Efetividade da terapia compressiva e segura no controle da insuficiência venosa em pacientes diabéticos

Abstract

Venous impairment associated with chronic diseases such as Diabetes Mellitus is characterized as a challenge to health professionals today, since the treatment of ulcerated lesions caused by venous insufficiency sustains itself, especially in the use of compression therapy or containment the lower limbs. However in patients with Diabetes Mellitus indication of this therapy should be taken with caution due to the possibility of impairment due to arterial disease. The aim of the study was to identify the effective and safe compression therapy to improve venous return of diabetic people with venous insufficiency The methodology was based on the theoretical framework of evidence-based practice and integrative review. Data collection occurred in May 2014 in MEDLINE, CINAHL, SCIELO through descriptors: venous insufficiency, postphlebitic syndrome, postphlebitic syndrome, varicose ulcer, venous thrombosis, venous thromboembolism, lymphedema, elephantiasis, diabetes complications, stockings , compression, intermittent pneumatic compression devices, diabetes mellitus, leg ulcer. Studies were identified and selected 2 articles that met the inclusion criteria. The two sample studies were clinical trials without randomization which sampled 18 and 25 diabetic patients undergoing care using compression therapy. The recommendations guide the use of compression therapy in patients with ulcerated lesions with monitoring for adverse effects through noninvasive test: flowmetry Dopller. It is concluded that the prevention of edema no safe indication of compression therapy on values from 18 to 25 mmHg in diabetic patients. For treatment of ulcerated lesions of mixed etiology, the particulars may occur if there is strict control of peripheral vascular network through Dopller flowmetry.