Análise termográfica na avaliação de úlceras venosas de pernas

Autores

DOI:

https://doi.org/10.17267/2317-3378rec.2023.e5211

Palavras-chave:

Úlcera Venosa, Termografia, Enfermeiras e Enfermeiros, Lesões, Membros Inferiores

Resumo

OBJETIVO: Analisar a temperatura da úlcera venosa em comparação à temperatura do membro contralateral sadio e se esta emissão de calor tem associação com a gravidade da lesão. MÉTODOS: Estudo transversal analítico realizado em uma instituição privada em Salvador/Bahia, de março a agosto de 2021. Foram coletados dados sociodemográficos, avaliação clínica dos 33 participantes e dos 66 membros inferiores, captação da imagem termográfica da úlcera venosa e análise térmica. RESULTADOS: A média de idade dos 33 participantes era de 70 ± 12,5 anos, a raça/cor, autodeclarada, parda (14; 42,4%), sexo masculino (17; 51,5%). Referiam etilismo (10; 30,3%). Quanto à avaliação entre a temperatura máxima e média do membro com úlcera venosa versus o membro contralateral, apresentou correlação (p=0,001) em todas as regiões avaliadas. Em relação a etilismo apresentou correlação com a temperatura máxima da úlcera (p=0,003), borda (p=0,015) e centro (p=0,006). No que diz respeito ao PUSH ≥12, apresentou correlação com a morfologia geográfica (p=0,001) e mal delimitada (p=0,008). O Delta apresentou correlação com recidiva (p=0,004) e Delta Grave com o tempo de úlcera >12 meses (p=0,024), recidiva e etilismo (p=0,038). CONCLUSÕES: A termografia na avaliação da úlcera venosa em membros inferiores contribui no monitoramento térmico de processos inflamatórios e da perfusão tecidual.

Downloads

Os dados de download ainda não estão disponíveis.

Referências

(1) Riveros ER, Medina LB, Enfermera MR, Rivas SS, Rivas CS. Quality of Life Evaluation in Users With Active Venous Ulcer. Rev. Urug. Enferm. 2021; 16(2):e2021v16n2a10. https://doi.org/10.33517/rue2021v16n2a10

(2) Teixeira AKS, Silva LF, Marques ADB, Soares CRS. Characterization of patients with venous ulcer assisted in a public hospital stomatherapy clinic. ESTIMA, Braz. J. Enterostomal Ther. 2018;16:e0318. https://doi.org/10.30886/estima.v16.346

(3) Cruz CC, Caliri MHL, Bernardes RM. Epidemiological and clinical characteristics of people with venous ulcers attended at municipal health units. ESTIMA, Braz. J. Enterostomal Ther. 2018;16:e1218. https://doi.org/10.30886/estima.v16.496

(4) Žulec M, Rotar-Pavlič D, Puharić Z, Žulec A. "Wounds Home Alone" - Why and How Venous Leg Ulcer Patients Self-Treat Their Ulcer: A Qualitative Content Study. Int. J. Environ. Res. Public Health. 2019;16(4):559. https://doi.org/10.3390/ijerph16040559

(5) Osmarin VM, Boni FG, Bavaresco T, Lucena AF, Echer IC. Use of the Nursing Outcomes Classification - NOC to assess the knowledge of patients with venous ulcer. Rev. Gaúcha Enferm. 2020;41(esp):e20190146. https://doi.org/10.1590/1983-1447.2020.20190146

(6) Cwajda-Białasik J, Mościcka P, Szewczyk MT, Hojan-Jezierska D, Kawałkiewicz W, Majewska A, et al. Venous leg ulcers treated with fish collagen gel in a 12-week randomized single-centre study. Adv Dermatol Allergol. 2022;39(4):714-22. https://doi.org/10.5114/ada.2021.108424

(7) Nogueira GA, Camacho ACLF, Oliveira BGRB, Santana RF, Silva CRL, Cardoso RSS, et al. Nursing Interventions, Diagnoses, and Results in Outpatient Care for Cases of Venous Ulcers. Rev Cubana Enfermer [Internet]. 2020;36(2):e3169. Available from: http://scielo.sld.cu/scielo.php?pid=S0864-03192020000200006&script=sci_abstract&tlng=pt

(8) Campoi ALM, Felicidade PJ, Martins LCN, Barbosa LBM, Alves GA, Ferreira LA. Nursing care for patients with chronic wounds: an experience report. Rev. Fam., Ciclos Vida Saúde Contexto Soc. 2019;7(2):248-55. https://doi.org/10.18554/refacs.v7i2.3045

(9) Mutlak O, Aslam M, Standfield N. The influence of exercise on ulcer healing in patients with chronic venous insufficiency. Int Angiol. 2018;37(2):160-68. Cited: PMID: 29368880.

