Relación entre calidad de vida y proceso de cicatrización en heridas crónicas complicadas

  1. Estrella Perdomo Pérez 1
  2. Javier Soldevilla Agreda 2
  3. Francisco Pedro García Fernández 3
  1. 1 Responsable de la Unidad de Heridas Complicadas de AP de GC. Servicio Canario de la Salud.
  2. 2 Escuela de Enfermería de Logroño.
  3. 3 Facultad de Ciencias de la Salud. Universidad de Jaén.
Montrer des affiliations +
Revue:
Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica

ISSN: 1134-928X

Année de publication: 2020

Volumen: 31

Número: 3

Pages: 166-172

Type: Article

DOI: 10.4321/S1134-928X2020000300008 DIALNET GOOGLE SCHOLAR lock_openAccès ouvert editor

D'autres publications dans: Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica

Résumé

SUMMARY Introduction: Chronic wounds affect the health-related quality of life (HRQL) of people who suffer them, especially when these are difficult-to-heal injuries, which lengthen in the healing process. Aims: Determine the HRQL of patients with chronic wounds and analyze how the clinical evolution of the wound influences the different dimensions of HRQL, by applying the Cardiff Wound Impact Schedule (CWIS) instrument. Methodology: Observational repeated measures study of a cohort of patients with complicated chronic wounds (HCC). The baseline situation of HRQL was analyzed using the CWIS and the existing relationship of lesion healing measured by RESVESH 2.0 and HRQL measured by the CWIS score were searched. The study was carried out in the Complicated Wounds Unit (Primary Care of Gran Canaria and Hospital Dr Negrin). Patients with wounds of diverse etiology that met the characteristics that defined them as chronic / complex were included. Acute injuries were excluded for people who did not have the capacity to give their consent or who did not understand the Spanish language. The size has been set at 65 patients who were selected by accidental or convenience sampling from the start date of the study to complete the sample size. Results: At the start of the study, the quality of life measured by CWIS is below 50% of the maximum score (113 out of 245), that is, they have a low quality of life, improving significantly as the injury of the patients improves and that at the end of the study reaches 78%. The correlations between start and month and start and end were also analyzed, segmenting the sample by the different variables, sex, complete healing or non-type of injury, recurrent injury or type of coexistence, and in no case were statistically significant relationships found (p> 0.05 in all cases) and there was only a correlation between improvement of the lesion per month as measured by RESVECH and global quality of life subscale, the rest did not have statistical significance. Conclusions: The results showed that chronic wounds had compromised quality of life and the "well-being" domain was the most affected, especially when it was associated with clinical factors and among the clinical conditions associated with poorer quality of life, duration, wound type, depth, exudate, odor, and pain. At the start of the study, when the lesions had not received optimal treatment, it was found that the quality of life of the patients was low, improving markedly at the end of the work.

