The comparison of quality of life of female patients over and below 41 years of age with lower limbs ulcerataion treated surgically or conservatively
DOI:
https://doi.org/10.12923/j.2081-3910/13.4/a.05Keywords:
leg ulcers, quality of life, age, mood, conservative treatment, chronic venous insufficiency, surgical treatmentAbstract
Crural ulcerations are associated with age and are much more common in people over 60 years of age. Ulcers etiologic factors include: genetic predisposition, factors related to the conditions and lifestyle. Often they are the result of co-morbidities such as arterial disease, diabetes, or rheumatoid arthritis. Ulcerating changes cause physical discomfort, mental depression, which contributes to social isolation. Research indicates that with increasing age, health becomes the primary and one of the main determinants of the quality of life. Complications occurring in the elderly connected with ulcers, and venous insufficiency lead to lower quality of life. The study group comprised patients with leg ulcers treated in the Military Hospital with Policlinic in the Public Health Institute, Al. Racławickie 23 in Lublin in the Department of Surgery. The group size was 60 patients. To assess the quality of life of patients with leg ulcers a shortened version of the questionnaire WHOQOL - BREF w as u sed i n assessing the quality of life. This survey consists of 26 questions, which describe the quality of life in four areas: physical, psychological, social and environmental. The study also used a brief authors’ questionnaire. The research confirms that the age of patients with leg ulcers differentiates their assessment of the quality of life. In the group of patients over 41 years of age the quality of life was assessed lower; primarily it concerned somatic, psychological and environmental areas. The age of patients significantly influenced the assessment of the quality of their lives.
References
1. Zdzienicki M., Andziak P. Jakość życia chorych na choroby tętnic i żył. Pol. Merk. Lek. 2008; 24: 141- 268.
2. Posnett J., Franks P. The costs of skin breakdown and ulceration in the UK. In Skin Breakdown: The Silent Epidemic. The Smith & Nephew Foundation, UK.2007: 6-12.
3. Morris P., Sander R. Leg ulcers. Nursing Older People. 2007; 19(5): 33-37. https://doi.org/10.7748/nop2007.06.19.5.33.c4646
4. Maddox D. Effects of venous leg ulceration on patients’ quality of life. Nursing Standard.2012; 26(38): 42-49. https://doi.org/10.7748/ns2012.05.26.38.42.c9111
5. Williams AM. Issues affecting concordance with leg ulcer care and quality of life. Nursing Standard.2010; 24 (45): 51-58. https://doi.org/10.7748/ns2010.07.24.45.51.c7908
6. NHS Choices. Leg Ulcer, Venous. www.nhs.uk/Conditions/Leg-ulcer-venous/Pages/Introduction.aspx. Last accessed: June 21 .2012.
7. Bączyk G., Talarska D., Zawirska A. i wsp. Funkcjonowanie i j akość życia chorych z owrzodzeniami podudzi leczonych na oddziałach dermatologicznych. Post Dermatol Alergol 2011; XXVIII(3): 197-202.
8. Briggs M., Closs SJ. The prevalence of leg ulceration: a review of the literature. European Wound Management Association Journal. 2003; 3(2)14-20.
9. Salavastru CM., Nedelcu LE., Tiplica GS. Management of leg ulcers in patients with chronic venous insufficiency: the experience of a Dermatology Clinic in Bucharest, Romania. Dermatol Ther. 2012; 25(4): 304-13. https://doi.org/10.1111/j.1529-8019.2012.01513.x
10. Parker K. Psychosocial effects of living with a leg ulcer. Nursing Standard.2012; 26 (45): 52-62. https://doi.org/10.7748/ns2012.07.26.45.52.c9210
11. Silny W., Prokop J. Owrzodzenia goleni jako problem dermatologiczny W: Ambulatoryjne leczenie chorób żył kończyn dolnych. Zapalski S. Oszkinis G(red.). Gdańsk ;Wydawnictwo Via Medica: 2001.
12. Van Hecke A., Grypdonck M., Defloor T. Interventions to enhance patient compliance with leg ulcer treatment: a review of the literature. Journal of Clinical Nursing. 2007; 17(1): 29-39. https://doi.org/10.1111/j.1365-2702.2006.01863.x
13. Szewczyk MT., Jawień A., Cierzniakowska K., i wsp. Ocena sprawności funkcjonowania chorych z przewlekła niewydolnością żylną i owrzodzeniem goleni. Post Dermatol Alergol. 2005; 22: 265-270.
14. Krzemińska S. Starzenie się jako problem XXI wieku. Świat Farm 2008;1: 10-11.
15. Chodorowski Z. Geriatria z podstawami gerontologii. Gdynia; PZWL: 2008.
16. Martinson OB., Wilkeninga EA. Predicting overall life satisfaction: the role of life cycle and socjal psychological antecedents. Soc Indic Res .1984; 14: 99-108. https://doi.org/10.1007/bf00315724
17. Mirczak A., Tobiasz-Adamczyk B., Brzyski P. i wsp. Porównanie jakości życia pacjentów w wieku co najmniej 65 lat oraz grupy chorych poniżej 64 roku życia po operacyjnym leczeniu raka jelita grubego. Gerontol Pol. 2012; 20(1): 28-37.
18. Budgen V. Evaluating the impact on patients of living with a leg ulcer. Nursing Times. 2004; 100 (7): 30-31.
19. Moffatt C., Price P., Morgan P. Meeting the psychosocial challenges of leg ulceration. Nursing Times. 2006; 102(30): 51-53.
20. Wilson AB. Quality of life and leg ulceration from the patient’s perspective. British Journal of Nursing. 2004; 13 (11): 17-20.
21. Briggs SL. Leg ulcer management: how addressing a patient’s pain can improve concordance. Professional Nurse. 2005; 20 (6) 39-41.