(10) Cesar ARR. Intervention of the nurse regarding the treatment of venous ulcer: bibliographic review. REAC. 2019;6:e1803. https://doi.org/10.25248/reac.e1803.2019

(11) Vieira IC, Franzoi MA. Caring for chronic injuries: knowledge and practices of people with venous ulcers. Enferm Foco. 2021;12(3):454-60. https://doi.org/10.21675/2357-707X.2021.v12.n3.3515

(12) Nogueira GA, Camacho ACLF, Oliveira BGRB, Santana RF, Silva CRL, Cardoso RSS, et al. Validation of a data colletion instrument for clinical evaluation of persons with venous ulcers. Rev. Enferm. Atual In Derme. 2019;89(27). https://doi.org/10.31011/reaid-2019-v.89-n.27-art.478

(13) Oliveira SB, Soares DA, Pires PS. Prevalence of venous ulcers and associated factors among adults of a health center in Vitória da Conquista – BA. J. Res.: Fundam. Care. Online. 2015;7(3):2659-69. https://doi.org/10.9789/2175-5361.2015.v7i3.2659-2669

(14) Vieira CPB, Araújo TME. Prevalence and factors associated with chronic wounds in older adults in primary care. Rev Esc Enferm USP. 2018;52:e03415. http://dx.doi.org/10.1590/S1980-220X2017051303415

(15) Monshipouri M, Aliahmad B, Ogrin R, Elder K, Anderson J, Polus B, et al. Thermal imaging potential and limitations to predict healing of venous leg ulcers. Sci Rep. 2021;11:13239. https://doi.org/10.1038/s41598-021-92828-2

(16) Otaviano MH, Salles M, Ching TH, Dettoni JL, Coulibaly IGS, Fukunaga ET, et al. Topical Oxygen Jet Therapy (TOJT) for treating infected chronic surgical wounds. Braz J Infect Dis. 2021;25(2):101547. https://doi.org/10.1016/j.bjid.2021.101547

(17) Macedo ABT, Graciotto A, Souza E, Junges M, Gentilini MM, Souza SBC. Pressure ulcers: correlation between the Bates-Jensen Wound Assessment Tool and the Pressure Ulcer Scale for Healing. Texto Contexto Enferm. 2021;30:20200260. https://doi.org/10.1590/1980-265X-TCE-2020-0260

(18) Lin YH, Chen YC, Cheng KS, Yu PJ, Wang JL, Ko NY. Higher Periwound Temperature Associated with Wound Healing of Pressure Ulcers Detected by Infrared Thermography. J Clin Med. 2021;10(13):2883. https://doi.org/10.3390/jcm10132883

(19) Echevarría-Guanilo ME, Fuculo-Junior PRB. The thermography: method of evaluation of skin changes. Rev. Enferm. Atual In Derme. 2021;94(32):e-020084. https://doi.org/10.31011/reaid-2020-v.94-n.32-art.919

(20) Silva PC, Silva DM, Macedo TLS, Macedo TLS, Luna BMG. The nurse’s performance in the treatment of wounds. Braz. J. Hea. Rev. 2021;4(2):4815-22. https://doi.org/10.34119/bjhrv4n2-066

(21) Raffetto JD, Ligi D, Maniscalco R, Khalil RA, Mannello F. Why Venous Leg Ulcers Have Difficulty Healing: Overview on Pathophysiology, Clinical Consequences, and Treatment. J Clin Med. 2020;10(1):29. https://doi.org/10.3390/jcm10010029

(22) Ramirez-GarciaLuna JL, Bartlett R, Arriaga-Caballero JE, Fraser RDJ, Saiko G. Infrared Thermography in Wound Care, Surgery, and Sports Medicine: A Review. Front Physiol. 2022;13:838528. http://dx.doi.org/10.3389/fphys.2022.838528

