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下肢静脉性溃疡复发——与自我效能、社会支持和生活质量的关系——混合方法研究
Author(s) -
Probst Sebastian,
Bobbink Paul,
Séchaud Laurence,
Buehrer Skinner Monika
Publication year - 2021
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.14611
Subject(s) - venous leg ulcer , medicine , quality of life (healthcare) , incidence (geometry) , cohort , physical therapy , social support , cohort study , leg ulcer , interpretative phenomenological analysis , qualitative research , surgery , nursing , psychology , social science , physics , sociology , optics , psychotherapist
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.