Problemi psicologico-relazionali nella terapia delle ulcere degli arti inferiori: domande e risposte
https://doi.org/10.4081/ijwc.2024.112
Accettato: 20 May 2024
PDF (English): 11
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Il trattamento dell’ulcera varicosa comporta non solo la terapia locale, ma anche l’interazione con il paziente, le problematiche psicologiche legate alla malattia e le sue limitazioni. Conoscerle ed affrontarle può fare la differenza tra guarigione e fallimento terapeutico. Abbiamo condotto una revisione della letteratura sull’argomento dal 2013 al 2023 utilizzando parole chiave “ulcera venosa”, “psicologia”, “qualità di vita” e “sintomi”; abbiamo selezionato 33 lavori che soddisfacevano i criteri di ricerca. L’impatto fisico e psicologico dell’ulcera hanno dimostrato un’influenza importante sulla qualità di vita dei pazienti; il dolore e la depressione sono risultati i fattori predominanti, il rapporto con il medico, la nurse e l’attivazione del “counseling” sono fondamentali nell’ambito del trattamento. Comprendere le difficoltà psicologiche del paziente, assumere un corretto approccio nei confronti dei famigliari e del personale di supporto appaiono come fattori chiave per il trattamento e l’aderenza alla terapia.
Launois R. Health-related quality-of-life scales specific for chronic venous disorders of the lower limbs. J Vasc Surg Venous Lymphat Disord 2015;3:219-27.e1-3. DOI: https://doi.org/10.1016/j.jvsv.2014.08.005
Briggs M, Flemming K. Living with leg ulceration: a synthesis of qualitative research. J Adv Nurs 2007;59:319-28. DOI: https://doi.org/10.1111/j.1365-2648.2007.04348.x
Green J, Jester R, McKinley R, Pooler A. The impact of chronic venous leg ulcers: A systematic review. J Wound Care 2014;23:601-12.
Upton D, Andrews A. Sleep disruption in patients with chronic leg ulcers. J Wound Care 2013;22:389-92. DOI: https://doi.org/10.12968/jowc.2013.22.8.389
Araújo Farias Dias TY, Fernandes Costa IK, Dantas Medeiros Melo M. Quality of life assessment of patients with and without venous ulcer. Rev Latino-Am Enfermagem 2014;22:576-81. DOI: https://doi.org/10.1590/0104-1169.3304.2454
Maddox D. Effects of venous leg ulceration on patients' quality of life. Nurs Stand 2012;26:42-49. DOI: https://doi.org/10.7748/ns2012.05.26.38.42.c9111
Herber OR, Schnepp W, Rieger MA. A systematic review on the impact of leg ulceration on patients' quality of life. Health Qual Life Outcomes 2007;5:44. DOI: https://doi.org/10.1186/1477-7525-5-44
Stechmiller JK, Lyon D, Schultz G, Gibson DJ. Biobehavioral mechanisms associated with nonhealing wounds and psychoneurologic symptoms (pain, cognitive dysfunction, fatigue, depression, and anxiety) in older individuals with chronic venous leg ulcers. Biological Res Nursing 2019;21:407-19. DOI: https://doi.org/10.1177/1099800419853881
Hyland ME, Ley A, Thomson B. Quality of life of leg ulcer patients: questionnaire and preliminary findings. J Wound Care 1994;3:294-8. DOI: https://doi.org/10.12968/jowc.1994.3.6.294
Heinen MM, Persoon A, van de Kerkhof P, et al. Ulcer-related problems and health care needs in patients with venous leg ulceration: A descriptive, cross-sectional study. Int J Nurs Stud 2007 11;44(8):1296-1303. DOI: https://doi.org/10.1016/j.ijnurstu.2006.05.001
