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基于伤口生活质量量表的慢性伤口患者生活质量现状及影响因素:一项横断面研究。

The current status and influencing factors of quality of life of chronic wound patients based on Wound-QoL scale: A cross-sectional study.

作者信息

Hongying Zhang, Chunmei He, Lijuan Chen, Miao Tian, Jingying Xie, Hongmei Jiang, Jing Hu, Yang He, Min Yang

机构信息

The Second People's Hospital of Deyang City, Deyang, Sichuan, PR China.

West China Stomatological Hospital, Sichuan University, Chengdu, Sichuan, PR China.

出版信息

Medicine (Baltimore). 2025 Jul 4;104(27):e42961. doi: 10.1097/MD.0000000000042961.

Abstract

This study aims to establish the current quality of life (QoL) of patients with chronic wounds and identify the factors influencing it. Convenience sampling was employed, and 223 patients with chronic wounds were recruited from a tertiary hospital in Deyang City between April 2023 and January 2024. Patients completed a demographic characteristics questionnaire, the Wound-QoL, the modified Barthel Index, and the Hospital Anxiety and Depression Scale. The impact of chronic wounds on the quality of life of the patients was analyzed through the linear regression analyses. The mean Wound-QoL score was 38.59 ± 10.92, with 4 domains: economic burden, psychological status, physiological status, and daily life, found to significantly influence wound QoL. Logistic regression revealed that the odds of QoL improvement were impacted by various risk factors, and multivariate linear regression identified the most significant ones: a wound area ≥100 cm², wounds located on the lower extremities, baseline anxiety scores of ≥7, and baseline depression scores of ≥7. Conversely, higher modified Barthel Index scores were predictive of poorer QoL (P < .05). These findings highlight that patients with chronic wounds generally exhibit low QoL, which is influenced by wound characteristics, psychological status, and daily activity limitations. Medical professionals should focus on these factors by implementing targeted strategies, including comprehensive wound care, enhancing functional independence, and addressing psychological well-being, to improve QoL and facilitate better wound healing outcomes.

摘要

本研究旨在确定慢性伤口患者当前的生活质量(QoL),并找出影响其生活质量的因素。采用便利抽样法,于2023年4月至2024年1月期间,从德阳市一家三级医院招募了223例慢性伤口患者。患者完成了一份人口统计学特征问卷、伤口生活质量量表、改良巴氏指数和医院焦虑抑郁量表。通过线性回归分析慢性伤口对患者生活质量的影响。伤口生活质量量表的平均得分为38.59±10.92,发现经济负担、心理状态、生理状态和日常生活这4个领域对伤口生活质量有显著影响。逻辑回归显示,生活质量改善的几率受到多种风险因素的影响,多元线性回归确定了最显著的因素:伤口面积≥100平方厘米、伤口位于下肢、基线焦虑评分≥7分以及基线抑郁评分≥7分。相反,改良巴氏指数得分越高,预示生活质量越差(P<0.05)。这些发现突出表明,慢性伤口患者的生活质量普遍较低,这受到伤口特征、心理状态和日常活动受限的影响。医学专业人员应通过实施有针对性的策略,包括全面的伤口护理、增强功能独立性和解决心理健康问题,关注这些因素,以提高生活质量并促进更好的伤口愈合结果。

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