Quality of life psychosocial characteristics in Greek patients with leg ulcers: a case control study

Kouris, Anargyros; Armyra, Kalliopi; Sgontzou, Themis; Karypidis, Dimitrios; Kontochristopoulos, George; Liordou, Fotini; Zakopoulou, Niki; Zouridaki, Eftychia

doi:10.1111/iwj.12363

Cited by 24 publications

(34 citation statements)

References 16 publications

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“…A possible explanation could be the fact that it is quite difficult for older family members, who possibly have to contend with their own personal health problems, not only to take care of themselves, but also of another member of the family with leg ulcers that needs extra care and attention. The findings of this study confirm those of previous studies in so far as our patients showed a significant impairment in QoL (mean, 13.29 ± 2.31) . The condition of these patients has a marked impact on their daily activities, social life, physical function, mental, and emotional health status .…”

Section: Discussionsupporting

confidence: 90%

“…Although the effect of leg ulcers on the patient's quality of life (QoL) has been documented, very little is known about the effect on the QoL of family caregivers. Chronic leg ulcers have a major impact on the patient's psychological, socioeconomic, and physical status.…”

mentioning

confidence: 99%

“…Chronic leg ulcers have a major impact on the patient's psychological, socioeconomic, and physical status. Their condition restricts their ability to work and excludes them from social activities, leading to psychological problems that include depression, anxiety, and decreased self‐confidence . Family members can also experience a significant impact on their lives such as social disruption, marital problems, financial difficulties, and physical depletion.…”

mentioning

confidence: 99%

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Quality of life in Greek family members living with leg ulcer patients

Kouris

Efstathiou

Chatzimichail

et al. 2015

Wound Repair Regeneration

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Leg ulcers have been shown to have a significant impact on a patient's quality of life (QoL). Little is known, however, about the secondary impact of the disease on the QoL of the relatives and partners of patients with leg ulcers. The aim of this study was to explore the impact of chronic leg ulcers on the lives of both patients and their family members. Two hundred sixteen patients with leg ulcers and their family members were recruited. All patients entered were evaluated for QoL using the Dermatology Life Quality Index (DLQI) scale, and family members were similarly evaluated using the Family Dermatology Life Quality Index (FDLQI).The study included 56 female and 52 male patients, and 50 female and 58 male family members. The FDLQI score for the latter group was 14.37 ± 2.46 with over 96% of family members reporting a large effect on their QoL due to their relative's disease. The DLQI score in patients with leg ulcers was 13.18 ± 2.88. A significant positive and high correlation between DLQI and FDLQI scores (r = 0.71, p < 0.001) was documented, while DLQI contributed significantly to the prediction of FDLQI (standardized β = 0.71, p < 0.001). Our study results indicate that the QoL of the family was also affected by the patient's condition of chronic leg ulcers and clearly associated with that of the patients.

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Section: Discussionsupporting

confidence: 90%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Quality of life in Greek family members living with leg ulcer patients

Kouris

Efstathiou

Chatzimichail

et al. 2015

Wound Repair Regeneration

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“…Instruments measuring HRQoL are increasingly being developed for that purpose. Chronic wounds are associated with a considerable loss of physical, emotional and social quality of life . Therefore, assessment of HRQoL in wound care is of great importance in research as well as in routine clinical practice.…”

mentioning

confidence: 99%

The Wound‐QoL questionnaire on quality of life in chronic wounds is highly reliable

Sommer

Augustin

Hampel‐Kalthoff³

et al. 2017

Wound Repair Regeneration

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The Wound-QoL questionnaire has been tested in a previous study, indicating that the instrument is a reliable and valid measurement for the assessment of HRQoL in chronic wounds. The aim of this study was to examine the test-retest reliability of the Wound-QoL. Patients were asked to complete the Wound-QoL twice within 3-7 days. Next to descriptive statistics, internal consistency was determined. Test-retest reliability was calculated with the intraclass correlation coefficient. The data showed ICCs between 0.79 and 0.86, which can be considered evidence of excellent reliability. Another indicator of very good reliability, high internal consistency of both global score, and subscale scores were found. The availability of the Wound-QoL provides a step forward in allowing measurement of the HRQoL in chronic wounds. The instrument is fit for use to measure outcomes in clinical trials and as well to assess treatment outcomes in routine practice.

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“…It is affecting approximately 1% of the general Western European population . High health care cost, significant impact on patients' quality of life and loss of productivity are inherent to this widespread health issue . Chronic foot and leg ulcer was earlier defined as an ‘open sore below the knee anywhere on the leg or foot which takes more than six weeks to heal’ .…”

Section: Introductionmentioning

confidence: 99%

Analgesic efficacy of equimolar 50% nitrous oxide/oxygen gas premix (Kalinox®) as compared with a 5% eutectic mixture of lidocaine/prilocaine (EMLA®) in chronic leg ulcer debridement

Traber¹,

Held

Signer³

et al. 2016

International Wound Journal

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Chronic foot and leg ulcers are a common health problem worldwide. A mainstay of chronic ulcer therapy is sharp mechanical wound debridement requiring potent analgesia. In this prospective, controlled, single-centre, crossover design study, patients were assigned to either the administration of topical analgesia with 5% lidocaine/prilocaine cream or the inhalation of an analgesic 50% N O/O gas premix. Primary outcome parameter was level of pain at maximum wound depth during debridement as measured by a visual analogue scale. Secondary outcomes included level of pain after debridement, overall duration of treatment session, duration and completeness of debridement, and the patient's subjective perception of analgesic quality during debridement. Pain level increased from 0·60/0·94 (first/second debridement; baseline) to 1·76/2·50 (debridement) with 5% lidocaine/prilocaine and from 1·00/1·35 (baseline) to 3·95/3·29 (debridement) with 50% N O/O gas premix. Patient satisfaction was 90·48%/94·44% (first/second debridement) with topical 5% lidocaine/prilocaine analgesia and 90·48%/76·47% with the inhalation of 50% N O/O gas premix. Debridement was completed in a significantly higher percentage of 85·71%/88·89% (first/second debridement) with 5% lidocaine/prilocaine than with 50% N O/O gas premix (42·86%/58·82%) (odds ratio 6·7; P = 0·001). This study provides sound evidence that analgesia with topically administered 5% lidocaine/prilocaine cream is superior to the use of inhaled 50% N O/O gas premix in chronic leg ulcer debridement.

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Quality of life psychosocial characteristics in Greek patients with leg ulcers: a case control study

Cited by 24 publications

References 16 publications

Quality of life in Greek family members living with leg ulcer patients

Quality of life in Greek family members living with leg ulcer patients

The Wound‐QoL questionnaire on quality of life in chronic wounds is highly reliable

Analgesic efficacy of equimolar 50% nitrous oxide/oxygen gas premix (Kalinox®) as compared with a 5% eutectic mixture of lidocaine/prilocaine (EMLA®) in chronic leg ulcer debridement

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