Green J, Jester R, Pooler A. Patient perspectives of their leg ulcer journey. J Wound Care 2013;22:58-66. DOI: https://doi.org/10.12968/jowc.2013.22.2.58
Green J, Jester R, McKinley R, Pooler A. The impact of chronic venous leg ulcers: a systematic review. J Wound Care 2014;23:601-12. DOI: https://doi.org/10.12968/jowc.2014.23.12.601
De Oliveira A Júnior S, De Souza Oliveira AC, et al. Influence of pain on the quality of life in patients with venous ulcers: Cross-sectional association and correlation study in a brazilian primary health care lesions treatment center. PLoS One 2023;18:e0290180. DOI: https://doi.org/10.1371/journal.pone.0290180
Cwajda-Białasik J MT, Mościcka P, Cierzniakowska P. The locus of pain control in patients with lower limb ulcerations. J Clin Nurs 2012;21:3346-51. DOI: https://doi.org/10.1111/j.1365-2702.2012.04163.x
Goncalves ML, De Gouveia Santos VL, De Mattos Pimenta CA, et al. Pain in chronic leg ulcers. J Wound Ostomy Continence Nurs 2004;31:275-83. DOI: https://doi.org/10.1097/00152192-200409000-00010
Leren L, Aslaug Johansen E, Eide H, et al. Prevalence and factors associated with ulcer-related pain in persons with chronic leg ulcers-an explorative study. J Clin Nurse 2021;30:2732-41. DOI: https://doi.org/10.1111/jocn.15787
Leren L, Eide H, Johansen EA, et al. Background pain in persons with chronic leg ulcers: An exploratory study of symptom characteristics and management. Int Wound J 2022;19:1357-69. DOI: https://doi.org/10.1111/iwj.13730
Orhurhu V, Chu R, Xie K, et al. Management of lower extremity pain from chronic venous insufficiency: a comprehensive review. Cardiol Ther 2021;10:111–40. DOI: https://doi.org/10.1007/s40119-021-00213-x
Jockenhöfer F, Anne Zaremba A, Caren Wehrmann C, et al. Pruritus in patients with chronic leg ulcers: A frequent and often neglected problem. Int Wound J 2019;16:1464–70. DOI: https://doi.org/10.1111/iwj.13215
Benbow M, Stevens J. Exudate, infection and patient quality of life. Br J Nurs 2010;19:S30-2. DOI: https://doi.org/10.12968/bjon.2010.19.Sup10.79691
Jones JE, Robinson J, Barr W, Carlisle C. Impact of exudate and odour from chronic venous leg ulceration. Nurs Stand 2008;22:53-58. DOI: https://doi.org/10.7748/ns2008.07.22.45.53.c6592
Hopman WM, VanDenKerkhof EG, Carley ME, et al. Factors associated with health-related quality of life in chronic leg ulceration. Qual Life Res 2014;23:1833-40. DOI: https://doi.org/10.1007/s11136-014-0626-7
Lopes Joaquim F, Costa Rosa Andrade Silva RM, Garcia-Caro MP, et al. Impact of venous ulcers on patients’ quality of life: an integrative review. Rev Bras Enferm 2018;71:2021-9.
Nogueira GS, Zanin CR, Miyazaki MCOS, De Godoy JMP. Quality of life of patients with chronic venous ulcers and socio-demographic factors. Wounds 2012;24:289-92.
Salomé GM, Aguinaldo de Almeida S, Masako Ferreira L. Association of sociodemographic factors with hope for cure, religiosity, and spirituality in patients with venous ulcers. Adv Skin Wound Care 2015;28:76-82.
Da Silva HM, Pinto de Jesus MC, Aparecida Barbosa Merighi M. The daily life of men who lives with chronic venous ulcer: phenomenological study. Rev Gaucha Enferm 2013;34.
De Santana Carvalho ES, Santos Paivab M, Casado Aparicio E, et al. Sexual-affective trajectories of people with chronic leg ulcers: aspects of therapeutic listening. Rev Gaúcha Enferm 2013;34:163-70.