(23) Duarte GG, Leal BAS, Santos CN, Sachett JAG, Honorato EJS, Xavier A, et al. Use of thermography for the treatment of skin injuries: Systematic literature review. Braz J Hea Rev. 2020;3(5):13257-73. https://doi.org/10.34119/bjhrv3n5-153

(24) Neves EB. Use of thermal images by nursing professionals: a valuable tool. Rev Salud Pública (Córdoba) [Internet]. 2020;24(3):102-6. Available from: https://revistas.unc.edu.ar/index.php/RSD/article/view/28041

(25) Calis H, Sengul S, Guler Y, Karabulut Z. Non-healing wounds: Can it take different diagnosis?. Int Wound J. 2020;17(2):443-8. https://doi.org/10.1111/iwj.13292

(26) Li S, Mohamedi AH, Senkowsky J, Nair A, Tang L. Imaging in Chronic Wound Diagnostics. Adv Wound Care. 2020;9(5):245-63. https://doi.org/10.1089/wound.2019.0967

(27) Chaves MEA, Freire ATF, Andrade RM, Pinotti M. Termography and wound healing. Mecânica Experimental [Internet]. 2016;26:11-6. Available from: http://www-ext.lnec.pt/APAET/pdf/Rev_26_A2.pdf

(28) Mamone V, Fonzo MD, Esposito N, Ferrari M, Ferrari V. Monitoring Wound Healing With Contactless Measurements and Augmented Reality. IEEE J Transl Eng Health Med. 2020;8:2700412. https://doi.org/10.1109/JTEHM.2020.2983156

(29) O'Meara S, Cullum N, Nelson EA, Dumville JC. Compression for venous leg ulcers. Cochrane Database Syst Rev. 2012;11(11):CD000265. https://doi.org/10.1002/14651858.CD000265.pub3

(30) Brioschi ML, Teixeira MJ, Yeng LT, Silva FMRM. Manual de Termografia Médica (Baseado no International Consensus and Guidelines for Medical Thermography). São Paulo: Andreoli; 2012.

(31) Cruz CC, Caliri MHL, Bernardes RM. Epidemiological and clinical characteristics of people with venous ulcers attended at municipal health units. ESTIMA, Braz. J. Enterostomal Ther. 2018;16:e1218. http://dx.doi.org/10.30886/estima.v16.496

(32) Lopes SM, Siqueira DLF, Moreira RC, Silva NMMG, Tashima CM. Correlation between thermographic images of patients with lower limbulcers andclinicalfeatures. Braz J Develop. 2021;7(2):20778-92. https://doi.org/10.34117/bjdv7n2-632

(33) Gethin G, Ivory JD, Sezgin D, Muller H, O'Connor G, Vellinga A. What is the “normal” wound bed temperature? A scoping review and new hypothesis. Wound Rep Reg. 2021;29:843-47. https://doi.org/10.1111/wrr.12930

(34) Lucas RWC, Brioschi ML. Termografia aplicada à Fisioterapia [Internet]. Florianópolis: Sistema Wallace Consultoria Ltda; 2016 [cited apr. 18 2022]. Available from: https://docplayer.com.br/225870912-Termografia-aplicada-a-fisioterapia.html.

(35) Moreira-Marconi E, Moura-Fernandes MC, Lopes-Souza P, Teixeira-Silva Y, Reis-Silva A, Marchon RM, et al. Evaluation of the temperature of posterior lower limbs skin during the whole body vibration measured by infrared thermography: Cross-sectional study analysis using linear mixed effect model. PLoS One. 2019;14(3):e0212512. https://doi.org/10.1371/journal.pone.0212512

(36) Ioannou S. Functional infrared thermal imaging: a contemporary tool in soft tissue screening. Sci Rep. 2020;10:9303. https://doi.org/10.1038/s41598-020-66397-9

Publicado

28.08.2023

Edição

Seção

Artigos Originais

Como Citar

1.
Couto LDP, Calasans MT, Silva JN, Araújo KOP, Matos MA. Análise termográfica na avaliação de úlceras venosas de pernas. Rev Enf Contemp [Internet]. 28º de agosto de 2023 [citado 22º de dezembro de 2024];12:e5211. Disponível em: https://journals.bahiana.edu.br/index.php/enfermagem/article/view/5211

Artigos mais lidos pelo mesmo(s) autor(es)