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.
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.
Authors: D R Thomas; G T Rodeheaver; A A Bartolucci; R A Franz; C Sussman; B A Ferrell; J Cuddigan; N A Stotts; J Maklebust Journal: Adv Wound Care Date: 1997-09 Impact factor: 4.730
Authors: Mauro Ivan Salgado; Andy Petroianu; Giselle Lelis Burgarelli; Alfredo José Afonso Barbosa; Luiz Ronaldo Alberti Journal: Rev Assoc Med Bras (1992) Date: 2007 Jan-Feb Impact factor: 1.209
Authors: Marco Humrich; Lisa Goepel; Mandy Gutknecht; David Lohrberg; Marco Blessmann; Guido Bruning; Holger Diener; Joachim Dissemond; Bernd Hartmann; Matthias Augustin Journal: Int Wound J Date: 2017-12-15 Impact factor: 3.315