Brtan Romić Renata, Brtan Anđelka, Romić Ivan, Cvitanović Hrvoje, Duvančić Tomislavć, Lugović-Mihić Liborija
Acta Clin Croat. 2015 Sep;54(3):309-14.
Chronic wounds on lower extremities most commonly result from chronic venous insufficiency. Chronic leg ulcer impacts the quality of life in a number of ways such as reduced mobility, pain, unpleasant odor, sleep disturbances, social isolation, etc. This study included 100 patients with chronic wounds/lower leg ulcer (59% of women and 41% of men, aged 31 to 89) treated locally with special wound dressings for moist wound healing. Study results showed no age and sex correlation with the quality of life, and all participants evaluated their quality of life and health satisfaction as neither good nor bad, but it was found that the disease mostly affected social relationships and to a lesser extent patient satisfaction with their physical and mental health, and the environment. Results on the disease perception showed that the participants considered their disease to have a significant effect on their life and would last for a relatively long time, but they also believed they had good control of their disease. Also, they considered the disease to have many symptoms affecting them; they were worried about their disease which they understood relatively well; they were aware that treatment could be very helpful; and that the disease had moderate effect on their emotional health. According to sex, the disease was found to have greater effect on women (especially on their emotional condition) and women had more faith in successful treatment, while correlation with age was nonsignificant. This study confirmed the importance of the patient psychological condition and the need of due care of their psychological reactions to and facing with the disease.
下肢慢性伤口最常见的原因是慢性静脉功能不全。慢性腿部溃疡在许多方面影响生活质量,如行动不便、疼痛、异味、睡眠障碍、社交孤立等。本研究纳入了100例患有慢性伤口/小腿溃疡的患者(女性占59%,男性占41%,年龄在31至89岁之间),采用特殊伤口敷料进行局部治疗以促进伤口湿性愈合。研究结果显示,生活质量与年龄和性别无关,所有参与者对其生活质量和健康满意度的评价为不好也不坏,但发现该疾病主要影响社会关系,对患者对其身心健康及环境的满意度影响较小。疾病认知结果表明,参与者认为他们的疾病对生活有重大影响且会持续较长时间,但他们也认为自己对疾病有较好的控制。此外,他们认为该疾病有许多症状影响着他们;他们担心自己的疾病,对疾病有相对较好的了解;他们意识到治疗可能会非常有帮助;并且该疾病对他们的情绪健康有中度影响。按性别划分,发现该疾病对女性的影响更大(尤其是对她们的情绪状况),女性对治疗成功更有信心,而与年龄的相关性不显著。本研究证实了患者心理状况的重要性以及关注他们对疾病的心理反应和面对疾病时给予适当护理的必要性。