Morgan Philip A, Franks Peter J, Moffatt Christine J, Doherty Debra C, O'Connor Teresa, McCullagh Lynn, Hourican Catherine
Centre for Research and Implementation of Clinical Practice, Thames Valley University, London, UK.
Ostomy Wound Manage. 2004 Jan;50(1):25-32.
Venous ulcers are a chronic and costly condition for providers and payors, as well as for patients, particularly the elderly. To examine the association between chronic venous ulceration, illness behavior, and levels of social support, patients drawn from a separate clinical trial (N = 74) were interviewed using the Illness Behaviour Questionnaire and the Social Support Questionnaire. Results indicate that women had higher hypochondriasis (1.70 versus 1.03, P = 0.19), affective disturbance (2.70 versus 1.42, P = 0.08), and number of supports (Social Support Questionnaire, 2.41 versus 1.81, P = 0.056) than men, although no score achieved a standard level of statistical significance. Patients under 70 years of age had significantly higher hypochondriasis (1.96 versus 1.17, P = 0.021) and irritability (1.38 versus 0.90, P = 0.026) scores than those older than 70 years, although denial was significantly higher in those older than 70 years (3.97 versus 3.46, P = 0.045). The level of satisfaction with social support was significantly higher in those under 70 years of age (5.13 versus 4.97, P = 0.042). These results underscore the psychological and social cost imposed by chronic venous ulceration on older women. They also support previous studies implying a greater psychological burden on younger patients. The association between illness behavior and social support remains unclear, but examining the association between illness behavior and social support among patients with venous ulceration provides an opportunity to increase understanding of the psychological, physical, and social dynamics of this chronic condition.
静脉溃疡对医疗服务提供者、医保支付方以及患者，尤其是老年患者来说，是一种慢性且花费高昂的疾病。为了研究慢性静脉溃疡、疾病行为和社会支持水平之间的关联，我们使用疾病行为问卷和社会支持问卷，对来自另一项临床试验的患者（N = 74）进行了访谈。结果表明，女性在疑病（1.70对1.03，P = 0.19）、情感障碍（2.70对1.42，P = 0.08）以及支持数量（社会支持问卷，2.41对1.81，P = 0.056）方面高于男性，尽管没有分数达到统计学显著性的标准水平。70岁以下的患者在疑病（1.96对1.17，P = 0.021）和易怒（1.38对0.90，P = 0.026）得分上显著高于70岁以上的患者，尽管70岁以上患者的否认得分显著更高（3.97对3.46，P = 0.045）。70岁以下患者对社会支持的满意度水平显著更高（5.13对4.97，P = 0.042）。这些结果强调了慢性静脉溃疡对老年女性造成的心理和社会代价。它们也支持了先前暗示年轻患者心理负担更大的研究。疾病行为和社会支持之间的关联仍不明确，但研究静脉溃疡患者的疾病行为和社会支持之间的关联，为增进对这种慢性疾病的心理、身体和社会动态的理解提供了一个机会。
