MM Olsson
Health-related quality of life and chronic wound characteristics among patients with chronic wounds treated in primary care: A cross-sectional study in Singapore
Olsson, MM; Zhu, Xiaoli; Järbrink, Krister; Tang, WE; Car, Josip; Bajpai, Ram
Abstract
Chronic wounds commonly decrease patients' quality of life. Understanding how chronic wounds impact a patient's health-related quality of life (HRQoL) is important for healthcare service delivery and treatment management. This study explored HRQoL among patients suffering from chronic wounds and investigated associations with patients' socio-demographics and wound characteristics. Two hundred and thirty-three patients across six primary care clinics were assessed and responded to a survey that collected information on socio-demographic, wound characteristics, and HRQoL using the EQ-5D-5L instrument. Data were analysed by descriptive statistics and generalised linear models. The mean age of patients was 61.2 (SD: 14.6) years; 68.2% were males; and 61.8% were of Chinese origin. Arterial ulcers had the greatest negative impact on HRQoL related to mobility, self-care, pain/discomfort and anxiety/depression, and the lowest VAS mean score 62.31 (SD: 28.3; range: 0-100) indicating the worst health. HRQoL related to mobility was significantly associated with age (ß = 0.008, P?<?.001), non-Chinese ethnicity (ß = 0.25, P = .001), mixed ulcers (ß = -0.41, P = .022), atypical hard-to-heal wounds (ß = -0.38, P = .021), wounds with low (ß = 0.24, P = .044) to moderate (ß = 0.29, P = .018) exudate level, and a wound duration =6 months (ß = 0.19, P = .033). The findings can be used to improve healthcare delivery for patients with chronic wound to optimise their HRQoL.
Journal Article Type | Article |
---|---|
Acceptance Date | Oct 20, 2021 |
Online Publication Date | Dec 2, 2021 |
Publication Date | 2022-08 |
Publicly Available Date | May 30, 2023 |
Journal | International Wound Journal |
Print ISSN | 1742-4801 |
Publisher | Wiley |
Peer Reviewed | Peer Reviewed |
Volume | 19 |
Issue | 5 |
Pages | 1121-1132 |
DOI | https://doi.org/10.1111/iwj.13708 |
Keywords | Dermatology, Surgery |
Publisher URL | https://onlinelibrary.wiley.com/doi/10.1111/iwj.13708 |
Files
iwj.13708 (1).pdf
(2.5 Mb)
PDF
Publisher Licence URL
https://creativecommons.org/licenses/by-nc-nd/4.0/
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