Influence of psychosocial factors on coping and living with a venous leg ulcer

Peart, Joanna

doi:10.12968/bjcn.2015.20.sup6.s21

Cited by 13 publications

(8 citation statements)

References 29 publications

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“…Pain is one of the major factors that affects the quality of life (QoL) of patients with ulcers 41 and any reduction in pain can improve their QoL. 42 Wound-related pain is a significant clinical challenge in many patients with hard-to-heal wounds 43 and may involve persistent pain that is usually associated with the underlying wound aetiology, cyclic acute pain that is induced by repeated interventions, such as cleaning and dressing change, and non-cyclic acute pain resulting from one-off procedures such as debridement.…”

Section: Secondary Objectivesmentioning

confidence: 99%

The clinical impact of hydroresponsive dressings in dynamic wound healing: Part I

Sterpione

Mas²,

Rippon

et al. 2021

J Wound Care

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Objective: Management of any wound, either acute or hard-to-heal, might involve the use of multiple and different wound dressings in its treatment. This approach is necessary to overcome the myriad of clinical challenges the wound presents, as well as any underlying comorbidities that might affect the clinical outcomes. This article describes the clinical effectiveness of a coordinated wound dressing treatment regimen. Method: This was an open-labelled non-comparative study involving patients with a variety of hard-to-heal and acute wounds of differing levels of severity, but all of which required removal of devitalised tissue to enable wound healing to progress. The first phase used the hydroresponsive wound dressing HydroClean (PAUL HARTMANN AG, Germany). The PUSH score was used as the primary measurement parameter. Results: A total of 86 patients (38 male/48 female), with a mean age of 67.7±21.7 years, took part in the study. The results showed that the hydroresponsive dressing was effective in managing wound exudate production and promoting wound cleansing and debridement, supporting good wound bed preparation. Wound closure was observed in 16/86 (18.6%) wounds at the end of the study (20 weeks). This enabled clinicians to switch to alternative wound dressings to promote subsequent clinical healing outcomes. Conclusion: In this study, the hydroresponsive wound dressing was highly effective in preparing a clean wound bed such that the next stage of wound healing could be supported.

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Section: Secondary Objectivesmentioning

confidence: 99%

The clinical impact of hydroresponsive dressings in dynamic wound healing: Part I

Sterpione

Mas²,

Rippon

et al. 2021

J Wound Care

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“…Once healed, the likelihood of VLU recurrence is between 40% and 70% within 12 months . This has serious ramifications for patient's quality of life due to reduced mobility, pain, social isolation, loss of self‐esteem, anxiety, and depression …”

Section: Introductionmentioning

confidence: 99%

Understanding factors influencing venous leg ulcer guideline implementation in Australian primary care

Weller

Richards

Turnour

et al. 2020

International Wound Journal

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The aim of this study was to gain a better understanding of the venous leg ulcer (VLU) management in primary health care settings located in Melbourne metropolitan and rural Victoria, Australia. We explored health professionals' perspective on the use of the Australian and New Zealand Venous Leg Ulcer Clinical Practice Guideline (VLU CPG) to identify the main challenges of VLU CPG uptake in clinical practice. We conducted semi‐structured interviews with 15 general practitioners (GPs) and 20 practice nurses (PNs), including two Aboriginal health nurses. The Theoretical Domains Framework guided data collection and analysis. Data were analysed using a theory‐driven analysis. We found a lack of awareness of the VLU CPGs, which resulted in suboptimal knowledge and limited adherence to evidence‐based recommendations. Environmental factors, such as busy nature of clinical environment and absence of handheld Doppler ultrasound, as well as social and professional identity factors, such as reliance on previous experience and colleague's advice, influenced the uptake of the VLU CPGs in primary care. Findings of this study will inform development of interventions to increase the uptake of the VLU CPG in primary care settings and to reduce the evidence‐practice gap in VLU management by health professionals.

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“…Prognosis for the patients with venous ulcerations is usually poor due to the issues with its recurrence, delayed healing and superinfections. Additionally the socioeconomic impact of VU seems to be destructing because the patients are unable to engage in occupational and social activities, which results in decreased quality of life, social isolation and loss of self-esteem and may eventually lead to anxiety and depression [3]. Taking the socioeconomic impact and the high prevalence of VU into account, an understanding of the underlying mechanism of VU is highly anticipated.…”

Section: Introductionmentioning

confidence: 99%

Overexpression of cathepsin K and vascular endothelial growth factor in chronic venous ulcerations

Kolano

Bednarski

Lesiak

et al. 2020

pdia

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Introduction: Chronic venous disease (CVD) is a disabling condition affecting about 1% to 3% of the general population. Besides varicose veins, CVD can result also in the formation of severe skin lesions, especially venous ulcerations (VU). The exact mechanism of VU is still unknown. Aim: To evaluate immunoexpression of vascular endothelial growth factor (VEGF) and cathepsin K in healthy individuals and patients with VU. Material and methods: The study included 12 patients with venous ulcers and 10 healthy individuals who served as controls; both groups were sex-and age-matched. Biopsy samples were obtained from lower leg areas and submitted to histochemical analysis. Results: There was a significant difference between the study group and the control group in cathepsin K expression (1.007 ±0.3 vs. 0.22 ±0.2, respectively, p < 0.001) and VEGF expression (1.17 ±0.59 vs. 0.27 ±0.19, respectively, p < 0.001). Additionally, the microvessel density (per mm 2 ) differed significantly between the study group and the control group (97.6 ±28.81 vs. 59.32 ±12.71, respectively, p < 0.001). We found no correlation between cathepsin K and microvessel density, and cathepsin K and VEGF in both groups, but there was a significant correlation between microvessel density and VEGF immunoexpression in the study group (r = 0.82, p = 0.002). Conclusions: Increased immunoexpression of VEGF and cathepsin K suggests that both of these proteins may play a role in VU development.

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Influence of psychosocial factors on coping and living with a venous leg ulcer

Cited by 13 publications

References 29 publications

The clinical impact of hydroresponsive dressings in dynamic wound healing: Part I

The clinical impact of hydroresponsive dressings in dynamic wound healing: Part I

Understanding factors influencing venous leg ulcer guideline implementation in Australian primary care

Overexpression of cathepsin K and vascular endothelial growth factor in chronic venous ulcerations

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