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使用Unna靴治疗的患者中,下肢静脉溃疡愈合情况作为生活质量的决定因素:一项准实验研究。

Venous leg ulcer healing as a determinant of quality of life in patients treated with unna boot: A quasi-experimental study.

作者信息

Galvão de Oliveira Mário Lins, León-Morillas Felipe, Andriola Isadora Costa, Gómez Martínez Carmelo Sergio, Dantas Bruno Araújo da Silva, Torres Gilson de Vasconcelos

机构信息

Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil.

Departamento de Fisioterapia, Universidad Católica de Murcia (UCAM), Murcia, Spain.

出版信息

PLoS One. 2025 Jan 29;20(1):e0314490. doi: 10.1371/journal.pone.0314490. eCollection 2025.

Abstract

Our objective was to assess the effect of Venous Leg Ulcer (VLU) healing on Quality of Life (QoL) in patients undergoing compression therapy. This non-randomized, quasi-experimental, and observational study involved patients with VLU. A convenience sample of individuals receiving services was followed for at least one year while undergoing compression therapy. The Medical Outcomes Short-Form Health Survey (SF-36) and the Charing Cross Venous Ulcer Questionnaire (CCVUQ) were employed to measure the variables of interest. Study participants were categorized into the Healed Group (HG) and the Unhealed Group (UG). The final sample comprised 103 individuals. The HG demonstrated improvements in SF-36 scores in the domains of Social Role Functioning (n = 34, p<0.001), Physical Role Functioning (n = 33, p<0.001), and the Physical Health Dimension (n = 38, p<0.001). Additionally, the CCVUQ assessment revealed score enhancements in the domains of Domestic Activities (n = 30, p = 0.001) and Social Interaction (n = 30, p = 0.009). QoL showed significant improvements in functionality, physical performance, and social interaction in the HG after one year of compression therapy treatment. In contrast, the UG was the only group to experience significant deteriorations in QoL.

摘要

我们的目标是评估接受加压治疗的患者中静脉性腿部溃疡(VLU)愈合对生活质量(QoL)的影响。这项非随机、准实验性观察研究纳入了VLU患者。对接受服务的便利样本个体在接受加压治疗期间进行了至少一年的随访。采用医学结局简明健康调查(SF-36)和查令十字静脉溃疡问卷(CCVUQ)来测量相关变量。研究参与者被分为愈合组(HG)和未愈合组(UG)。最终样本包括103名个体。HG在社会角色功能领域(n = 34,p<0.001)、身体角色功能领域(n = 33,p<0.001)和身体健康维度(n = 38,p<0.001)的SF-36评分有所改善。此外,CCVUQ评估显示在家庭活动领域(n = 30,p = 0.001)和社交互动领域(n = 30,p = 0.009)的评分有所提高。经过一年的加压治疗,HG在功能、身体表现和社交互动方面的生活质量有显著改善。相比之下,UG是唯一生活质量显著恶化的组。

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