Tracz Edyta, Zamojska Ewa, Modrzejewski Andrzej, Zaborski Daniel, Grzesiak Wilhelm
Surgical and Emergency Nursing Department, Pomeranian Medical University, Szczecin, Poland (Drs Tracz and Modrzejewski, and Ms Zamojska); and Laboratory of Biostatistics, West Pomeranian University of Technology, Szczecin, Poland (Drs Zaborski and Grzesiak).
Holist Nurs Pract. 2015 Mar-Apr;29(2):96-102. doi: 10.1097/HNP.0000000000000072.
The quality of life (QoL) in patients with advanced venous insufficiency (including venous stasis ulcers, skin discoloration, stasis eczema, and lipodermatosclerosis) assessed using the Clinical Etiological Anatomical Pathophysiological (CEAP) and Venous Clinical Severity Score (VCSS) classifications is presented. Also, disease features such as: intensity of pain, edema and inflammatory response that exerted the most profound effect on different domains of QoL are reported. The global QoL in patients with lower leg venous ulcerations was relatively similar to that observed in other patients with chronic venous insufficiency. The presence of venous ulcerations was associated with lower QoL in a Physical domain. Significant correlations were found between pain intensity and the values of Physical, Physiological, Level of Independence and Environmental domains, between edema intensity and Social domain as well as between the intensity of inflammatory response and Physical and Spiritual domains.
本文介绍了使用临床病因解剖病理生理（CEAP）和静脉临床严重程度评分（VCSS）分类法评估的晚期静脉功能不全患者（包括静脉淤滞性溃疡、皮肤色素沉着、淤积性皮炎和脂性硬皮病）的生活质量（QoL）。此外，还报告了对QoL不同领域影响最深远的疾病特征，如疼痛强度、水肿和炎症反应。小腿静脉溃疡患者的总体QoL与其他慢性静脉功能不全患者的情况相对相似。静脉溃疡的存在与身体领域的低QoL相关。在疼痛强度与身体、生理、独立水平和环境领域的值之间、水肿强度与社会领域之间以及炎症反应强度与身体和精神领域之间发现了显著相关性。
