DUGi

Factors intrínsecs i extrínsecs que afecten en la cicatrització d’una persona amb úlcera venosa

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Chronic venous disease is a highly prevalent vascular trastron and the result of chronic venous insufficiency, consequently the venous sore develops in the lower limb, which is the loss of skin integrity due to increased return venous pressure. The healing time is high if it is not diagnosed early, as is if adherence to treatment is low, also increasing recurrence and reducing the quality of life of the person. For this reason and for a near future, it is important to know when and how each of these factors affects in order to optimize this process, promoting optimal healing and healing. Aim Determine the intrinsic and extrinsic factors that affect the healing process of a person with venous ulcer. Methodology A bibliographic review has been carried out using the Pubmed and CINAHL databases during the months of January until March 2025. The terms MeSH and the Bolivian operator “AND” have been used to search with the appropriate words. 18 articles have been chosen according to the established inclusion and exclusion criteria. Results A selection of 18 articles has been made for review, 4 systematic reviews, 2 transversal studies, 1 prospective observational study, 1 clinical review, 2 randomized clinical trials, 2 bibliographic reviews, 1 prospective cohort study, 1 narrative review, 1 exhaustive review, 1 clinical trial, 1 cluster analysis and 1 prospective study. To know what are and how intrinsic and extrinsic factors affect the healing of the ulcer, it is necessary to take into account the globality of the person and their environment, complementing the standard treatment such as compression therapy with complementary treatments. In this way there is an acceleration in healing time. It has been shown that people who carry out a physical activity program personalized to their needs, do not have a Vitamin C or zinc deficit, comply with treatment and live accompanied have a faster cure. As in psychological terms, aspects such as stress, anxiety and depression slow down the healing process in a pronounced way. 7 Conclusions Compression therapy is the most effective treatment. Intrinsic factors such as gender, age and psychosocial factors such as depression, stress and anxiety play a crucial role in healing. Regarding extrinsic factors, nutrition is a key determinant, while lifestyle, educational level and socio-economic factors influence more superficially and indirectly. In short, it is necessary to address healing from a global and holistic perspective, taking into account the standard treatment accompanied by complementary treatments and factors that influence modifiable and non-modifiable to favor the healing and quality of life of people with venous sore

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