HEALTH-RELATED QUALITY OF LIFE IN PEOPLE WITH CHRONIC WOUNDS AND ASSOCIATED FACTORS

Dantas, Janislei Soares; Silva, Ana Cristina de Oliveira e; Augusto, Fabiana da Silva; Agra, Glenda; Oliveira, Jacira dos Santos; Ferreira, Lydia Masako; Sawada, Namie Okino; Freire, Maria Eliane Moreira

doi:10.1590/1980-265X-TCE-2022-0010en

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Original Article • Texto contexto - enferm. 31 • 2022 • https://doi.org/10.1590/1980-265X-TCE-2022-0010en copy

HEALTH-RELATED QUALITY OF LIFE IN PEOPLE WITH CHRONIC WOUNDS AND ASSOCIATED FACTORS

CALIDAD DE VIDA RELACIONADA CON LA SALUD DE PERSONAS CON HERIDAS CRÓNICAS Y FACTORES ASOCIADOS

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective

to assess health-related quality of life in people with chronic wounds and its association with sociodemographic and health characteristics.

Method

a cross-sectional and analytical study conducted with 85 individuals with chronic wounds in a university hospital from Paraíba, Brazil. The data were collected from June to September 2019 through interviews guided by the Medical Outcome Study 36-item Short-Form Health Survey generic Quality of Life assessment instruments and the Cardiff Wound Impact Schedule specific tool for people with chronic wounds. The Student's t, ANOVA, Mann-Whitney's U, Kruskal-Wallis and Kolmogorov-Smirnov tests were applied to analyze the data, with 5% significance.

Results

there was predominance of aged and married women with venous wounds not healing for over 24 weeks. The mean score of the generic instrument, which was 35.08, indicated a negative association between the physical capacity domain and female gender; as well as between vitality and age over 60 years old; between emotional aspects and marital status; of functional capacity, limitation of physical activity and emotional aspects with lack of religious practices; and of functional capacity with worse financial situation, all with p≤0.042. The specific instrument had a mean score of 45.57 and presented negative associations in the physical domain with female gender; as well as between social life without religious practices and social life with worse financial situation, all with p≤0.047.

Conclusion

the scores of the specific and generic instruments indicated low Quality of Life influenced by factors such as female gender, advanced age, being divorced/separated, lack of religious practices and having financial problems.

DESCRIPTORS
Wounds and injuries; Quality of life; Patient-centered care; Surveys and questionnaires; Comprehensive health care; Nursing practice standards

Domains	SF-36
Domains	Mean	Median	Standard Deviation	Minimum	Maximum
Functional capacity	14.82	5.0	19.39	0	100
Physical aspects	2.35	0.0	13.15	0	100
Pain	58.25	52.00	32.16	0	100
Overall health status	49.91	50.00	12.74	17.00	80.00
Vitality	51.12	50.00	14.21	15.00	90.00
Social aspects	38.53	37.50	18.62	0	100
Emotional aspects	5.09	0.0	21.52	0	100
Mental health	60.56	60.00	14.62	20.00	92.00
Overall mean	35.08
Domains	CWIS
Domains	Mean	Median	Standard Deviation	Minimum	Maximum
Well-being	40.76	39.30	17.43	0	89.30
Physical symptoms and everyday life	51.61	52.10	18.70	12.50	93.80
Social life	44.35	42.90	18.52	10.70	89.30
Overall mean	45.57

