Weitere Artikel dieser Ausgabe durch Wischen aufrufen
Individuals with chronic leg ulceration may have significantly impaired health-related quality of life (HRQOL) due to pain, impaired mobility, poor sleep, depression, restricted work capacity, and social isolation. The study purpose was to examine the associations among sociodemographic and clinical factors and HRQOL in a large sample of community-dwelling adults being treated for leg ulcers.
Data are from the cross-sectional baseline assessment of the Canadian Bandaging Trial, a multi-center, randomized controlled trial conducted to assess time to healing with two forms of high-compression bandaging. All participants received a comprehensive, standardized clinical assessment, and completed the 12-item Short Form (SF-12) and McGill Pain Questionnaire. SF-12 data were compared to age- and sex-adjusted norms, and multivariable logistic regression was used to identify factors associated with whether individuals were below, or at/above their normative values on the physical and mental component summary (PCS, MCS).
Of 424 individuals enrolled over a 50-month period, 407 (96 %) completed the SF-12. Mean age was 65 ± 17 years, and 55 % were women. Mean PCS was 39.1 ± 9.9 with 91 (22.4 %) scoring at/above the mean value for their age and sex; equivalent values for the MCS were 51.4 ± 9.9 and 209 (51.4 %). Higher levels of pain, younger age, larger size and longer duration of ulcer, and limited mobility were associated with poorer HRQOL.
Findings confirm the considerable burden of illness associated with leg ulcers. Given the chronic and recurring nature of the condition, strategies focused on improving HRQOL and healing are needed for this vulnerable population.
Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten
Sie möchten Zugang zu diesem Inhalt erhalten? Dann informieren Sie sich jetzt über unsere Produkte:
Herberger, K., Rustenbach, S. J., Haartje, O., Blome, C., Franzke, N., Schäfer, I., et al. (2011). Quality of life and satisfaction of patients with leg ulcers—Results of a community-based study. VASA (European Journal of Vascular Medicine), 40(2), 131–138.
Callam, M. J., Harper, D. R., Dale, J. J., & Ruckley, C. V. (1987). Chronic ulcer of the leg: Clinical history. British Medical Journal (Clinical Research Edition), 294(6584), 1389–1391. CrossRef
Hopman, W. M., Buchanan, M., VanDenKerkhof, E. G., & Harrison, M. B. (2013). Pain and health-related quality of life in people with chronic leg ulcers. Chronic Diseases and Injuries in Canada, 33(3), 167–174. PubMed
Moffat, C. J., Franks, P. J., Doherty, D. C., Smithdale, R., & Steptoe, A. (2009). Psychological factors in leg ulceration: A case–control study. British Journal of Dermatology, 161(4), 750–756. CrossRef
Hopman, W. M., Harrison, M. B., Coo, H., Friedberg, E., Buchanan, M., & VanDenKerkhof, E. G. (2009). Associations between chronic disease, age and physical and mental health. Chronic Diseases in Canada, 29(2), 108–116. PubMed
Guamera, G., Tinelli, G., Abeni, D., Di Pietro, C., Sampogna, F., & Tabolli, S. (2007). Pain and quality of life in patients with vascular leg ulcers: An Italian multicentre study. Journal of Wound Care, 16(8), 347–351. CrossRef
Ware, J. E., Kosinski, M., & Keller, S. D. (1994). SF-36 physical and mental health summary scales: A user manual and interpretation guide. Boston, MA: The Health Institute.
Iglesias, C. P., Birks, Y., Nelson, E. A., Scanlon, E., & Cullum, N. A. (2005). Quality of life of people with venous leg ulcers: A comparison of the discriminative and responsive characteristics of two generic and a disease specific instrument. Quality of Life Research, 14(7), 1705–1718. PubMedCrossRef
Hopman, W. M., Harrison, M. B., Carley, M., VanDenKerkhof, E. G. (2011). Additional support for simple imputation of missing SF-12 sSurvey sata. ISRN Nursing, Article ID 752320, doi: 10.5402/2011/752320.
Franks, P. J., & Moffat, C. J. (1998). Who suffers most from leg ulceration? Journal of Wound Care, 7(8), 383–385. PubMed
Harrison, M. B., VanDenKerkhof, E. G., Hopman, W. M., Graham, I. D., Lorimer, K., & Carley, M. (2011). Evidence-informed leg ulcer care: A cohort study comparing outcomes of individuals choosing nurse-led clinic or home care. Ostomy and Wound Management, 57(8), 38–45.
Canadian Institute for Health Information (2013). Compromised wounds in Canada. https://secure.cihi.ca/free_products/AiB_Compromised_Wounds_EN.pdf. Accessed 5 Dec 2013.
- Factors associated with health-related quality of life in chronic leg ulceration
Wilma M. Hopman
Elizabeth G. VanDenKerkhof
Meg E. Carley
Janet L. Kuhnke
Margaret B. Harrison
- Springer International Publishing
Neuer Inhalt/© Stellmach, Neuer Inhalt/© Maturus, Pluta Logo/© Pluta