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Published on: May 27, 2020
Impact of compression therapy using Unna's boot on the self-esteem of patients with venous leg ulcers
G M Salome1, M J A de Brito, L M Ferreira
1Sapucaí Valley University (UNIVÁS), Pouso Alegre, MG, Brazil.
Objective:
To assess self-esteem in patients with venous leg ulcers treated with Unna's boot. •
Method:
A descriptive, analytic, clinical study was conducted from June 2010 to May 2011 in an outpatient wound care clinic in São Paulo, Brazil. Patients of both sexes, aged ≥18 years, who had had a venous leg ulcer for more than one year and a Doppler ankle brachial index ranging from 0.8-1.0 were consecutively selected for inclusion. Patients were treated with wound dressings and Unna's boot. Self-esteem was assessed using the Brazilian version of the Rosenberg Self-Esteem Scale (RSE) at inclusion (baseline) and after 4, 8, and 12 months of compression therapy using Unna's boot. The scale is reverse-scored; thus lower scores indicate higher levels of self-esteem. •
Results:
The patients showed a slight but significant improvement in self-esteem after 4 months of treatment (mean RSE score=17.12) compared with baseline (mean RSE score=24.90). However, a marked and significant improvement in self-esteem was observed after 8 months (mean RSE score=7.40) and 12 months (mean RSE score=2.10) of compression therapy using Unna's boot. •
Conclusion:
Patients with venous leg ulcers treated with Unna's boot for 12 months showed a significant improvement in self-esteem •
Declaration Of Interest:
All authors declare that no competing financial interests exist. There was no external funding for this study.
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Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...