Nursing diagnosis proposal “Impaired Peripheral Venous Return”: concept formation

Medeiros, Hanna Priscilla da Silva; Araújo, Jéssica Naiara de Medeiros; Silva, Amanda Barbosa da; Dantas, Rodrigo Assis Neves; Lopes, Camila Takáo; Vitor, Allyne Fortes

doi:10.1590/0034-7167-2022-0426

Hanna Priscilla da Silva Medeiros Corresponding author: Hanna Priscilla da Silva Medeiros, E-mail: silvahannap@gmail.com

conception or design of the study/research

analysis and/or interpretation of data

final review with critical and intellectual participation in the manuscript

Universidade Federal do Rio Grande do Norte. Natal, Rio Grande do Norte, Brazil

http://orcid.org/0000-0002-0847-4644

Jéssica Naiara de Medeiros Araújo

conception or design of the study/research

analysis and/or interpretation of data

final review with critical and intellectual participation in the manuscript

Universidade do Estado do Rio Grande do Norte. Caicó, Rio Grande do Norte, Brazil

http://orcid.org/0000-0002-9115-3285

Amanda Barbosa da Silva

conception or design of the study/research

analysis and/or interpretation of data

final review with critical and intellectual participation in the manuscript

Universidade Federal do Rio Grande do Norte. Natal, Rio Grande do Norte, Brazil

http://orcid.org/0000-0002-5410-7060

Rodrigo Assis Neves Dantas

conception or design of the study/research

analysis and/or interpretation of data

final review with critical and intellectual participation in the manuscript

Universidade Federal do Rio Grande do Norte. Natal, Rio Grande do Norte, Brazil

http://orcid.org/0000-0002-9309-2092

Camila Takáo Lopes

conception or design of the study/research

analysis and/or interpretation of data

final review with critical and intellectual participation in the manuscript

Universidade Federal de São Paulo. São Paulo, São Paulo, Brazil

http://orcid.org/0000-0002-6243-6497

Allyne Fortes Vitor

conception or design of the study/research

analysis and/or interpretation of data

final review with critical and intellectual participation in the manuscript

Universidade Federal do Rio Grande do Norte. Natal, Rio Grande do Norte, Brazil

http://orcid.org/0000-0002-4672-2303

Corresponding author: Hanna Priscilla da Silva Medeiros, E-mail: silvahannap@gmail.com

EDITOR IN CHIEF: Dulce Barbosa

ASSOCIATE EDITOR: Rosane Cardoso

Database	Search strategy
Scopus	ALL(“Venous Insufficiency”) AND (“Lower Extremity”) ALL(“Venous Insufficiency”) AND (“Leg”) ALL(“Venous Insufficiency”) AND (“Peripheral”) ALL(“Venous Insufficiency”) AND (“Lower Extremity”) AND (“Leg”) ALL(“Venous Insufficiency”) AND (“Lower Extremity”) AND (“Peripheral”)
Science Direct	(“Venous Insufficiency”) AND (“Lower Extremity”) (“Venous Insufficiency”) AND (“Leg”) (“Venous Insufficiency”) AND (“Peripheral”) (“Venous Insufficiency”) AND (“Lower Extremity”) AND (“Leg”) (“Venous Insufficiency”) AND (“Lower Extremity”) AND (“Peripheral”)
MEDLINE/PubMed	(“Venous Insufficiency”) AND (“Lower Extremity”) (“Venous Insufficiency”) AND (“Leg”) (“Venous Insufficiency”) AND (“Peripheral”) (“Venous Insufficiency”) AND (“Lower Extremity”) AND (“Leg”) (“Venous Insufficiency”) AND (“Lower Extremity”) AND (“Peripheral”)
Web of Science	((ALL=(“Venous Insufficiency”) AND (“Lower Extremity”) ((ALL=(“Venous Insufficiency”) AND (“Leg”) ((ALL=(“Venous Insufficiency”) AND (“Peripheral”) ((ALL=(“Venous Insufficiency”) AND (“Lower Extremity”) AND (“Leg”) ((ALL=(“Venous Insufficiency”) AND (“Lower Extremity”) AND (“Peripheral”)
CINAHL	(“Venous Insufficiency”) AND (“Lower Extremity”) (“Venous Insufficiency”) AND (“Leg”) (“Venous Insufficiency”) AND (“Peripheral”) (“Venous Insufficiency”) AND (“Lower Extremity”) AND (“Leg”) (“Venous Insufficiency”) AND (“Lower Extremity”) AND (“Peripheral”)
Cochrane	(“Venous Insufficiency”) AND (“Lower Extremity”) (“Venous Insufficiency”) AND (“Leg”) (“Venous Insufficiency”) AND (“Peripheral”) (“Venous Insufficiency”) AND (“Lower Extremity”) AND (“Leg”) (“Venous Insufficiency”) AND (“Lower Extremity”) AND (“Peripheral”)
Virtual Health Library	(“Venous Insufficiency”) AND (“Lower Extremity”) (“Venous Insufficiency”) AND (“Leg”) (“Venous Insufficiency”) AND (“Peripheral”) (“Venous Insufficiency”) AND (“Lower Extremity”) AND (“Leg”) (“Venous Insufficiency”) AND (“Lower Extremity”) AND (“Peripheral”)

