HES-SO University of Applied Sciences and Arts Western Switzerland, Geneva School of Health Sciences, Geneva, Switzerland.
Institute of Epidemiology, Biostatistics and Prevention, Director of Public Health Education Program, University of Zurich, Zurich, Switzerland.
J Adv Nurs. 2021 Jan;77(1):367-375. doi: 10.1111/jan.14611. Epub 2020 Oct 21.
The aim of this study was to explore the occurrence of venous leg ulcer recurrence and the relationship with self-efficacy, social support and quality of life. Furthermore, we investigated the lived experiences of those patients and their understanding of why they developed a recurrence.
We used a convergent parallel mixed method design consisting of a cohort and an interpretative phenomenological study arm.
Consecutive patients (N = 145) were recruited into the study. Between 2014 and 2018, three primary care centres took part in the study. Data collection methods included chart review, administered questionnaires and semi-structured interviews.
The incidence of the venous leg ulcer recurrence was 33.1% within the study period. The scores for self-efficacy, social support and venous leg ulcer health-related quality of life show little variation between all measurement points and within subgroups. The qualitative findings identified two main themes: accidentally damaging the skin and avoiding venous leg ulcer recurrences. Venous leg ulcer recurrences frequently arose from accidents. Therefore, participants developed strategies to avoid additional ulcers.
To optimize recurrence prevention, improvements in knowledge of people with VLUs should be considered.
A mixed method, convergent, parallel design was used to explore the occurrence of venous leg ulcer recurrence and the relation of a venous leg ulcer recurrence with self-efficacy, social support and health-related quality of life. As well as the lived experiences of venous leg ulcer patients and why they developed a recurrence. The incidence of venous leg ulcer recurrences within the study period was 33.1%. Damaging the skin and avoiding a recurrence were the main identified themes.
本研究旨在探讨静脉下肢溃疡（venous leg ulcer，VLU）复发的发生情况及其与自我效能感、社会支持和生活质量的关系。此外，我们还调查了这些患者的生活体验以及他们对复发原因的理解。
我们采用了汇聚平行混合方法设计，包括队列研究和阐释现象学研究。
连续招募了 145 名患者参与本研究。2014 年至 2018 年期间，有三个初级保健中心参与了研究。数据收集方法包括病历回顾、问卷调查和半结构式访谈。
在研究期间，静脉下肢溃疡复发的发生率为 33.1%。自我效能感、社会支持和静脉下肢溃疡健康相关生活质量的评分在所有测量点和亚组内都没有明显变化。定性研究结果确定了两个主要主题：意外损伤皮肤和避免静脉下肢溃疡复发。静脉下肢溃疡复发常常是由意外引起的。因此，参与者制定了避免溃疡复发的策略。
为了优化复发预防，应考虑提高对静脉下肢溃疡患者的知识水平。
本研究采用混合方法、汇聚平行设计，探讨了静脉下肢溃疡复发的发生情况及其与自我效能感、社会支持和生活质量的关系，以及静脉下肢溃疡患者的生活体验和复发原因。研究期间，静脉下肢溃疡复发的发生率为 33.1%。损伤皮肤和避免复发是主要的主题。
