;66: e209-15. DOI: https://doi.org/10.1016/j.jaad.2011.01.031
Umeh NI, Ajegba B, Buscetta AJ, et al. The psychosocial impact of leg ulcers in patients with sickle cell disease: I don't want them to know my little secret. PLoS One 2017;12:e0186270. DOI: https://doi.org/10.1371/journal.pone.0186270
Armstrong DG, Lavery LA, Harkless LB. Validation of a diabetic wound classification system. The contribution of depth, infection, and ischemia to risk of amputation. Diabetes Care 1998;21:855-9. DOI: https://doi.org/10.2337/diacare.21.5.855
Van Hecke A, Beeckman D, Grypdonck M, et al. Knowledge deficits and information-seeking behavior in leg ulcer patients: an exploratory qualitative study. J Wound Ostomy Continence Nurs 2013;40:381-7. DOI: https://doi.org/10.1097/WON.0b013e31829a2f4d
Edwars LM, Moffatt CJ, Franks PJ. An exploration of patients' understanding of leg ulceration. J Wound Care 2002;11:35-9. DOI: https://doi.org/10.12968/jowc.2002.11.1.26138
Hyland ME, Ley A, Thomson B. Quality of life of leg ulcer patients: questionnaire and preliminary findings. J Wound Care 1994;3:294-8. DOI: https://doi.org/10.12968/jowc.1994.3.6.294
Audit Commission. What Seems to be the Matter: Communication between hospitals and patients. London; HMSO: 1993.
Becker MH, Maiman LA. Sociobehavioral determinants of compliance with health and medical care recommendations. Med Care 1975;13:10-24. DOI: https://doi.org/10.1097/00005650-197501000-00002
Cameron C. Patient compliance: recognition of factors involved and suggestions for promoting compliance with therapeutic regimens. J Adv Nurs 1996;24:244-50. DOI: https://doi.org/10.1046/j.1365-2648.1996.01993.x
d'Ivernois JF, Gagnayre R, d'Ivernois F, Gagnayre R. Educare il paziente. Un approccio pedagogico, Edizione Italiana a cura di Albano MG, Sasso L. McGraw-Hill: Milano; 2009.
Scottish Intercollegiate Guidelines Network. The care of patients with chronic leg ulcer. Sign Publication 1998;26.
Goode ML. Giving information on compression to patients with venous leg ulcers. Br J Nurs 2005;14:1178-9. DOI: https://doi.org/10.12968/bjon.2005.14.22.20168
Clarke Moloney M, Moore A, Adelola OA, et al. Information leaflets for venous leg ulcer patients: are they effective? J Wound Care 2005;14:75-7. DOI: https://doi.org/10.12968/jowc.2005.14.2.26730
Clarke-Moloney M, Keane N, Kavanagh E. Changes in leg ulcer management practice following training in an Irish community setting. J Wound Care 2008;17:116-21. DOI: https://doi.org/10.12968/jowc.2008.17.3.28669
O'Brien JF, Perry IJ, Grace P, Burke PE. Prevalence and aetiology of leg ulcers in Ireland Irish. Irish J Med Sci 2012;169:110-2. DOI: https://doi.org/10.1007/BF03166911
Rabe E, Berboth G, Pannier F. Epidemiologie der chronischen Venenkrankheiten [Epidemiology of chronic venous diseases]. Wien Med Wochenschr 2016;166:260-3. DOI: https://doi.org/10.1007/s10354-016-0465-y
Chukwuemeka N, Etufugh T, Phillips J. Venous Ulcers. Clinics Dermatol 2007;25:121-30. DOI: https://doi.org/10.1016/j.clindermatol.2006.09.004
Fernandes Abbade LP, Lastà³ria S. Venous ulcer: epidemiology, physiopathology, diagnosis and treatment. Int J Dermatol 2005;44:449-56. DOI: https://doi.org/10.1111/j.1365-4632.2004.02456.x
Evans R, Ott C, Reddy M. Pressure injury and pressure ulcers. In Griffiths CEM, Barker J, Bleiker T, Chalmers R, Creamer D (eds). Rook's Textbook of Dermatology, 9th Edition. 2016. DOI: https://doi.org/10.1002/9781118441213.rtd0125
Carpentier PH, Maricq HR, Biro C, et al. Prevalence, risk factors, and clinical patterns of chronic venous disorders of lower limbs: A population-based study in France. J Vasc Surg 2004;40:650-9. DOI: https://doi.org/10.1016/j.jvs.2004.07.025
Agus GB, Allegra C, Arpaia G, et al. Linee Guida. Collegio Italiano di Flebologia Revisione 2013. Acta Phlebol 2013;14:1-160.
Amato B, Compagna R, Fappiano F, et al Diagnosi differenziale delle anomalie vascolari degli arti inferiori: review. Acta Phlebol 2014;15:95-105.
Margolis DJ, Bilker W, Santanna J, Baumgarten M. Venous leg ulcer: incidence and prevalence in the elderly. J Am Acad Dermatol 2002;46:381-6. DOI: https://doi.org/10.1067/mjd.2002.121739
Marston WA, Carlin RE, Passman MA, et al. Healing rates and cost efficacy of outpatient compression treatment for leg ulcers associated with venous insufficiency. J Vasc Surg 1999;30:491-8. DOI: https://doi.org/10.1016/S0741-5214(99)70076-5
Nebbioso G, Petrella F. Il portale italiano sulle lesioni croniche cutanee: Ulcere arti inferiori. Ulcere venose.

Come citare

Feliziani, K., Dichiara, A., Faccenda, G., Romanelli, M., & Paggi, B. (2021). <em>Empowerment</em> e cura centrata sulla persona: un progetto d’educazione terapeutica dedicato al paziente affetto da ulcere venose. Studio p. Italian Journal of Wound Care, 5(1). https://doi.org/10.4081/ijwc.2021.77

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