Author(s)/Year	Study	Definition
Novak et al. (2019)(²²22 Novak CJ, Khimani N, Kaye AD, Yong RJ, Urman RD. Current therapeutic interventions in lower extremity venous insufficiency: a comprehensive review. Curr Pain Headache Rep. 2019;23(3):16. https://doi.org/10.1007/s11916-019-0759-z https://doi.org/10.1007/s11916-019-0759-... )	Current therapeutic interventions in lower extremity venous insufficiency: a comprehensive review	A condition developed when the return of peripheral blood is impaired.
Ekici, Kartal, & Ferhatoglu (2019)(²³23 Ekici U, Kartal A, Ferhatoglu MF. Association Between Hemorrhoids and Lower Extremity Chronic Venous Insufficiency. Cureus. 2019;11(4):e4502. doi: https://doi.org/10.7759/cureus.4502 https://doi.org/10.7759/cureus.4502... )	Association between hemorrhoids and lower extremity chronic venous insufficiency	A congenital or acquired impairment of blood flow back to the heart.
Pieper et al. (2009)(²⁴24 Pieper B, Templin TN, Kirsner RS, Birk TJ. Impact of injection drug use on distribution and severity of chronic venous disorders. Wound Repair Regen. 2009;17(4):485-91. https://doi.org/10.1111/j.1524-475X.2009.00513.x https://doi.org/10.1111/j.1524-475X.2009... )	Impact of injection drug use on distribution and severity of chronic venous disorders	Reduction of the venous flow from the legs to the heart.

	n (%)
Antecedents
Individuals with structural and/or functional valve deficiency	57 (43.5)
Older adults	51 (38.9)
Peripheral venous thrombosis	43 (38.9)
Obesity	39 (29.8)
Female gender	37 (28.2)
Individuals with dysfunctional muscle propulsion	32 (24.4)
Prolonged time sitting or standing	31 (23.7)
Heredity	30 (22.9)
Pregnant women	28 (21.4)
Sedentary lifestyle	16 (12.2)
Reduced ankle mobility	6 (4.6)
Heart failure	5 (3.8)
Kidney injury	3 (2.2)
Consequences
Signs
Peripheral edema	72 (55.0)
Venous ulcer	64 (48.9)
Altered skin color	53 (40.5)
Varicose veins	49 (37.4)
Symptoms
Pain in the extremity	41 (31.3)
Muscle fatigue	29 (22.1)
Paresthesia	26 (19.9)
Decreased perceived quality of life	5 (3.8)

Domain 4 - Activity/rest Class 4 - Cardiovascular/pulmonary responses Impaired peripheral venous return
Definition
Decreased peripheral venous flow directed to the heart
Defining characteristics
Signs Peripheral edema	Symptoms Pain in the extremity
Venous ulcer	Muscle fatigue
Altered skin color	Paresthesia
Varicose veins	Decreased perceived quality of life
Related factors
Long-term obesity
Sitting
Prolonged standing
Reduced ankle mobility
Sedentary lifestyle
At-risk populations
Older women Individuals with hereditary predisposition Pregnant women Individuals with dysfunctional muscle propulsion Individuals with structural and/or functional valve deficiency
Associated conditions
Heart failure
Kidney injury
Peripheral venous thrombosis
Venous insufficiency

[1] Corresponding author: Hanna Priscilla da Silva Medeiros, E-mail: silvahannap@gmail.com

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ABSTRACT

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