22. Ebbeskog B., Ekman SL. Elderly persons’ experiences of living with venous leg ulcer: living in a dialectal relationship between freedom and imprisonment. Scandinavian Journal of Caring Sciences, 2001; 15(3): 235-243. https://doi.org/10.1046/j.1471-6712.2001.00018.x
23. Jones J., Barr W., Robinson J., Carlisle C. Depression in patients with chronic venous ulceration. British Journal of Nursing. 2006; 21(15) supp. 11: 17-23. https://doi.org/10.12968/bjon.2006.15.sup2.21237
24. World Union of Wound Healing Societies. Principles of Best Practice: Minimising Pain at Wound Dressing-Related Procedures. A Consensus Document. London; Medical Education Partnership: 2004.
25. Douglas V. Living with a chronic leg ulcer: an insight into patients’ experiences and feelings. Journal of Wound Care. 2001; 10(9): 355-360; Edwards LM (2003) Why patients do not comply with compression bandaging. British Journal of Nursing. 2003; 12(11): 5-10. https://doi.org/10.12968/jowc.2001.10.9.26318
26. Persoon A, Heinen MM, van der Vleuten CJM, de Rooij MJ, van de Kerkhof PCM & van Achterberg T. Leg ulcers: a review of their impact on daily life. Journal of Clinical Nursing, 2004; 13: 341-354. https://doi.org/10.1046/j.1365-2702.2003.00859.x
27. Hareendran A., Bradbury A., Budd J., Geroulakos G., Hobbs R., Kenkre J & Symonds T. Measuring the impact of venous leg ulcers on quality of life. Journal of Wound Care, 2005; 14: 53-57. https://doi.org/10.12968/jowc.2005.14.2.26732
28. Edwards H., Courtney M., Finlayson K, Shuter P., Lindsey E. A randomised control trial of community intervention: improved quality of life and healing for clients with chronic leg ulcers. Journal of Clinical Nursing. 2009; 18 (11): 1541-1549. https://doi.org/10.1111/j.1365-2702.2008.02648.x
29. Gonz´lez-Consuegra, Renata Virginia Verdú, José Quality of life in people with venous leg ulcers: an integrative review. Journal of Advanced Nursing; May 2011, Vol. 67 Issue 5: 926-944, 19p. DOI:10.1111/j.1365- 2648.2010.05568. https://doi.org/10.1111/j.1365-2648.2010.05568.x
30. Briggs M., Flemming K., & Closs S.J. Living with Leg Ulceration: A Meta-synthesis of Qualitative Research. 72. The 2006 International Nursing Research Conference., London, RCN.
31. Krasner D. Painful venous ulcers: themes and stories about living with the pain and suffering. Journal of Wound, Ostomy, and Continence Nursing. 1998; 25: 158-168. https://doi.org/10.1097/00152192-199805000-00008
32. Husband LL. Venous ulceration: the pattern of pain and the paradox. Clinical Effectiveness in Nursing.2001; 5(1) 35-40. https://doi.org/10.1054/cein.2001.0185
33. Phillips T , S tanton B , P rovan A & Lew R. A s tudy of the impact of leg uclers on quality of life: financial, social and psychologic implications. Journal of the American Academy of Dermatology. 1994; 31: 49-53. https://doi.org/10.1016/s0190-9622(94)70134-2
34. Charles H . Venous leg ulcer pain and its characteristics. Journal of Tissue Viability. 2002; 12: 154-158.
35. Stokes S.A. & Gordon S.E. Common stressors experienced by the well elderly: clinical implications. Journal of Gerontological Nursing. 2003; 29: 38-46. https://doi.org/10.3928/0098-9134-20030501-08
36. Moffatt CJ., Franks PJ., Doherty DC., Martin R., Blewett R & Ross F. Prevalence of leg ulceration in a London population. QJM. 2004; 97: 431-437. https://doi.org/10.1093/qjmed/hch075
37. Dunić I., Medenica L., Maksimović Ž., Djurković-Djaković O. [Quality of life in patients with venous ulcers].[Article in Serbian]. BMC Dermatol. [Epub ahead of print]. 2012; 28; 12(1):17.
38. Lindsay E. Leg clubs: a new approach to patient-centred leg ulcer management. Nursing and Health Sciences. 2000; 2: 139-141. https://doi.org/10.1046/j.1442-2018.2000.00053.x
39. Hopkins A. Disrupted lives: investigating coping strategies for non-healing leg ulcers. British Journal of Nursing. 2004; 13(9): 556-563. https://doi.org/10.12968/bjon.2004.13.9.12972
40. Ebbeskog B., Emami A. Older patients’ experience of dressing changes on venous leg ulcers: more than just a docile patient. Journal of Clinical Nursing. 2005; 14(10): 1223-1231. https://doi.org/10.1111/j.1365-2702.2005.01194.x
41. Rich A, M cLachlan L . H ow l iving with a l eg u lcer a ffects people’s daily life: a nurse-led study. Journal of Wound Care. 2003; 12(2): 51-54.
42. Roper N., Logan W., Tierney AJ. The Roper-Logan-Tierney Model of Nursing Based on Activities of Living. Edinburgh .Churchill Livingstone, 2000.
43. Hankin CS., Knispel J., Lopes M., Bronstone A., Maus E. Clinical and cost efficacy of advanced wound care matrices for venous ulcers. J Manag Care Pharm. 2012; 18(5): 375-84. https://doi.org/10.18553/jmcp.2012.18.5.375
44. Haram R.B. & Dagfinn N. Errors and discrepancies: a patient perspective on leg ulcer treatment at home. Journal of Wound Care. 2003; 12: 195-199. https://doi.org/10.12968/jowc.2003.12.5.26495
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