Quality of Life and Its Influencing Factors in Chinese Patients with Chronic Wounds

Abstract

OBJECTIVE:To explore the factors influencing quality of life in patients with chronic wounds.METHODS: A total of 138 patients with chronic wounds were included and completed the Chinese version of the Cardiff Wound Impact Schedule, the Hospital Anxiety and Depression Scale, and the Medical Coping Modes Questionnaire after researchers assessed their wound severity. RESULTS:The mean scores of physical symptoms and everyday living, social life, and well-being on the Chinese version of the Cardiff Wound Impact Schedule were 55. 65 ± 15.82, 52.69 ± 16.46, and 40.75 ± 13.82, respectively. Multiple regression analysis revealed that depression, coping style, and education level were the primary factors, explaining 51.7% of the variance in physical symptoms and everyday living. Depression and coping style explained 49.6% of the variance in social life. Anxiety and primary disease explained 36.2% of the variance in well-being. CONCLUSIONS:The factors influencing quality of life for these Chinese patients with chronic wounds included education level, primary disease, anxiety, depression, and coping style. Speaking with patients about living with a chronic wound and their potential for healing, understanding their fears about significant changes to their life, and encouraging them to accept such changes can be important for patients and their recovery.

Psychometric evaluation of the Wound‐QoL questionnaire to assess health‐related quality of life in Chinese people with chronic wounds

“…24 More researchers have used the Chinese version of CWIS to assess the quality of life for these patients in China. [25][26][27] Nevertheless, the Chinese version of the Cardiff Wound Impact Schedule has many items (26 items) and the reliability and validity of this scale have been tested only in diabetic foot wounds. 26 In this study, we The commonly used methods for evaluating reliability include split half reliability, internal consistency, and test-retest reliability, and the latter two are used in this study.…”

Health-Related Quality of Life in People With Chronic Wounds and Associated Factors

“…The physical effects include pain, sleep and rest changes, mobility impairments, self-care deficits and inability to perform activities of daily living. Anxiety, depression, shame, changes in body image, emotional problems, discrimination and social isolation are some of the psychosocial factors also caused by the injury and that significantly compromise these individuals' Quality of Life 1,[4][5] .…”

“…Research on the HR-QoL of people with chronic wounds has helped to identify the challenges of having a wound and to create adaptive strategies, as wounds can cause significant changes in people's lives due to the time they take to heal, the etiology and the extent of the injury, with a significant impact on the well-being domain 3,5,10 .…”

Qualidade De Vida Relacionada À Saúde De Pessoas Com Feridas Crônicas E Fatores Associados

“…Os efeitos físicos incluem dor, alterações do sono e do repouso, prejuízos na mobilidade, déficit no autocuidado e incapacidade de realizar as atividades de vida diária. Ansiedade, depressão, vergonha, alterações na imagem corporal, problemas emocionais, discriminação e isolamento social são alguns dos fatores psicossociais também ocasionados pela lesão e que comprometem significativamente a qualidade de vida dessas pessoas 1,[4][5] .…”

“…Pesquisas sobre a QVRS de pessoas com feridas crônicas têm auxiliado a identificar os desafios de se ter uma ferida e a criar estratégias adaptativas, uma vez que a ferida pode provocar alteração significativa na vida das pessoas devido ao tempo que leva para cicatrizar, à etiologia e à extensão da lesão, com impacto significativo no domínio bem-estar 3,5,10 .…”