Factors Associated With the Quality of Life of Patients With Venous Leg Ulcers in Primary Care: Cross-Sectional Study
| Autor: | Sofía Garrido-Elustondo, Milagros Rico-Blázquez, Carmen Folguera-Álvarez, José Verdú-Soriano |
|---|---|
| Přispěvatelé: | Universidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia, Salud Comunitaria (SALUD) |
| Rok vydání: | 2020 |
| Předmět: |
Quality of life
medicine.medical_specialty Erythema Cross-sectional study Primary care Varicose Ulcer 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans Ulcer Primary nursing Depression (differential diagnoses) Primary health care Primary Health Care 030504 nursing business.industry Leg Ulcer Cosmesis General Medicine Cross-Sectional Studies Quality of Life Anxiety Venous ulcer Enfermería Surgery medicine.symptom 0305 other medical science business Primary care nursing |
| Zdroj: | The International Journal of Lower Extremity Wounds. 21:521-528 |
| ISSN: | 1552-6941 1534-7346 |
| DOI: | 10.1177/1534734620967562 |
| Popis: | The presence of venous leg ulcers (VLU) is associated with emotional disorders in individuals who have conditions, such as depression, anxiety, and sleeping problems, which result in a reduced perceived quality of life by these individuals. The study aim was to describe the perceived quality of life and associated factors for individuals with VLU. We conducted a cross-sectional study in 22 primary care health centers with a sample of 93 individuals with VLU. The variables collected were the following: perceived quality of life measured with Spanish version of the Charing Cross Venous Ulcer Questionnaire (CCVUQ-e), ulcer severity measured with the RESVECH 2.0 Score, demographic variables, and those related to the healing process. The results showed a mean CCVUQ-e score of 47.4 ± 11.8 points (Mean ± SD), with the most affected dimension being the emotional status, followed by cosmesis, social interaction, and domestic activities. The mean RESVECH 2.0 score was 11.1 ± 3.7 points. An association was found between ulcer-related pain and poorer quality of life (P < .05, t test) and between erythema in perilesional skin and poorer quality life (P < .05, t test). The signs of infection and inflammation in the VLUs were as follows: increasing exudate, friable tissue, and biofilm-compatible tissue, which were associated with a poorer quality of life (P < .05, t test). The multivariate model was statistically significant and explained a variability of 26% in the CCVUQ-e score. This study confirms that wound severity, pain, and signs of infection in VLU decrease the perceived quality of life of individuals with these wounds. This study was funded by PN of I+D+I 2013-2016 and the ISCIII—General Deputy Directorate of Research Evaluation and Promotion and FEDER funds (PI13/01975). The Ministry of Economics and Competitiveness. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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