Health-related quality of life at healing in individuals with chronic venous or mixed-venous leg ulceration: a longitudinal assessment.

Autor: Hopman WM; Clinical Research Institute, Kingston General Hospital, Kingston, Ontario, Canada. hopmanw@kgh.kari.net.; Department of Public Health Sciences, Queen's University, Kingston, Ontario, Canada. hopmanw@kgh.kari.net., Vandenkerkhof EG; Department of Anesthesiology and Perioperative Medicine (cross-appointment), School of Nursing, Queen's University, Kingston, Ontario, Canada., Carley ME; School of Nursing, Queen's University, Kingston, Ontario, Canada., Harrison MB; School of Nursing, Queen's University, Kingston, Ontario, Canada.
Jazyk: angličtina
Zdroj: Journal of advanced nursing [J Adv Nurs] 2016 Nov; Vol. 72 (11), pp. 2869-2878. Date of Electronic Publication: 2016 Jul 15.
DOI: 10.1111/jan.13054
Abstrakt: Aims: To identify factors associated with longitudinal changes in health-related quality of life in community-dwelling individuals with venous or mixed-venous leg ulcers.
Background: Most care focuses primarily on healing; this research may additionally lead to strategies to improve quality of life.
Design: Data from four studies (2000-2009) were combined (2012) to examine quality of life in community-dwelling individuals referred for care of chronic leg wounds.
Methods: Data collection occurred at baseline, 3, 6, 9 and 12 months or at healing and included a comprehensive clinical assessment and measures of pain (McGill), functional autonomy (EQ-5D ™ ) and quality of life (SF-12 TM ). Physical Component Summary and Mental Component Summary scores (SF-12 TM ) were categorized by whether or not there was an improvement (≥3 points) over time. Multivariable logistic regression modelling was used to identify factors associated with improvement.
Results/findings: Mean age of this sample (n = 519) was 67·5 years, 55·9% were women. Median time to healing was 70 days. Mean Physical Component Summary score increased from 37·0-41·5; factors associated with improvement included independent mobility, family history, problems with usual activities, fewer comorbidities and higher baseline pain. Mean Mental Component Summary score improved from 50·5-53·7; factors associated with improvement included anxiety or depression at baseline and living with others.
Conclusion: Chronic leg ulceration has a substantial, negative impact on health-related quality of life. Ascertaining characteristics associated with changes in quality of life will contribute to the development of comprehensive strategies for prevention, care and improved quality of life.
(© 2016 John Wiley & Sons Ltd.)
Databáze: MEDLINE
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