Venous leg ulcer recurrences – The relationship to self‐efficacy, social support and quality of life – A mixed method study. (21st October 2020)

• Record Type: Journal Article
• Authors: Probst, Sebastian; Bobbink, Paul; Séchaud, Laurence; Buehrer Skinner, Monika
• Is Part Of: Journal of advanced nursing. Volume 77:Number 1(2021)
• Page Start: 367
• Page End: 375
• Publication Date: 2020-10-21
• Subjects: nursing -- quality of life -- recurrence -- self‐efficacy -- social support -- venous leg ulcer; Nursing -- Periodicals; 610.7305
• DOI: 10.1111/jan.14611
• Languages: English
• ISSNs: 0309-2402

Abstract

Abstract: Aim: The aim of this study was to explore the occurrence of venous leg ulcer recurrence and the relationship with self‐efficacy, social support and quality of life. Furthermore, we investigated the lived experiences of those patients and their understanding of why they developed a recurrence. Design: We used a convergent parallel mixed method design consisting of a cohort and an interpretative phenomenological study arm. Methods: Consecutive patients ( N = 145) were recruited into the study. Between 2014 and 2018, three primary care centres took part in the study. Data collection methods included chart review, administered questionnaires and semi‐structured interviews. Results: The incidence of the venous leg ulcer recurrence was 33.1% within the study period. The scores for self‐efficacy, social support and venous leg ulcer health‐related quality of life show little variation between all measurement points and within subgroups. The qualitative findings identified two main themes: accidentally damaging the skin and avoiding venous leg ulcer recurrences. Venous leg ulcer recurrences frequently arose from accidents. Therefore, participants developed strategies to avoid additional ulcers. Conclusion: To optimize recurrence prevention, improvements in knowledge of people with VLUs should be considered. Impact: A mixed method, convergent, parallel design was used to explore the occurrence of venous leg ulcer recurrence and the relation of a venous leg ulcer recurrence with self‐efficacy, social support and health‐related quality of life. As well as the lived experiences of venous leg ulcer patients and why they developed a recurrence. The incidence of venous leg ulcer recurrences within the study period was 33.1%. Damaging the skin and avoiding a recurrence were the main identified themes. 摘要: 目标: 本研究旨在探讨下肢静脉性溃疡复发的发生率及其与自我效能、社会支持和生活质量的关系。此外, 我们调查了这些患者的生活经历, 以及他们对复发原因的理解。 设计: 我们使用了一个由队列和解释现象学研究组组成的收敛平行混合方法设计。 方法: 将连续患者(N=145)纳入研究。2014年至2018年间, 三个基层医疗中心参与了这项研究。数据收集方法包括图表回顾、问卷调查和半结构化采访。 结果: 静脉性下肢溃疡复发率为33.1%。自我效能、社会支持和下肢静脉性溃疡健康相关生活质量的得分在所有测量点之间和各子组之间几乎没有差异。定性研究发现了两个主要主题:意外损伤皮肤和避免下肢静脉溃疡复发。下肢静脉性溃疡常因意外事故而复发。因此, 参与者制定了避免发生额外溃疡的策略。 结论: 为更好地预防复发, 应该考虑提高下肢静脉性溃疡患者的知识水平。 影响: 采用一种融合并行设计的混合方法来探讨下肢静脉性溃疡复发的发生以及下肢静脉性溃疡复发与自我效能、社会支持和健康相关生活质量的关系, 以及静脉性腿溃疡患者的生活经历和他们恶化复发的原因。 在研究期间, 下肢静脉性溃疡复发率为33.1%。 损害皮肤和避免复发是主要识别出的主题。