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慢性伤口患者的生活质量:变化程度及预测因素

Quality of life in patients with chronic wounds: magnitude of changes and predictive factors.

作者信息

Santos Vera Lúcia Conceição de Gouveia, Oliveira Alcicléa Dos Santos, Amaral Ana Flávia Dos Santos, Nishi Erika Tihemi, Junqueira Jaqueline Betteloni

机构信息

Universidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Médico-Cirúrgica, São Paulo, SP, Brazil.

Hospital Beneficiência Portuguesa, São Paulo, SP, Brazil.

出版信息

Rev Esc Enferm USP. 2017 Oct 9;51:e03250. doi: 10.1590/S1980-220X2016049603250.

DOI:10.1590/S1980-220X2016049603250
PMID:29019529
Abstract

OBJECTIVE

To assess health-related quality of life, its predictors and magnitude of changes in health-related quality of life in patients with chronic wounds receiving specialized outpatient treatment.

METHOD

Secondary, retrospective, descriptive, quantitative study with patients with chronic wounds from two specialized outpatient services in Brazil assessed through Ferrans & Powers Quality of Life Index-Wound Version, Visual Analog Pain Scale, Global Assessment Scale, Pressure Ulcer Scale for Healing, sociodemographic and clinical questionnaires at baseline and after 60 days of treatment. Data were analyzed by ANOVA, Spearman Coefficient, Mann-Whitney test and multivariate logistic regression.

RESULTS

Twenty-seven patients participated in the study. The overall health-related quality of life scale, health and functioning subscale and socioeconomic subscale scores increased after 60 days of treatment compared to baseline. Pain reduction was a predictor of changes in overall health-related quality of life score as well as religious practice in the family subscale. 92.6% patients perceived moderate to extensive changes in health-related quality of life.

CONCLUSION

there was improvement of health-related quality of life for the sample studied in the period; pain and religious practice have emerged as predictors of changes in health-related quality of life.

摘要

目的

评估接受专科门诊治疗的慢性伤口患者的健康相关生活质量、其预测因素以及健康相关生活质量的变化程度。

方法

采用二次、回顾性、描述性、定量研究方法,对巴西两家专科门诊的慢性伤口患者进行评估,通过费兰斯和鲍尔斯生活质量指数-伤口版、视觉模拟疼痛量表、整体评估量表、愈合压力性溃疡量表、社会人口统计学和临床问卷在基线和治疗60天后进行评估。数据采用方差分析、斯皮尔曼系数、曼-惠特尼检验和多因素逻辑回归进行分析。

结果

27名患者参与了研究。与基线相比,治疗60天后,整体健康相关生活质量量表、健康与功能子量表以及社会经济子量表得分均有所提高。疼痛减轻是整体健康相关生活质量得分变化以及家庭子量表中宗教活动的预测因素。92.6%的患者认为健康相关生活质量有中度到广泛的变化。

结论

在所研究的时间段内,样本的健康相关生活质量有所改善;疼痛和宗教活动已成为健康相关生活质量变化的预测因素。

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