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Self-care for the treatment of leg ulcers in sickle cell anemia: nursing guidelines

This study's objective was to verify the effectiveness of a Self-Care Program throughthe progression of the healing process of leg ulcers in sickle-cell anemia. This is a longitudinal study with a quantitative approach conducted with 40 patients in the sectorof wound dressing of a public health institution specialized in hematologic treatment located in Rio de Janeiro, Brazil. An instrument was used to collect data and wasapplied during nursing consultations. Data were analyzed using Cox models, logistic regression and classification trees. The effectiveness of the self-care program was verified according to the complete healing of the ulcers of 23 patients. We observed that acute ulcers with a duration of up to 60 months presented a 95% chance of cure. Due to the adherence of patients and results achieved, the program was established as a therapeutic modality and was incorporated as an institutional program.

Sickle cell anemia; Leg ulcer; Nursing; Self Care


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