Références bibliographiques

  • Salem, ZC,Pérez, PJ,Henning, LE,Uherek, PF,Schultz, OC,Butte, BJ. (2018). Heridas. Conceptos generales. Cuadernos de Cirugía. 14. 90
  • Valencia Basto, C. (2010). Cicatrización: proceso de reparación tisular. Aproximaciones terapéuticas. Investigaciones Andina. 12. 85-98
  • Martín-Paredero, V,Arrébola-López, M,Berga-Fauria, C,Pañella-Agustí, F,Gómez-Moya, B. (2003). Impacto en la calidad de vida. Angiologia. 55. 250
  • Urzúa, MA. (2018). Calidad de vida relacionada con la salud: Elementos conceptuales. Rev Med Chilena. 138. 35865
  • Melguizo-Herrera, E,Díaz-Gómez, A,Osorio-Lambi, M. (2011). Calidad de vida de persona con heridas complejas en Cartagena, Colombia. Rev Salud Pública. 13. 942
  • González de la Torre, H,Quintana-Lorenzo, ML,Pérez, EP,Verdú, J. (2017). Correlation between health-related quality of life and venous leg ulcer's severity and characteristics: a cross-sectional study. Int Wound J. 14. 360
  • Santos, VLCG,Oliveira, AS,Amaral, AFS,Nishi, ET,Junqueira, JB,Kim, SHP. (2017). Quality of life in patients with chronic wounds: magnitude of changes and predictive factors. Rev Esc Enferm USP. 51.
  • Consuegra, RV,Verdú, J. (2010). Calidad de vida relacionada con heridas crónicas. Gerokomos. 21. 131
  • Gale, SS,Lurie, F,Treadwell, T,Vazquez, J,Carman, T,Partsch, H. (2014). Dominate-Wound. Wounds. 26. 1-12
  • Restrepo, JC,Verdú, J. (2010). Instrumentos de monitorización clínica y medida de la cicatrización en úlceras por presión (UPP) y úlceras de la extremidad inferior (UEI). Desarrollo y validación de un índice de medida. Universidad de Alicante, Departamento de Enfermería Comunitaria, Medicina Preventiva, Salud Pública e Historia de la ciencia.
  • Price, P,Harding, K. (2004). Cardiff Wound Impact Schedule: the development of a condition-specific questionnaire to assess health-related quality of life in patients with chronic wounds of the lower limb. Int Wound J. 1. 10
  • Lozano-Platonoff, A,Contreras-Ruiz, J,Dominguez-Cherit, J,Cardenas-Sanchez, A,Alvarez-Rivero, V,Martínez-Regalado, JA. (2020). Translation, cross-cultural adaptation and validation of the “Cardiff wound impact schedule,” a wound-specific quality of life instrument, to the native Spanish of Mexican patients. Int Wound J. 17. 167
  • Martínez, D. Calidad de vida en pacientes con úlcera de pie diabético. Adaptación transcultural al español y validación de los cuestionarios CWIS y DSF-SF. Universidad de Lleida.
  • Pannier-Fischer, F,Rabe, E. (2003). Epidemiology of chronic venous diseases. Hautarzt. 54. 1037
  • Finlayson, K,Wu, M,Edwards, HE. (2015). Identifying risk factors and protective factors for venous leg ulcer recurrence using a theoretical approach: A longitudinal study. Int J Nurs Stud. 52. 1042
  • Labropoulos, N,Wang, E,Lanier, S,Khan, S. (2012). Factors Associated with Poor Healing and Recurrence of Venous. Plast Reconstr Surg. 129. 179
  • Marques de Souza, E,Bonetti Yoshida, W,Aragao de Melo, V,Bitencurt de Oliveir, L. (2013). Ulcer Due to Chronic Venous Disease: A Sociodemographic Study in Northeastern Brazil. Ann Vasc Surg. 27. 571
  • Baptista de Oliveira, B,Almeida Nogueira, G de,Rezende de Carvalho, M,Matos de Abreu, A. (2012). Caracterização dos pacientes com úlcera venosa acompanhados no Ambulatório de Reparo de Feridas. Rev Eletr Enf. 14. 156
  • Marinello Roura, J,Verdú, J. (2018). Conferencia nacional de consenso sobre las úlceras de la extremidad inferior (C.O.N.U.E.I.). Documento de consenso. 2018. 2. Ergon. Madrid.
  • Hecke, A Van,Grypdonck, M,Beele, H,Vanderwee, K,Defloor, T. (2011). Adherence to leg ulcer lifestyle advice: qualitative and quantitative outcomes associated with a nurse-led intervention. J Clin Nurs. 20. 429
  • Batista Oliveira, S.. (2015). Prevalência de úlceras venosas e fatores a ssociados entre adultos de um centro de saúde de Vitória da Conquista - BA. Rev Fund Care Online. 7. 2659
  • Grynberg, E,Senet, P. (2015). Úlceras de la pierna. EMC - Tratado de Medicina. 19. 1-10
  • Zimny, S,Schatz, H,Phohl, M. (2002). Determinant and estimation of healing times in diabetic foot ulcers. J Diabetes Complications. 16. 327
  • Montequín, JIF. (2011). Heridas de difícil cicatrización. Instituto de Angiología y Cirugía Vascular. La Habana. Cuba.
  • Sriyani, K. Assessment of quality of life of patients with diabetic ulcers by cardiff wound impact schedule (cwis). 2International Conference of Multidisciplinary Approaches (iCMA). 2015.
  • Kapp, S,Santamaría, N. (2017). The financial and quality-of-life cost to patients living with a chronic wound in the community. Int Wound J. 14. 1108
  • Costa de Oliveira, A,Macêdo Rocha, D De,Gonçalves Bezerra, SM,Leite Rangel Andrare, EM,Ribeiro dos Santos, AM,Tolstenko Nogueira, L. (2019). Qualidade de vida de pessoas com feridas crônicas. Acta paul. enferm. 32.
  • Jaksa, PJ,Mahoney, JL. (2010). Calidad de vida en pacientes con úlceras del pie diabético: validación del Programa de Impacto de Heridas de Cardiff en una población canadiense. Int Wound J. 7. 502
  • Smith, JJ,Guest, MG,Greenjalgh, RM,Davies, AH. (2000). Measuring the quality of life in patients with venous ulcers. J Vasc Surg. 642
  • Ribu, L,Birkeland, K,Hanestad, B,Moum, T,Rustoen, T. (2008). A longitudinal study of patients with diabetes and foot ulcers and their health-related quality of life: wound healing and quality of life changes. J Diabetes Complications. 22. 400
  • Silva Lucas, L Da,Trevisan Martins, J,Carmo Cruz Robazzi, MLD. (2008). Qualidade de vida dos portadores de ferida em membros inferiores-úlcera de perna. Cienc. enferm. 14. 43-52
  • González-Consuegra, R,Verdú Soriano, J. (2011). Calidad de vida y cicatrización en pacientes con úlceras de etiología venosa Validación del Charing Cross Venous Ulcer Questionnaire, versión española (CCVUQ-e) y del Pressure Ulcer Scale for Healing, versión española (PUSH-e). Resultados preliminares. Gerokomos. 22. 131
  • Saraiva, DMRF,Bandarra, AJF,Agostinho, EdS,Pereira, NMM,Lopes, TS. (2013). Calidad de vida en pacientes con úlceras venosas crónicas Rev. Enf. Ref. 3. 109
La source de données: Dialnet