Salomé GM, Aguinaldo de Almeida S, Masako Ferreira L. Association of sociodemographic factors with hope for cure, religiosity, and spirituality in patients with venous ulcers. Adv Skin Wound Care 2015;28:76-82. DOI: https://doi.org/10.1097/01.ASW.0000459844.07689.02
Salomé GM, Pereira VR, Ferreira LM. Spirituality and subjective wellbeing in patients with lower-limb ulceration. J Wound Care 2013;22:230-2, 234-6. DOI: https://doi.org/10.12968/jowc.2013.22.5.230
Salomé GM, Aguinaldo de Almeida S, De Jesus Pereira MT. The impact of venous leg ulcers on body image and self-esteem. Adv Skin Wound Care 2016;29:316-21. DOI: https://doi.org/10.1097/01.ASW.0000484243.32091.0c
Ebbeskog B, Ekman SL. Elderly persons' experiences of living with venous leg ulcer: living in a dialectal relationship between freedom and imprisonment. Scand J Caring Sci 2001;15:235-43. DOI: https://doi.org/10.1046/j.1471-6712.2001.00018.x
Jones J, Barr W, Robinson J, Carlisle C. Depression in patients with chronic venous ulceration. Br J Nurs 2006;15:S17-23. DOI: https://doi.org/10.12968/bjon.2006.15.Sup2.21237
Lin HC, Fang CL, Hung CC, Fan JY. Potential predictors of quality of life in patients with venous leg ulcers: A cross-sectional study in Taiwan. Int Wound J 2022;19:1039–50. DOI: https://doi.org/10.1111/iwj.13700
Lopes Joaquim FL, Costa Rosa Andrade Silva RM, Garcia-Caro MP, et al. Impact of venous ulcers on patients’ quality of life: an integrative review. Rev Bras Enferm 2018;71:2021-9. DOI: https://doi.org/10.1590/0034-7167-2017-0516
Walburn J, Weinman J, Norton S. Stress, illness perceptions, behaviors, and healing in venous leg ulcers: findings from a prospective observational study. Psychosom Med 2017;79:585-92. DOI: https://doi.org/10.1097/PSY.0000000000000436
Situm M, Kolić M, Spoljar S. Quality of life and psychological aspects in patients with chronic leg ulcer. Acta Med Croatica 2016;70:61-3.
Cifuentes Rodriguez JE, Guerrero Gamboa S. Psychosocial factors of patients with venous leg ulcers and their association with healing. J Enterostomal Ther 2020;18:e0720. DOI: https://doi.org/10.30886/estima.v18.845_IN
Zhou K, Jia P. Depressive symptoms in patients with wounds: A cross-sectional study. Wound Repair Regen 2016;24:1059-65. DOI: https://doi.org/10.1111/wrr.12484
Dalgard FJ, Gieler U, Tomas-Aragones L, et al. The psychological burden of skin diseases: a cross-sectional multicenter study among dermatological out-patients in 13 European countries. J Invest Dermatol 2015;135:984-91. DOI: https://doi.org/10.1038/jid.2014.530
Kumar N, Huda F, Mani R, Singla T. Role of hospital anxiety and depression on the healing of chronic leg ulcer: A prospective study. Int Wound J 2020;17:1941–7. DOI: https://doi.org/10.1111/iwj.13485
Wachholz PA, Masuda PY, Nascimento DC, et al. Quality of life profile and correlated factors in chronic leg ulcer patients in the mid-west of Sao Paulo State, Brazil. An Bras Dermatol 2014;89:73-81. DOI: https://doi.org/10.1590/abd1806-4841.20142156
Finlayson K, Edwards E, Courtney M. The impact of psychosocial factors on adherence to compression therapy to prevent recurrence of venous leg ulcers. J Clin Nurse 2010;19:1289-97. DOI: https://doi.org/10.1111/j.1365-2702.2009.03151.x
Selye H. Stress and disease. Science 1955;122:625–31. DOI: https://doi.org/10.1126/science.122.3171.625
Upton D, Andrews A. Venous leg ulcers: What about well-being? J Wound Care 2014;23:14-6. DOI: https://doi.org/10.12968/jowc.2014.23.1.14
Do HTT, Edwards H, Finlayson K. Identifying relationships between symptom clusters and quality of life in adults with chronic mixed venous and arterial leg ulcers. Int Wound J 2016;13:904-11. DOI: https://doi.org/10.1111/iwj.12405
Kapp S, Miller C. The experience of self-management following venous leg ulcer healing. J Clin Nurs 2015;24:1300-9. DOI: https://doi.org/10.1111/jocn.12730
Heinen M, Borm G, van der Vleuten C, et al. The Lively Legs self-management program increased physical activity and reduced wound days in leg ulcer patients: results from a randomized controlled trial. Int J Nurs Stud 2012;49:151–61. DOI: https://doi.org/10.1016/j.ijnurstu.2011.09.005
Copyright (c) 2024 Gli Autori
Questo lavoro è fornito con la licenza Creative Commons Attribuzione - Non commerciale 4.0 Internazionale.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Downloads
Citations
