{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T14:47:40Z","timestamp":1784904460694,"version":"3.55.0"},"reference-count":52,"publisher":"Mark Allen Group","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wound Care"],"published-print":{"date-parts":[[2020,4,2]]},"abstract":"<jats:sec><jats:title>Objective:<\/jats:title><jats:p>To assess the impact of Unna boot therapy on subjective wellbeing, hope and spirituality in patients with venous leg ulcers (VLU).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method:<\/jats:title><jats:p>This was a prospective, descriptive, analytical, multicentre clinical trial conducted in a nursing care and education centre, an outpatient wound care clinic and a primary health care unit in Brazil. Adult patients with VLUs took part in the study. Patients with diabetic foot ulcers and mixed ulcers were excluded. A questionnaire assessing sociodemographic and religious characteristics of patients, the Subjective Wellbeing Scale, the Spirituality Self-Rating Scale (SSRS), and the Herth Hope Index (HHI) were administered to all patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p>A total of 60 patients (63.3% female; 86.7% aged \u226560 years) participated. Before Unna boot therapy, 65%, 66.7% and 65% of patients reported a score of one on positive affect, negative affect and life satisfaction, respectively, indicating poor subjective wellbeing. After one month of compression therapy, 66.7%, 50.0%, and 80.0% of patients reported a score of three for each element positive affect, negative affect and life satisfaction, respectively, showing a significant improvement in subjective wellbeing (p=0.029). A significant increase in total SSRS scores (p=0.017) was found between baseline (mean: 9.77) and one month of treatment (mean: 25.47), indicating a significant increase in a sense of spirituality. There was also a significant increase in total HHI values (p=0.009) between baseline (mean: 15.68) and one month of compression therapy (mean: 39.38), suggesting a significant increase in hope among patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p>Patients with VLUs treated with Unna boot therapy in this study showed significant improvement in subjective wellbeing, spirituality and hope for cure.<\/jats:p><\/jats:sec>","DOI":"10.12968\/jowc.2020.29.4.214","type":"journal-article","created":{"date-parts":[[2020,4,11]],"date-time":"2020-04-11T14:49:43Z","timestamp":1586616583000},"page":"214-220","source":"Crossref","is-referenced-by-count":8,"title":["Unna boot therapy impact on wellbeing, hope and spirituality in venous leg ulcer patients: a prospective clinical trial"],"prefix":"10.12968","volume":"29","author":[{"given":"Elaine Cristina","family":"Faria","sequence":"first","affiliation":[{"name":"Graduate Program in Translational Surgery, Federal University of S\u00e3o Paulo (UNIFESP), S\u00e3o Paulo, SP, BRazil"},{"name":"Affiliate Professor, Sapuca\u00ed Valley University (UNIV\u00c1S), Pouso Alegre, MG, Brazil"},{"name":"Undergraduate Nursing Program, UNIV\u00c1S, Pouso Alegre, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatiana","family":"Loiola","sequence":"additional","affiliation":[{"name":"Undergraduate Nursing Program, UNIV\u00c1S, Pouso Alegre, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geraldo Magela","family":"Salom\u00e9","sequence":"additional","affiliation":[{"name":"Professional Master's Program in Applied Health Sciences, UNIV\u00c1S, Pouso Alegre, MG, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lydia Masako","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Graduate Program in Translational Surgery, Federal University of S\u00e3o Paulo (UNIFESP), S\u00e3o Paulo, SP, BRazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5130","reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4632.2010.04654.x"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.4103\/0970-0358.81458"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2020.29.2.79"},{"issue":"6","key":"B4","first-page":"172","volume":"26","author":"de Jesus Pereira MT","year":"2014","journal-title":"Wounds"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvn.2018.11.003"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1590\/S0365-05962006000600002"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0b013e3182478e06"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1097\/00152192-200505000-00002"},{"issue":"9","key":"B9","first-page":"CD002303","author":"Nelson EA","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2007.04.062"},{"key":"B12","unstructured":"World Union of Wound Healing Societies (WUWHS). 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