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静脉溃疡患者生活质量的潜在预测因素:台湾的一项横断面研究。

Potential predictors of quality of life in patients with venous leg ulcers: A cross-sectional study in Taiwan.

机构信息

Department of Surgery, Division of Plastic Surgery, Wound Care Center, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi, Taiwan.

Department of Surgery, Division of Plastic Surgery, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi, Taiwan.

出版信息

Int Wound J. 2022 Aug;19(5):1039-1050. doi: 10.1111/iwj.13700. Epub 2021 Oct 5.

Abstract

Internationally, the impact of venous leg ulcers (VLUs) on the quality of life is well recognised; however, in Taiwan, the focus is only on chronic wound management. This cross-sectional correlational study conducted at the cardiovascular and plastic surgery clinics of a regional teaching hospital between August 2019 and June 2020 investigates venous clinical severity, pain, fatigue, depression, sleep quality, quality of life, and related factors among 167 patients with VLUs. The potential predictors of the quality of life in terms of activities were venous clinical severity (P < 0.001), pain (P = 0.004), and fatigue (P < 0.001) after adjusting for covariates. The potential predictors of the quality of life in terms of the psychological domain were marital status (single/divorced) (P = 0.016), marital status (widowed) (P = 0.027), venous clinical severity (P < 0.001), pain (P = 0.001), and fatigue (P = 0.002). The potential predictors of the quality of life with regard to symptoms were venous clinical severity (P < 0.001), pain (P < 0.001), fatigue (P = 0.001), and depression (P = 0.038). These potential predictors can serve as the basis of interventions for patients with VLUs, such as those related to nutrition or training in wound dressing.

摘要

在国际上,静脉性腿部溃疡(venous leg ulcers,VLUs)对生活质量的影响已得到充分认识;然而,在台湾,人们只关注慢性伤口管理。本项于 2019 年 8 月至 2020 年 6 月在一家地区教学医院的心血管和整形手术诊所进行的横断面相关性研究,调查了 167 例静脉性腿部溃疡患者的静脉临床严重程度、疼痛、疲劳、抑郁、睡眠质量、生活质量及其相关因素。调整协变量后,静脉临床严重程度(P<0.001)、疼痛(P=0.004)和疲劳(P<0.001)是生活质量活动方面的潜在预测因素。在心理领域,婚姻状况(单身/离异)(P=0.016)、婚姻状况(丧偶)(P=0.027)、静脉临床严重程度(P<0.001)、疼痛(P=0.001)和疲劳(P=0.002)是生活质量的潜在预测因素。在症状方面,静脉临床严重程度(P<0.001)、疼痛(P<0.001)、疲劳(P=0.001)和抑郁(P=0.038)是生活质量的潜在预测因素。这些潜在的预测因素可以为静脉性腿部溃疡患者的干预措施提供依据,例如与营养或伤口敷料训练相关的措施。

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