下肢静脉溃疡对身体形象和自尊的影响。

The Impact of Venous Leg Ulcers on Body Image and Self-esteem.

作者信息

Salomé Geraldo Magela, de Almeida Sergio Aguinaldo, de Jesus Pereira Maria Teresa, Massahud Marcelo Renato, de Oliveira Moreira Carmelita Naira, de Brito Maria José Azevedo, Ferreira Lydia Masako

机构信息

Geraldo Magela Salomé, PhD, RN, is an Adjunct Professor, Master's Degree Program in Sciences Applied to Health, Sapucaí Valley University (UNIVÁS), Pouso Alegre, MG, Brazil. Sergio Aguinaldo de Almeida, RN, is a Specialist in Auditing, Private Practice, São Paulo, Brazil. Maria Teresa de Jesus Pereira, MSN, RN, is a Professor, School of Nursing, UNIVÁS, Pouso Alegre, MG, Brazil. Marcelo Renato Massahud, Jr, RN, is a student in the Master's Degree Program in Sciences Applied to Health, UNIVÁS, Pouso Alegre, MG, Brazil. Carmelita Naira de Oliveira Moreira is a Nursing Student, School of Nursing, UNIVÁS, Pouso Alegre, MG, Brazil. Maria José Azevedo de Brito, PhD, is Adjunct Professor, Master's Degree Program in Sciences Applied to Health, UNIVÁS, Pouso Alegre, MG, Brazil. Lydia Masako Ferreira, MD, PhD, is a Professor, Division of Plastic Surgery, Federal University of São Paulo (UNIFESP), São Paulo, SP, Brazil.

出版信息

Adv Skin Wound Care. 2016 Jul;29(7):316-21. doi: 10.1097/01.ASW.0000484243.32091.0c.

DOI:10.1097/01.ASW.0000484243.32091.0c

PMID:27300362

Abstract

OBJECTIVE

To evaluate self-esteem and body image in patients with venous leg ulcers (VLUs).

DESIGN

A multicenter, prospective, descriptive, analytical, clinical study.

SETTINGS

A nursing care and education center of a university hospital, a health center, and an outpatient wound care clinic in Brazil.

PATIENTS

Fifty-nine consecutive adult patients with VLUs and Doppler ankle-brachial index ranging from 0.8 to 1.0 were recruited for the study. Exclusion criteria were mixed ulcers, arterial ulcers, and diabetic foot ulcers.

MAIN OUTCOME MEASURES

A questionnaire assessing sociodemographic and clinical characteristics of patients, the Brazilian version of the Body Investment Scale, and the Rosenberg Self-esteem (RSE)/UNIFESP-EPM (São Paulo da Universidade Federal de São Paulo-Escola Paulista de Medicina) scale were administered to all patients.

MAIN RESULTS

Most participants were women, aged between 60 and 70 years, and smokers; 33 (56%) were divorced, widowed, or single, and 26 (44%) were married. The patients had the ulcer for a mean of 5.42 years. Exudate and foul odor were present in most cases. Twenty-one ulcers (36%) measured 29 cm or less in surface area, and 17 (29%) ulcers measured between 30 and 49 cm (mean, 3.39 cm). The mean RSE score was 22.66, indicating low self-esteem. The mean Body Investment Scale total score was 27.49, and the scores on the body image and body touch subscales were also low, indicating negative feelings about the body.

CONCLUSION

Patients with VLUs had low self-esteem and negative feelings about their bodies.

摘要

目的

评估下肢静脉性溃疡（VLU）患者的自尊和身体意象。

设计

一项多中心、前瞻性、描述性、分析性临床研究。

地点

巴西一家大学医院的护理与教育中心、一个健康中心以及一家门诊伤口护理诊所。

患者

连续纳入59例成年VLU患者，其多普勒踝肱指数在0.8至1.0之间。排除标准为混合性溃疡、动脉性溃疡和糖尿病足溃疡。

主要观察指标

对所有患者进行一份评估患者社会人口学和临床特征的问卷、巴西版身体投入量表以及罗森伯格自尊量表（RSE）/圣保罗联邦大学医学院自尊量表（UNIFESP - EPM）的测评。

主要结果

大多数参与者为女性，年龄在60至70岁之间，且为吸烟者；33例（56%）为离异、丧偶或单身，26例（44%）为已婚。患者溃疡平均时长为5.42年。大多数病例存在渗液和恶臭。21处溃疡（36%）表面积为29平方厘米或更小，17处溃疡（29%）表面积在30至49平方厘米之间（平均为3.39平方厘米）。RSE平均得分为22.66，表明自尊水平较低。身体投入量表总分平均为27.49，身体意象和身体触觉子量表得分也较低，表明对身体有负面感受。