Galhardo VA, Garroni Magalhaes M, Blanes L, Juliano Y, Masako Ferreira L, et al.
Wounds : a compendium of clinical research and practice. Date of publication 2010 Jan 1;volume 22(1):20-6.
1. Wounds. 2010 Jan;22(1):20-6.
Health-related Quality of Life and Depression in Older Patients With
Pressure Ulcers.
Galhardo VA(1), Garroni Magalhaes M, Blanes L, Juliano Y, Masako Ferreira L.
Author information:
(1)Department of Clinical Medicine, Sapucai Valley University (UNIVAS), Brazil;
Email: vitor_galhardo@uol.com.br.
Objectives. To evaluate health-related quality of life (HRQoL) and depression
in older patients with pressure ulcers who were living at home in the
community.METHODS: A cross-sectional analytical study conducted in southern Minas
Gerais, Brazil. Forty-two outpatients 60 years and older, showing no cognitive
deficit who were living in the community, participated in the study. They were
divided into two groups: the study group (21 patients with pressure ulcers), and
control group (21 patients without pressure ulcers). The instruments Mini-Mental
State Examination (MMSE), Medical Outcomes Study 36-Item Short Form Health Survey
questionnaire (SF-36), and 15-item Geriatric Depression Scale (GDS-15) were used,
respectively, to identify cognitive impairment, and assess HRQoL and depression.
RESULTS: Among the 36 pressure ulcers detected on examination, Stage II ulcers
were the most common finding (50%), and the sacral region was the most common
location (44.5%). Patients with pressure ulcers had significantly lower HRQoL
scores than controls in all SF-36 domains, with the lowest scores being reported
for physical functioning, role physical and role emotional (P <0.0001). Seventeen
(80.9%) of the patients in the study group were identified as having depression
(P = 0.002).
CONCLUSION: A high rate of depression (GDS-15) was found in elderly patients with
pressure ulcers, who also reported lower HRQoL scores in all SF-36 domains
compared with controls.
PMID: 25901458
