Introduction: Quality of life (QoL) has been evaluated in patients with chronic wounds due to their negative impacts in several dimensions affected by different factors.1,2 Aims: Evaluate the QoL and associated predictive factors of outpatients with chronic wounds. Methods: Prospective, quantitative and secondary study of Ferrrans & Powers Quality of Life Index – Wound Version (FPQLI-WV) responsiveness study developed by Oliveira and Santos.3 The sample was composed by 27 patients in two specialized outpatient services, in two Brazilian cities, mainly composed by males (59%), average age was 50.1, most common types of ulcers were venous (48.2%) and diabetic (29.6%) ulcers, and the average wounds duration were 57.5 months. The patients were interviewed at two moments: baseline and after 60 days. Instruments: demographic and clinical data, FPQLI-WV, Pressure Ulcer Scale for Healing (PUSH), Numerical Pain Scale and Global Change Assessment Scale. The data were analyzed through Mann-Whitney test, Spearman correlation and linear regression. Results: The average scores of Total QoL in baseline were 21.4, and 24.5 after 60 days. Significant improvements (p < 0,001) were observed in the outpatients after 60 days comparing to their baseline: Total QoL (Effect Size=0,89), Health Functioning domain (Effect Size=1.01) and Socio-Economic domain (Effect Size=0.66). Pain was associated as a significant predictor of QoL, and a reduction of 1 unit of the worst pain over the week increased 0.21 Total QoL score, and for a large effect, the variation must be 2.5 points superior. Pain was associated with health/functioning and psychological/spiritual domains as well. Conclusion: Total and Physical QoL improved after 60 days in patients attended at a specialized outpatient care. Pain negatively impacts on QoL.1,4 This study contributes for a better understanding of the main predictive factors related to changes in QoL of people with chronic wounds under specialized care.
Descriptors: Quality of Life, Chronic Wounds