A domain specific health-related quality of life of omani patients living with chronic wounds

IF 2.4 3区 医学 Q2 DERMATOLOGY Journal of tissue viability Pub Date : 2024-05-16 DOI:10.1016/j.jtv.2024.05.004
Jansirani Natarajan , Mickael Antoine Joseph , Rashid Al Alawi , Taimoor Al Bulushi , Ibrahim Al Alawi , Suad Moosa Al Junaibi , Anitha Nesa Thanka , Laila Darwish Al Balushi , Issa Sulaiman Al Ismaili , Moath Shummo , Sultan Saif Thani Al Nabhani
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Abstract

Aim

Chronic wounds, defined as wounds that do not heal in a logical set of stages, impact patients’ quality of life by disrupting their self-esteem, sleep, social interaction, work capacity, and psychological well-being. Chronic wounds are a prevalent problem in Oman due to the high number of patients with diabetes, sickle cell disease, road traffic accidents, and decubitus ulcer. Therefore, it is paramount to analyse the health-related quality of life (HRQOL) of these patients with chronic wounds.

Material and methods

An observational, cross-sectional, descriptive study with a quantitative approach was conducted among 275 adult patients with chronic wounds in three tertiary hospitals of Muscat from June to December 2021 using a self-reported Cardiff life wound impact questionnaire and the Bates-Jensen wound assessment tool. Data were analysed with IBM SPSS version 23 using inferential statistics and chi-square test.

Results

We found that the majority of participants were men (178; 64.7 %), aged between 41 and 60 years (107; 38.9 %), predominantly with diabetic wounds (80; 29.1 %). Respondents reported poor HRQOL across all domains: well-being (63.24 ± 18.092), physical (53.24 ± 18.387), and social (59.54 ± 19.025). Statistically significant poorer HRQOL was observed among the elderly above 60 years, illiterates, those with traumatic wounds, and those receiving medication and dressing as treatment.

Conclusions

Our findings indicate that Omani patients with chronic wounds experience low HRQOL. It is imperative for healthcare providers to offer comprehensive care to these patients. To enhance their quality of life and alleviate suffering, evaluating both the wounds and HRQOL is essential. Such assessments will enable the optimisation of treatment and coping strategies for patients.

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阿曼慢性伤口患者与健康相关的生活质量的具体领域。
目的:慢性伤口的定义是伤口不能按逻辑阶段愈合,会影响患者的自尊、睡眠、社交、工作能力和心理健康,从而影响他们的生活质量。在阿曼,由于糖尿病、镰状细胞病、道路交通事故和褥疮患者较多,慢性伤口是一个普遍存在的问题。因此,分析这些慢性伤口患者的健康相关生活质量(HRQOL)至关重要:2021 年 6 月至 12 月期间,在马斯喀特的三家三级医院对 275 名患有慢性伤口的成年患者进行了一项观察性、横断面、描述性的定量研究,使用了自我报告的卡迪夫生活伤口影响问卷和贝茨-詹森伤口评估工具。数据采用 IBM SPSS 23 版进行分析,使用推理统计和卡方检验:我们发现,大多数参与者为男性(178 人;64.7%),年龄在 41 岁至 60 岁之间(107 人;38.9%),主要是糖尿病伤口患者(80 人;29.1%)。受访者报告的所有领域的 HRQOL 均较差:福祉(63.24 ± 18.092)、身体(53.24 ± 18.387)和社交(59.54 ± 19.025)。据统计,60 岁以上的老年人、文盲、有外伤伤口者以及接受药物和敷料治疗者的 HRQOL 较差:我们的研究结果表明,阿曼慢性伤口患者的 HRQOL 较低。医疗服务提供者必须为这些患者提供全面的护理。为了提高他们的生活质量并减轻痛苦,对伤口和 HRQOL 进行评估至关重要。此类评估将有助于优化患者的治疗和应对策略。
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来源期刊
Journal of tissue viability
Journal of tissue viability DERMATOLOGY-NURSING
CiteScore
3.80
自引率
16.00%
发文量
110
审稿时长
>12 weeks
期刊介绍: The Journal of Tissue Viability is the official publication of the Tissue Viability Society and is a quarterly journal concerned with all aspects of the occurrence and treatment of wounds, ulcers and pressure sores including patient care, pain, nutrition, wound healing, research, prevention, mobility, social problems and management. The Journal particularly encourages papers covering skin and skin wounds but will consider articles that discuss injury in any tissue. Articles that stress the multi-professional nature of tissue viability are especially welcome. We seek to encourage new authors as well as well-established contributors to the field - one aim of the journal is to enable all participants in tissue viability to share information with colleagues.
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