The importance of relationships in treatment for chronic leg ulceration

Tollow, Philippa; Ogden, Jane

doi:10.1177/1359105317705984

Cited by 8 publications

(6 citation statements)

References 29 publications

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“…If communication fails, the staff risks losing sight of the patient, meaning that the lack of progress and healing will be in focus. The perception that communication between staff members also fails has been described before 41 . Tollow and Ogden found that the treatment approach can differ between staff members, leading to decreased confidence on the part of the patient, another confirmation of this study's result.…”

Section: Discussionsupporting

confidence: 83%

Experiences of undergoing venous leg ulcer management: A reflective lifeworld research study

Rosenburg

Lindqvist

Tuvesson

et al. 2022

International Wound Journal

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Venous leg ulcers have multiple consequences for the patient. Ulcer management can be lengthy and recurrence is common. As the patient is the expert on their experiences and life, the aim of the present study was to describe patients' lived experiences of undergoing management for a venous leg ulcer. The study encompassed 16 phenomenological interviews. The analysis led to a description of the phenomenon's essence, further described by three constituents. The essential meaning of the phenomenon is described as being in an oscillation between hope and despair. Ulcer management is challenging for the patient, who feels unseen and lives with doubts during the management period. This study is considered enriching as it puts words to the patients' suffering during ulcer management and shows that reliable relationships and competence can reduce patient doubts. This knowledge should enable improvement of patient care and treatment during ulcer management.lived experiences, qualitative research, ulcer management, venous leg ulcer Key Message• Long healing time are common, which affects the patient • With the aim to describe patients' lived experiences of undergoing management for a venous leg ulcer, 16 patients were interviewed • The patients oscillate between hope and despair when trust is absent, and no relationship has been built with staff. Setbacks include doubts about healing and staff being blamed for the slow healing

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Section: Discussionsupporting

confidence: 83%

Experiences of undergoing venous leg ulcer management: A reflective lifeworld research study

Rosenburg

Lindqvist

Tuvesson

et al. 2022

International Wound Journal

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“…32 To help patients deal with chronic wounds without being knocked down by powerlessness, wound nurses or therapists should pay attention to signs of powerlessness. 15,33 Persistent feeling of powerlessness massively affects not only psychological but also physical health, it should be assessed with early intervention for better health outcome. 34 Also, wound nurses need a valid and reliable instrument so as to better understand patients' powerlessness experience in wound healing clinic.…”

Section: Discussionmentioning

confidence: 99%

“…When individuals are faced with difficulties, they often perceive lack of power . To help patients deal with chronic wounds without being knocked down by powerlessness, wound nurses or therapists should pay attention to signs of powerlessness . Persistent feeling of powerlessness massively affects not only psychological but also physical health, it should be assessed with early intervention for better health outcome .…”

Section: Discussionmentioning

confidence: 99%

Translation and validation of the Chinese powerlessness assessment tool

Huang

Yang

et al. 2018

Wound Repair Regeneration

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The objectives of this study were to translate the powerlessness assessment tool (PAT) into Chinese, and to evaluate its psychometric performance. The PAT was translated into Chinese and was evaluated in patients with chronic wounds. Mean PAT scores were compared between various wound types to evaluate the scale's power to differentiate wound severity (PUSH score). There were 154 consecutive patients included in this study. All items were included, and the results of item-domain correlation (r ranged from 0.838 to 0.967) and small-group analysis (critical ratio, p < 0.05) were satisfactory. Furthermore, the Chinese PAT also showed good criterion validity when correlated with the Cardiff wound impact schedule (r = 0.726, p < 0.01). Exploratory factor analysis of these items extracted only two domains instead of the hypothesized three domains: self-perception of behavioral control and decision making (9 items) and emotional responses to perceived control (3 items), explained 82.045% of the variance. Sensitivity was demonstrated between patients with different activity of daily living, wound severity (PUSH score) and wound types. The internal consistency of all scales of the Chinese PAT was consistently high (Cronbach's alpha ranged from 0.939 to 0. 965) and split-half reliability was 0.901. In conclusion, the validated Chinese PAT has good psychometric properties, and may be used to objectively evaluate the powerlessness experience of Chinese patients with chronic wounds.

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“…Leg ulcers are hard‐to‐heal wounds localised on the lower leg or foot commonly caused by venous insufficiency, arterial insufficiency, diabetes and rheumatoid arthritis (Tollow & Ogden, 2019). The chronicity of wounds is defined as a failure ‘to proceed through an orderly and timely process to produce anatomic and functional integrity’ (Lazarus et al, 1994).…”

Section: Introductionmentioning

confidence: 99%

Prevalence and factors associated with ulcer‐related pain in persons with chronic leg ulcers—an explorative study

Leren

Johansen

Eide

et al. 2021

Journal of Clinical Nursing

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Aims and Objectives The aims of this study were to explore the prevalence of background pain and identify demographic, clinical and psychosocial factors associated with moderate to severe background pain in persons with leg ulcers. Background All chronic leg ulcers are potentially painful. Research indicates that 80% of persons with chronic leg ulcers experience wound‐related background pain. However, studies on factors associated with pain have small samples and findings are inconclusive. Design Exploratory cross‐sectional study. Method This quantitative study recruited persons with chronic leg ulcers (N = 252) from two wound care clinics using consecutive sampling method. Data were obtained through screening interview, clinical examination and questionnaires. Logistic regression with stepwise backwards elimination was used to identify factors associated with moderate to severe background pain. The STROBE checklist for cross‐sectional studies was used for reporting this study. Results Background pain was reported by 64% of the participants. Inferential statistical analyses suggest that between 58% and 69% of persons with chronic leg ulcers suffer from this type of pain. Factors associated with moderate to severe pain were older age, female gender, reduced sleep quality and diminished health status. In the final model, reduced sleep quality increased the likelihood of having moderate to severe pain in persons with good health status while not in persons with diminished health status. Conclusion Ulcer‐related background pain is common in persons with chronic leg ulcers. Older females reporting insomnia symptoms also had increased risk of moderate to severe ulcer‐related background pain. These participants also perceived their health status to be better. Relevance to clinical practice This study demonstrates that ulcer‐related background pain and associated factors needs more attention in clinical practice. Furthermore, nurses and other healthcare professionals should integrate biopsychosocial strategies to assess and manage ulcer‐related background pain.

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The importance of relationships in treatment for chronic leg ulceration

Cited by 8 publications

References 29 publications

Experiences of undergoing venous leg ulcer management: A reflective lifeworld research study

Experiences of undergoing venous leg ulcer management: A reflective lifeworld research study

Translation and validation of the Chinese powerlessness assessment tool

Prevalence and factors associated with ulcer‐related pain in persons with chronic leg ulcers—an explorative study

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