Community Leg Ulcer Clinics: Effect on Quality of Life

Abstract

Objective:

To investigate changes in the quality of life of patients with leg ulcers being treated in community leg ulcer clinics.

Design:

Patients were interviewed using a standard questionnaire, and then reinterviewed after 12 weeks of compression bandaging to observe changes.

Setting:

Community ulcer clinics held in health centres within Riverside Health District.

Patients:

All new patients presenting to community leg ulcer clinics up to 6 months from the start of a clinic and treated with four-layer compression bandaging.

Main outcome measures:

Changes in quality of life, interference in daily activities caused by leg ulceration and general health after 12 weeks of treatment.

Results:

Treatment over 12 weeks resulted in a mean reduction in anxiety (2.79 v 1.73, p < 0.001), depression (2.61 v 1.89, p < 0.001), hostility (1.59 v 1.00, p < 0.001) and cognition (1.29 v 0.87, p = 0.015). Pain significantly improved following treatment (χ² trend = 103.7, 1d.f., p < 0.001). Changes in depression and hostility were related to complete ulcer healing.

Conclusions:

There were clear changes in quality of life following 12 weeks in a community leg ulcer clinic, which were related to the healing of the ulcer. Systems of care that offer rapid healing and improve patients' well-being must be considered when planning an effective leg ulcer service.