Banca de DEFESA: MARIA LEONOR PAIVA DA SILVA

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : MARIA LEONOR PAIVA DA SILVA
DATE: 19/06/2026
TIME: 10:00
LOCAL: REMOTA
TITLE:

QUALITY OF LIFE AND INDIVIDUAL ASPECTS OF PATIENTS WITH HEALED VENOUS ULCERS TREATED AT A SPECIALIZED SERVICE IN CHRONIC LESIONS: A non-randomized longitudinal study

KEY WORDS:

Venous Ulcer; Quality of Life; Wound Healing; Primary Health Care; Compression Therapy.

PAGES: 105
BIG AREA: Ciências da Saúde
AREA: Enfermagem
SUMMARY:

Introduction: Venous leg ulcers (VLUs) are chronic, recurrent lesions resulting from venous insufficiency, which severely impact quality of life (QoL). Objective: To evaluate and compare changes in QoL between patients with healed and non-healed VLUs after one year of treatment in a specialized service. Method: A longitudinal, observational, and non-randomized study was conducted at the Specialized Center for the Treatment of Chronic Ulcers in Parnamirim/RN, between August 2020 and November 2021. The convenience sample included 103 adult patients with active VLUs registered in Primary Health Care. Standard treatment consisted of compression therapy with an Unna boot and self-care instructions. Data collection occurred at two time points (T1 and T2), with a minimum interval of 12 months, using a sociodemographic/clinical questionnaire; the Medical Outcomes Short-Form Health Survey (SF-36); and the Charing Cross Venous Ulcer Questionnaire (CCVUQ). Statistical analysis involved non-parametric tests, sign tests for longitudinal changes, and binary logistic regression to identify the predictive potential of wound healing on QoL. The study was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte, under opinion number 2.322.176. Results: The results of this thesis are substantiated in an article entitled [title missing], accepted for publication in the International Journal of Clinical Practice, which showed that at the end of the follow-up, 41.7% (n=43) of the patients achieved complete wound healing. Logistic regression demonstrated that wound healing was the primary determinant for the improvement in QoL. In the SF-36, the most impacted domains were Physical Performance, Physical Functioning, Body Pain, and Emotional Performance. In the CCVUQ, the improvement was consistent across all dimensions, with emphasis on Domestic Activities and Aesthetics. Adjusted sociodemographic and health variables did not act as confounding factors in the clinical outcome. Conclusion: Venous ulcer healing is a robust predictor of improved QoL, confirming the hypothesis that wound closure restores functional autonomy and emotional well-being. The results reinforce the effectiveness of compression therapy in primary health care and the need for protocols that integrate QoL assessment as an indicator of therapeutic success.

COMMITTEE MEMBERS:
Presidente - 1161810 - GILSON DE VASCONCELOS TORRES
Interna - 347027 - EULALIA MARIA CHAVES MAIA
Externa ao Programa - 2374850 - THAIZA TEIXEIRA XAVIER NOBRE - UFRNExterna à Instituição - Sheila Cristina Rocha Brischiliari - UNIOESTE
Externa à Instituição - THALYTA CRISTINA MANSANO SCHLOSSER - UNICAMP