Variable	SF-36						CWIS
	FC^\|\|	PA^¶	Pain	OHS^**	VITA^††	SA^‡‡	EA^§§	MH^\|\|\|\|	WB^¶¶	PSEL^***	SL^†††
	p	p	p	p	p	p	p	p	p	p	p
Female gender	0.023*	0.629*	0.186*	0.154^‡	0.121*	0.271*	0.222*	0.585^‡	0.118*	0.046^‡	0.057*
Age (≥ 60 years old)	0.621^†	0.486^†	0.315^†	0.516^†	0.016^§	0.998^†	0.968^†	0.069^§	0.614^§	0.891^§	0.065^†
Marital status (Divorced)	0.597^†	0.042^†	0.258^†	0.686^§	0.624^†	0.684^†	0.014^†	0.875^†	0.091^§	0.687^§	0.587^†
Schooling (Illiterate)	0.112^†	0.551^†	0.568^†	0.749^§	0.527^§	0.174^†	0.691^†	0.931^§	0.369^§	0.490^§	0.775^†
Religion (No practice)	0.019*	<0.01*	0.130^†	0.386*	0.125*	0.761*	0.012^§	0.626^‡	0.355*	0.092^‡	0.025*
Living with someone (Alone)	0.726^†	0.524^†	0.444^†	0.696^§	0.714^†	0.548^†	0.753^†	0.914^†	0.967^§	0.438^§	0.567^†
Monthly income (≤ 1 minimum wage)	0.395^†	0.585^†	0.541^†	0.547^§	0.519^†	0.907^†	0.459^†	0.519^†	0.364^§	0.056^†	0.098^†
Financial situation (Excellent/Very good)	0.010^†	0.831^†	0.154^†	0.026^§	0.837^†	0.059^†	0.775^†	0.155^§	0.393^§	0.069^§	0.006^§

Variable	SF-36						CWIS
	FC^\|\|	PA^¶	PAIN	OHS^**	VITA^††	SA^‡‡	EA^§§	MH^\|\|\|\|	WB^¶¶	PSEL^***	SL^†††
	p	p	p	p	p	p	p	p	p	p	p
Arterial hypertension	0.867*	0.659*	0.296*	0.665¹	0.039^‡	0.651*	0.222*	0.698^‡	0.312*	0.593^‡	0.591*
Diabetes Mellitus	0.974*	0.337*	0.765*	0.662^‡	0.405^‡	0.903*	0.991*	0.935^‡	0.438^‡	0.900^‡	0.925*
Heart diseases	0.806*	0.648*	0.290*	0.598^‡	0.268*	0.964*	0.542*	0.936^‡	0.169*	0.680*	0.594*
Stroke	0.240*	0.683²	0.403*	0.865^‡	0.479*	0.304*	0.583*	0.793^‡	0.358^‡	0.449*	0.375*
Pain (Intense)	0.798^†	0.527^†	0.001^†	0.269^§	0.126^†	0.103^†	0.335^†	0.392^§	0.064^†	0.017^§	0.141^§
Etiology	0.529^†	0.739^†	0.464^†	0.690^†	0.414^†	0.252^†	0.303^†	0.166^†	0.972^§	0.247^§	0.306^†
Injury time (≥24 weeks)	0.541^†	0.396^†	0.555^†	0.935^†	0.849^†	0.482^†	0.319^†	0.954^§	0.180^§	0.033^§	0.9955^†
Size (> 150 cm²)	0.003^†	0.690^†	0.620^†	0.117^§	0.001^§	0.006^†	0.919^†	0.006^†	0.100^†	0.066^§	0.049^§
Tissue impairment (Hypodermis)	0.170^†	0.508^†	0.242^†	0.093^§	0.654^§	0.565^†	0.315^†	0.738^†	0.249^§	0.064^§	0.006^§
Type of tissue (Necrotic)	0.092^†	0.424^†	0.067^†	0.011^§	0.151^§	0.849^†	0.372^†	0.456^§	0.149^§	0.047^§	0.365^§
Exudate (Serous)	0.385^†	0.972^†	0.120^†	0.318^§	0.829^§	0.399^†	0.058^†	0.873^†	0.193^§	0.093^§	0.175^§
Exudate volume (High)	0.044^†	0.711^†	0.090^†	0.083^§	0.671^§	0.553^†	0.894^†	0.297^§	0.135^†	0.026^†	0.132^†
Edema	0.939*	0.127*	0.177*	0.389^‡	0.368^‡	0.779*	0.896^†	0.729^†	0.085*	0.369^‡	0.696*

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[1] CORRESPONDING AUTHOR
Maria Eliane Moreira Freire memf@academico.ufpb.br