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World Journal of Surgery

Published in:

01-01-2014

The Impact of Skin Grafting on the Quality of Life and Self-Esteem of Patients with Venous Leg Ulcers

Authors: Geraldo M. Salomé, Leila Blanes, Lydia M. Ferreira

Published in: World Journal of Surgery | Issue 1/2014

Abstract

Background

The assessment of health-related quality of life in patients with venous leg ulcers provides important information for clinical decision making, evaluation of therapeutic benefits, and prediction of survival probabilities.

Methods

Health-related quality of life and self-esteem were assessed using the Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) and the Rosenberg self-esteem (RSE) scale, respectively, in patients with venous leg ulcers treated with split-thickness skin grafts. One hundred patients with venous leg ulcers and indication for skin grafting were divided into two groups of 50 patients each: the control group (patients who received conservative treatment) and surgery group (patients who received split-thickness skin grafts).

Results

Patients in the surgery group reported significantly higher SF-36 scores (better health status) than controls one month after surgery, as well as 90 and 180 days postoperatively (p < 0.002). The mean total RSE score was significantly lower (indicating higher self-esteem) in the surgery group (mean RSE score, 17.54) than in the control group (mean RSE score, 24.22).

Conclusions

Split-thickness skin grafting resulted in better health-related quality of life and self-esteem in patients with venous leg ulcers than did compression therapy with Unna’s boot.

Salomé GM, Espósito VH (2008) Nursing students experiences while caring people with wounds. Rev Bras Enferm 61:822–827CrossRefPubMed

Worley CA (2006) It hurts when I walk: venous stasis disease–differential diagnosis and treatment. Dermatol Nurs 18:582–583PubMed

Carr SC (2008) Diagnosis and management of venous ulcers. Perspect Vasc Surg Endovas Ther 20:82–85CrossRef

Borges EL, Caliri MH, Haas VJ (2007) Systematic review of topic treatment for venous ulcers. Rev Lat Am Enfermagem 15:1163–1170PubMed

Nelson EA (2010) Compression therapy, dressings and topical agents for venous ulcer healing. Phlebology 25(1 Suppl):28–34CrossRefPubMed

Escaleira R, Cardoso M, Rego J et al (2010) Efficacy of a two component compression system for the therapy of venous leg ulcers. J Wound Care 19:104–109PubMed

Salgado MI, Pestroianu A, Burgarelli GL et al (2007) Conducted healing and skin graft for the treatment of skin wounds. Rev Assoc Med Bras 53:80–84CrossRefPubMed

Hubbard M (2010) Managing skin grafts and donor sites. Ostomy Wound Manag 56:8

Rahman GA, Adigun IA, Fadeyi A (2010) Epidemiology, etiology, and treatment of chronic leg ulcer: experience with sixty patients. Ann Afr Med 9:1–4CrossRefPubMed

10.

Green J, Jester R (2010) Health-related quality of life and chronic venous leg ulceration: Part 2. Br J Commun Nurs 15:S4–S6

11.

Ciconelli RM, Ferraz MB, Santos W, Meinão I et al (1999) Brazilian-Portuguese version of the SF-36. A reliable and valid quality of life outcome measure. Rev Bras Reumatol 39:143–150

12.

Dini GM, Quaresma MR, Ferreira LM (2004) Translation into Portuguese, cultural adaptation and validation of the Rosenberg self-esteem scale. Rev Soc Bras Cir Plast 19:41–52

13.

de Gouveia Santos VL, Sellmer D, Massulo MM (2007) Inter-rater reliability of pressure ulcer scale for healing (PUSH) in patients with chronic leg ulcers. Rev Lat Am Enfermagem 15:391–396CrossRefPubMed

14.

Santos VL, Azevedo MA, Silva TS et al (2005) Crosscultural adaptation of the pressure ulcer scale for healing to the Portuguese language. Rev Lat Am Enfermagem 13:305–313PubMed

15.

Thomas DR, Rodeheaver GT, Bartolucci AA et al (1997) Pressure ulcer scale for healing: derivation and validation of the PUSH tool. The PUSH Task Force. Adv Wound Care 10:96–101PubMed

16.

Salomé GM, Pellegrino DMS, Vieira TF et al (2012) Sleep quality among patients with venous ulcers: a cross-sectional study in a health care setting in São Paulo, Brazil. Wounds 24:124–131

17.

Milic DJ, Zivic SS, Bogdanovic DC et al (2007) A randomized trial of the Tubulcus multilayer bandaging system in the treatment of extensive venous ulcers. J Vasc Surg 46:750–755CrossRefPubMed

18.

Palfreyman S (2008) Assessing the impact of venous ulceration on quality of life. Nurs Times 104:34–37PubMed

19.

