Impact of home visits on the functional capacity of patients with venous ulcers

to compare the impact of home visits, before and after instructions, on the functional capacity of adult and elderly patients with venous ulcers, by means of the KATZ-EIAVD Scale.

Method:

experimental, clinical, randomized, non-blind and controlled study, developed with 32 patients (case and control groups). The research settings were the Wound Care Clinic of the University Hospital Antonio Pedro, and the homes of patients assisted in this clinic. Data collection took place from February to June 2014, by means of a health unit evaluation tool, the KATZ-EIAVD Scale, and a script of instructions to be given to the research subjects that had received a home visit.

Results:

the studied population present excellent independence for activities of daily living, with no significant variation among them.

Conclusion:

the studied groups have functional capacity with similar progress.

Descriptors:
Nursing Care; Varicose Ulcer; Home Visit; Adult; Aged

Características	Categorias	Case group		Control group		p value^a a χ2 test or Fisher's exact test;
		(n = 16)		(n = 16)
		n	%	n	%
Sex	Female	10	62.5	8	50.0	0.48
	Male	6	37.5	8	50.0
Age (years) ^* * expressed by the mean ± SD and compared by Student's t test for independent samples; MW = minimum wage (R$724.00).		60.1 ± 9.7		66.9 ± 11.6		0.080
Ethnic group	White	5	31.3	5	31.3	0.44
	Black	9	56.3	6	37.5
	Brown	2	12.5	5	31.3
Level of education	Functional illiterate	1	6.3	1	6.3	0.99
	Primary education	9	56.3	8	50.0
	High school	5	31.3	6	37.5
	Undergraduate degree	1	6.3	1	6.3
Marital status	Single	3	18.8	2	12.5	0.63
	Married	6	37.5	9	56.3
	Divorced	3	18.8	1	6.3
	Widowed	4	25.0	4	25.0
City	Niterói	8	50.0	7	43.8	0.78
	São Gonçalo	6	37.5	8	50.0
	Itaboraí	2	12.5	1	6.3
Source of income	Retired	11	68.8	16	100	0.043
	Pension	3	18.8	0	0.0
	Job	2	12.5	0	0.0
Family income	1 to 2 MW	16	100	12	75.0	0.10
	2 to 4 MW	0	0.0	3	18.8
	> 4 MW	0	0.0	1	6.3
Length of treatment	6m to 1 year	4	25.0	6	37.5	0.85
	1 to 5 years	1	6.3	1	6.3
	> 5 years	11	68.8	9	56.3
No. of recurrences	Never	5	31.3	8	50.0	0.45
	1 to 4x	7	43.8	4	25.0
	5x or +	4	25.0	4	25.0

KATZ domains	Response	Before		After		p value^a a McNemar test; NP = does not process the statistic test;
KATZ domains	Response	n	%	n	%
Bath	Poor Good	0 16	0 100	0 16	0 100	NP
Clothes	Poor Good	1 15	6.3 93.8	1 15	6.3 93.8	1
Hygiene	Poor Good	0 16	0 100	0 16	0 100	NP
Transfer	Poor Good	3 13	18.8 81.3	2 14	12.5 87.5	1
Continence	Poor Good	6 10	37.5 62.5	4 12	25.0 75.0	0.50
Food	Poor Good	0 16	0 100	0 16	0 100	NP
Total score of KATZ ^* * expressed by the median (minimum - maximum) and compared by the Wilcoxon signed-rank test.		5 (4 - 6)		6 (4 - 6)		0.25

KATZ domains	Response	Before		After		p value^a a McNemar test; NP = does not process the statistical test;
KATZ domains	Response	n	%	n	%
Bath	Poor Good	2 14	12.5 87.5	2 14	12.5 87.5	1
Clothes	Poor Good	1 15	6.2 93.8	1 15	6.2 93.8	1
Hygiene	Poor Good	2 14	12.5 87.5	2 14	12.5 87.5	1
Transfer	Poor Good	1 15	6.2 93.8	1 15	6.2 93.8	1
Continence	Poor Good	6	37.5 10 62.5	6 10	37.562.5	1
Food	Poor Good	0 16	0 100	0 16	0 100	NP
Total score of KATZ ^* * express for the median (minimum - maximum) and compared by Wilcoxon signed-rank test.		5.5 (2 - 6)		5.5 ( 2 - 6)		1

Scale	Case group	Control group	p value^a a Mann-Whitney test;
KATZ^* * the deltas were expressed by the median (minimum - maximum).	0 (0 - 1)	0 (0 - 0)	0.073

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[1] CORRESPONDING AUTHOR Fabiana Lopes Joaquim E-mail: fabykim_enf@yahoo.com.br