PT14-002 Predictors of Quality of Life of People with Chronic Wounds

Alcicléa dos Santos Oliveira, PhD, MSN, BSN, Hospital Beneficência Portuguesa de São Paulo, São Paulo, Brazil, Vera Lúcia C. G. Santos, PhD, MSN, BSN, CWOCN, (TiSOBEST, -, Brazil), Medical-Surgical Nursing Department, Nursing School of the University of São Paulo, São Paulo, Brazil, Ana Flávia dos Santos Amaral, WOCN, BSN, Medical-Surgical Unit, Instituto Dante Pazzanese de Cardiologia, São Paulo, Brazil, Jaqueline Betteloni, WOCN, BSN, Medical-Surgical Unit, Hospital Universitário da Universidade de São Paulo, São Paulo, Brazil, Erika Tihemi Nishi, WOCN, BSN, Pediatric Intensive Care Unit, Instituto da Criança do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil and See Hee Park Kim, WOCN, BSN, Stomatherapy Center, Hospital Alemão Oswaldo Cruz, São Paulo, Brazil
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