Renner R, Gebhardt C, Simon JC et al (2009) Changes in quality of life for patients with chronic venous insufficiency, present or healed leg ulcers. J Dtsch Dermatol Ges 7:953–961PubMed

20.

Reich-Schupke S, Murmann F, Altmeyer P et al (2009) Quality of life and patients’ view of compression therapy. Int Angiol 28:385–393PubMed

21.

Frade MAC, Soares SC, Foss NT et al (2005) Leg ulcer: an observational study in Juiz de Fora, MG (Brazil) and region. An Bras Dermatol 80:41–46

22.

Bergonse FN, Rivitti EA (2006) Evaluation of arterial circulation using the ankle/brachial blood pressure index in patients with chronic venous ulcers. An Bras Dermatol 81:131–135

23.

Thomsen T, Tønnesen H, Møller AM (2009) Effect of preoperative smoking cessation interventions on postoperative complications and smoking cessation. Br J Surg 96:451–461CrossRefPubMed

24.

Kean J (2010) The effects of smoking on the wound healing process. J Wound Care 19:5–8PubMed

25.

Lindström D, Wladis A, Pekkari K (2010) The thioredoxin and glutaredoxin systems in smoking cessation and the possible relation to postoperative wound complications. Wounds 4:88–93

26.

Jones JE, Robinson J, Barr W et al (2008) Impact of exudate and odour from chronic venous leg ulceration. Nurs Stand 22:53–54CrossRefPubMed

27.

Blomgren L, Johansson G, Bergqvist D (2006) Quality of life after surgery for varicose veins and the impact of preoperative duplex: results based on a randomized trial. Ann Vasc Surg 20:30–34CrossRefPubMed

28.

Jankunas V, Bagdonas R, Samsanavicius D et al (2007) An analysis of the effectiveness of skin grafting to treat chronic venous leg ulcers. Wounds 5:128–137

29.

Salomé GM, Blanes L, Ferreira LM (2009) Functional capability of patients with diabetes with foot ulceration. Acta Paul Enferm 22:412–416CrossRef

30.

Salomé GM, Ferreira LM (2013) Impact of skin grafting of venous leg ulcers on functional status and pain. World J Surg 37:1438–1445. doi:10.1007/s00268-013-1975-z CrossRefPubMed

31.

Collier M, Hollinworth H (2000) Pain and tissue trauma during dressing change. Nurs Stand 14:71–73CrossRefPubMed

32.

Guarnera G, Tinelli G, Abeni D et al (2007) Pain and quality of life in patients with vascular leg ulcers: an Italian multicentre study. J Wound Care 16:347–351PubMed

33.

Persoon A, Heinen MM, van der Vleuten CJ et al (2004) Leg ulcers: a review of their impact on daily life. J Clin Nurs 13:341–354CrossRefPubMed

34.

Finlayson K, Edwards H, Courtney M (2010) The impact of psychosocial factors on adherence to compression therapy to prevent recurrence of venous leg ulcers. J Clin Nurs 19:1289–1297CrossRefPubMed

35.

Avanci JQ, Assis SG, Santos NC et al (2007) Cross-cultural adaptation of self-esteem scale for adolescents. Psicol Reflex Crit 20:397–405CrossRef

36.

Salome GM, Ferreira LM (2012) Quality of life in patients with venous ulcers treated with Unna’s boot compressive therapy. Rev Bras Cir Plast 27:466–471CrossRef

37.

Koupidis SA, Paraskevas KI, Stathopoulos V et al (2008) Impact of lower extremity venous ulcers due to chronic venous insufficiency on quality of life. Open Cardiovasc Med J 2:105–109CrossRefPubMedCentralPubMed

38.

Henderson EA (2006) Are theories of altered body image applicable to patients with chronic wounds? J Wound Care 15:58–60PubMed

39.

Salomé GM, de Souza Maria, Pellegrino D, Blanes L et al (2011) Self-esteem in patients with diabetes mellitus and foot ulcers. J Tissue Viability 20:100–106CrossRefPubMed

40.

Salomé GM, Blanes L, Ferreira LM (2011) Assessment of depressive symptoms in people with diabetes mellitus and foot ulcers. Rev Col Bras Cir 38:327–333CrossRefPubMed

Title: The Impact of Skin Grafting on the Quality of Life and Self-Esteem of Patients with Venous Leg Ulcers
Authors: Geraldo M. Salomé
Leila Blanes
Lydia M. Ferreira
Publication date: 01-01-2014
Publisher: Springer US
Published in: World Journal of Surgery / Issue 1/2014
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-013-2228-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The Impact of Skin Grafting on the Quality of Life and Self-Esteem of Patients with Venous Leg Ulcers

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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