González de la Torre Héctor, Quintana-Lorenzo María L, Perdomo-Pérez Estrella, Verdú José
Complejo Hospitalario Materno-Infantil Insular de Gran Canaria, Servicio Canario de Salud, Las Palmas de Gran Canaria, Spain.
Gerencia de Atención Primaria de Gran Canaria, Servicio Canario de Salud, Las Palmas de Gran Canaria, Spain.
Int Wound J. 2017 Apr;14(2):360-368. doi: 10.1111/iwj.12610. Epub 2016 Apr 25.
This study aims to determine health-related quality of life (HRQoL) in patients suffering with venous ulceration and to correlate wound's severity status with HRQoL loss as well as identify the aspects of HRQoL most negatively affected by the presence of venous ulcers. In this observational, cross-sectional, descriptive, analytical multi-centre study, data was compiled over a period of 3·5 months. Thrity-four patients with venous ulceration were recruited. The RESVECH 2·0 scale was used to monitor wounds. The MAID scale was used to measure wound's severity. The Charing Cross Venous Ulcer Questionnaire (CCVUQe) (Spanish version) was used to evaluate quality of life. The mean CCVUQe score was 60·58 ± 16·04. The HRQoL dimension most affected was 'Emotional state' (mean score = 77. 67 ± 17·34). The average RESVECH 2.0 score for the wounds was 13·15 ± 5·07. A statistically significant association between total CCVUQ-e score and total RESVECH 2.0 score was detected [Pearson correlation coefficient r = 0·546 (P ≤ 0·001)]. Venous ulcers affect patients' HRQoL, particularly their emotional status. There is a relationship between the severity of the wound and loss of HRQoL. The presence of non-viable tissue, poor exudate control and infection all determine loss of HRQoL. New studies are needed to confirm these findings.
本研究旨在确定静脉溃疡患者的健康相关生活质量(HRQoL),并将伤口的严重程度与HRQoL的丧失相关联,同时确定受静脉溃疡影响最严重的HRQoL方面。在这项观察性、横断面、描述性、分析性多中心研究中,数据收集历时3.5个月。招募了34名静脉溃疡患者。使用RESVECH 2.0量表监测伤口。使用MAID量表测量伤口的严重程度。使用查令十字静脉溃疡问卷(CCVUQe)(西班牙语版本)评估生活质量。CCVUQe的平均得分为60.58±16.04。受影响最大的HRQoL维度是“情绪状态”(平均得分=77.67±17.34)。伤口的RESVECH 2.0平均得分为13.15±5.07。检测到CCVUQ-e总分与RESVECH 2.0总分之间存在统计学显著关联[皮尔逊相关系数r = 0.546(P≤0.001)]。静脉溃疡会影响患者的HRQoL,尤其是他们的情绪状态。伤口的严重程度与HRQoL的丧失之间存在关联。存在无活力组织、渗出物控制不佳和感染都会导致HRQoL丧失。需要新的研究来证实这些发现。