Venous Leg Ulcers and Emotional Consequences

Abstract

Venous leg ulcers are a chronic disease that affects populations around the world. For sufferers, it leads to physical, social, economic, and emotional consequences. The aim of this study was to assess the presence of anxiety and depression, as well as to investigate possible associations with sociodemographic variables. A total of 30 patients, both men and women, with venous ulcers receiving care under outpatient treatment in a teaching hospital of a provincial city of São Paulo State, were included in this study. The evaluation tools used were the following: the Hospital Anxiety and Depression Scale (HADS) and a sociodemographic questionnaire that included job status, religion, marital status, gender, duration of disease, and age. A descriptive analysis of the data was performed. Statistical analysis used means, the Student t test, and the χ² test. Anxiety was identified in 30% of the patients and depression in 40%. No statistically significant correlation was found between anxiety or depression and the sociodemographic variables. Patients with chronic venous ulcers may present with anxiety and depression independent of socioeconomic variables such as religion, occupation, marital status, and duration of lesion.

Keywords

anxiety depression venous ulcers

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References

O’Meara S. , Al-Kurdi D. , Ovington LG Antibiotics and antiseptics for venous leg ulcers. Cochrane Database Syst Rev 2008;23 (1):CD003557.

van den Bulck R. Wounds and dressings. Int J Low Extrem Wounds 2008;7:12-4.

Chen WY , Rogers AA Recent insights into the causes of chronic leg ulceration in venous diseases and implications on other types of chronic wounds. Wound Repair Regen 2007;15:434-49.

Marston W. Evaluation and treatment of leg ulcers associated with chronic venous insufficiency . Clin Plast Surg 2007;34: 717-30.

Pereira de Godoy JM , Braile DM , de Fátima Guerreiro Godoy M. Lymph drainage in patients with joint immobility due to chronic ulcerated lesions . Phlebology 2008;23:32-4.

Howard DP , Howard A. , Kothari A. , Wales L. , Guest M. , Davies AH The role of superficial venous surgery in the management of venous ulcers: a systematic review. Eur J Vasc Endovasc Surg 2008;36:458-65.

Etufugh CN , Phillips TJ Venous ulcers. Clin Dermatol 2007; 25:121-30.

Price P. , Fogh K. , Glynn C. , Krasner DL , Osterbrink J. , Sibbald RG Managing painful chronic wounds: the Wound Pain Management Model. Int Wound J 2007;4 Suppl 1:4-15.

Cavalheri G. Jr , de Godoy JMP , Belczak CE Correlation of haemodynamics and ankle mobility with clinical classes of clinical, aetiological, anatomical and pathological classification in venous disease. Phlebology 2008;23:120-4.

10.

Persoon A. , Heinen MM , van der Vleuten CJ , de Rooij MJ , van de Kerkhof PC , van Achterberg T. Leg ulcers: a review of their impact on daily life. J Clin Nurs 2004;13:341-54.

11.

Jones J. , Barr W. , Robinson J. , Carlisle C. Depression in patients with chronic venous ulceration. Br J Nurs 2006;15:S17-23.

12.

Junior OL , Buzatto SHG , Fontes AO , Miyazaki COM , Godoy JMP Qualidade de vida em pacientes com úlceras venosas crônicas na insuficiência venosa de membros inferiores. Cir Vasc Angiologia. 2001;171:15-20.