Patrick Phillips1,2, Elizabeth Lumley1,2, Rosie Duncan1,3, Ahmed Aber1, Helen Buckley Woods1, Georgina L Jones4, Jonathan Michaels1. 1. School of Health and Related Research, University of Sheffield, Sheffield, UK. 2. Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK. 3. Department of Nursing and Midwifery, Sheffield Hallam University, Sheffield, UK. 4. Department of Psychology, School of Social Sciences, Leeds Beckett University, Leeds, UK.
Abstract
AIM: To systematically identify, evaluate and synthesize qualitative research that examined the symptoms and health-related quality of life themes that are important from the perspective of patients with venous leg ulceration. BACKGROUND: Venous leg ulceration is a common chronic condition; the symptoms and associated treatments have a negative effect on health-related quality of life. Qualitative research methods can provide insight into the personal experiences of patients with venous leg ulceration. DESIGN: Qualitative evidence synthesis (using framework synthesis). DATA SOURCES: Multiple electronic databases including MEDLINE, EMBASE, PsycINFO and CINAHL were comprehensively searched from inception to November 2015. REVIEW METHODS: Systematic identification, quality assessment and synthesis of existing qualitative research were performed; framework synthesis was conducted on included studies. An inductive approach was used and emergent themes were identified. The final stage in the synthesis involved the development of new interpretations. RESULTS: Thirteen studies met the inclusion criteria; the overall quality of the included studies was good. Four overarching themes were identified; physical impact, psychological impact, social impact and treatment and, in these, further subthemes were identified. Ulcer and treatment-related pain, as well as odour and exudate appeared to have significant and direct negative effects on quality of life, with additional and cumulative effects on sleep, mobility and mood. CONCLUSION: The themes identified in this review should be considered by professionals providing services, care and treatment for venous leg ulcer patients and in the selection, or development, of patient-reported outcome measures for use with this population.
AIM: To systematically identify, evaluate and synthesize qualitative research that examined the symptoms and health-related quality of life themes that are important from the perspective of patients with venous leg ulceration. BACKGROUND:Venous leg ulceration is a common chronic condition; the symptoms and associated treatments have a negative effect on health-related quality of life. Qualitative research methods can provide insight into the personal experiences of patients with venous leg ulceration. DESIGN: Qualitative evidence synthesis (using framework synthesis). DATA SOURCES: Multiple electronic databases including MEDLINE, EMBASE, PsycINFO and CINAHL were comprehensively searched from inception to November 2015. REVIEW METHODS: Systematic identification, quality assessment and synthesis of existing qualitative research were performed; framework synthesis was conducted on included studies. An inductive approach was used and emergent themes were identified. The final stage in the synthesis involved the development of new interpretations. RESULTS: Thirteen studies met the inclusion criteria; the overall quality of the included studies was good. Four overarching themes were identified; physical impact, psychological impact, social impact and treatment and, in these, further subthemes were identified. Ulcer and treatment-related pain, as well as odour and exudate appeared to have significant and direct negative effects on quality of life, with additional and cumulative effects on sleep, mobility and mood. CONCLUSION: The themes identified in this review should be considered by professionals providing services, care and treatment for venous leg ulcerpatients and in the selection, or development, of patient-reported outcome measures for use with this population.
Authors: Adriana Lozano-Platonoff; Jose Contreras-Ruiz; Judith Dominguez-Cherit; Andrea Cardenas-Sanchez; Valeria Alvarez-Rivero; Joel A Martínez-Regalado Journal: Int Wound J Date: 2019-11-11 Impact factor: 3.315
Authors: Xiaoli Zhu; Maja Magdalena Olsson; Ram Bajpai; Krister Järbrink; Wern Ee Tang; Josip Car Journal: Int Wound J Date: 2021-12-02 Impact factor: 3.099
Authors: Ahmed Aber; Patrick Phillips; Elizabeth Lumley; Stephen Radley; Steven M Thomas; Shah Nawaz; Georgina Jones; Jonathan Michaels Journal: BMJ Open Date: 2020-08-11 Impact factor: 2.692