Changes in quality of life for patients with chronic venous insufficiency, present or healed leg ulcers
Changes in quality of life for patients with chronic venous insufficiency, present or healed leg ulcers
复制标题
DOI：
10.1111/j.1610-0387.2009.07082.x
复制
发表时间：
2009-11-01
影响因子：
3.6
通讯作者：
Seikowski, Kurt
中科院分区：
文献类型：
--
作者：
Renner, Regina;Gebhardt, Carl;Seikowski, Kurt
研究背景：慢性小腿溃疡患者在日常生活中受到身体不适和社会问题的影响。我们研究的目的不仅是评估腿部溃疡患者的生活质量(QOL)可能受到的损害，而且也评估溃疡愈合后是否有真正的生活质量改善。以慢性静脉功能不全患者为对照组。我们进一步分析了接受压迫治疗的患者和未接受压迫治疗的患者之间的疗效是否有显著差异。患者和方法：我们采用《Freiburger生活质量评估静脉内krankungen》(FLQAv)对三组患者(活动静脉性小腿溃疡、愈合性静脉性小腿溃疡和慢性静脉功能不全患者)进行访谈。结果：躯体问题、日常生活障碍、社交问题均随年龄增长而增加。与我们的预期相反，腿部溃疡的愈合并没有导致生活质量的显著提高。相反，活动性溃疡的患者并不认为他们的生活质量低于其他组。结论：尽管溃疡愈合是一个令人钦佩的目标，但它并不一定会改善生活质量，这可能是因为这一组患者存在大量的合并症。尽管如此，重要的是要控制与伤口直接相关的问题，让溃疡患者积极参与日常生活，最大限度地减少社会问题。
P>Background: Patients with chronic leg ulcers are handicapped in daily life, both by physical complaints and social problems. The aim of our study was not only to assess a possible impairment of quality of life (QOL) of leg ulcer patients but also to evaluate if there is a real improvement of QOL after healing of the ulcer. Patients with chronic venous insufficiency served as the control group. We further analyzed if there were significant differences in the response between patients who were and were not performing compression therapy.Patients and method: We interviewed three groups of patients (active venous leg ulcer, healed venous leg ulcer and patients with chronic venous insufficiency using the "Freiburger Life Quality Assessment fur Venenerkrankungen" (FLQAv). Results: Physical problems, daily handicaps and social problems all increased with age. Contrary to our expectations, healing of a leg ulcer did not lead to a significant increase in QOL. Instead, patients with active ulcers did not regard their QOL as lower than those in the other groups. Compression therapy also did not impair QOL in the three groups.Conclusion: Even though ulcer healing is an admirable goal, it does not necessarily lead to an improved QOL, probably because of the numerous comorbidi-ties in this patient group. Nonetheless, it is important to control problems associated directly with the wound to allow ulcer patients to participate actively in everyday life and minimize social problems.