Sebba Tosta de Souza DM, Veiga DF, Santos ID, Abla LE, Juliano Y, Ferreira LM, et al.
Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy an.... Date of publication 2015 Jul 1;volume 42(4):352-9.
1. J Wound Ostomy Continence Nurs. 2015 Jul-Aug;42(4):352-9. doi:
10.1097/WON.0000000000000142.
Health-Related Quality of Life in Elderly Patients With Pressure Ulcers in
Different Care Settings.
Sebba Tosta de Souza DM(1), Veiga DF, Santos ID, Abla LE, Juliano Y, Ferreira LM.
Author information:
(1)Diba Maria Sebba Tosta de Souza, RN, PhD, Division of Plastic Surgery,
Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, and Department of
Nursing, Universidade do Vale do Sapucaí (UNIVÁS), Pouso Alegre, MG, Brazil.
Daniela Francescato Veiga, MD, PhD, Division of Plastic Surgery, Universidade
Federal de São Paulo (UNIFESP), São Paulo, SP, and Division of Plastic Surgery,
UNIVÁS, Pouso Alegre, MG, Brazil. Ivan Dunshee de Abranches Oliveira Santos, MD,
PhD, Division of Plastic Surgery, Universidade Federal de São Paulo (UNIFESP),
São Paulo, SP, Brazil. Luiz Eduardo Felipe Abla, MD, PhD, Division of Plastic
Surgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil. Yara
Juliano, PhD, Department of Biostatistics, UNIVÁS, Pouso Alegre, Minas Gerais,
Brazil. Lydia Masako Ferreira, MD, PhD, Division of Plastic Surgery, Universidade
Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
PURPOSE: The purpose of this study was to measure and compare health-related
quality of life in elderly patients with pressure ulcers in different health care
settings (home care acute care facility, and long-term care facility [LTCF]).
DESIGN: Cross-sectional comparative study.
SUBJECTS AND SETTING: One hundred ten elderly patients with (n = 36) and without
(n = 74) pressure ulcers living in LTCFs, hospitals, or at home. The research
setting included 1 tertiary and 2 community-based hospitals, 10 LTCFs, and 18
community health centers in Brazil.
METHODS: The Mini-Mental State Examination, Braden Scale for Predicting Pressure
Sore Risk, and Medical Outcomes Study 36-Item Short Form Health Survey (SF-36)
were used to assess cognitive status, pressure ulcer risk, and health-related
quality of life, respectively.
RESULTS: Compared with those without pressure ulcers, elderly patients with
pressure ulcers reported significantly lower (worse) SF-36 scores on physical
functioning (P < .001) and role physical (P < .05) in all settings, and on social
functioning (P = .045) and role emotional (P = .036) in LTCFs. Subjects in
hospitals with pressure ulcers scored significantly higher (better) SF-36 scores
on mental health (P = .046) and vitality (P = .009). Hospitalized patients
without pressure ulcers had lower SF-36 scores on bodily pain (P = .007) and
general health (P = .026) than those living in LTCFs or at home. Patients without
pressure ulcers in LTCFs had significantly lower Mini-Mental State Examination
scores (lower cognitive status) than those living in other settings (P = .001).
CONCLUSIONS: Elderly patients with pressure ulcers who were hospitalized and
living at home or in LTCFs reported low scores on physical functioning and role
physical, and LTCF residents also reported low scores on social functioning and
role emotional. This shows the need for an environment that includes health care
professionals prepared to implement strategies for pressure ulcer prevention.
DOI: 10.1097/WON.0000000000000142
PMID: 26135820 [Indexed for MEDLINE]
