alexa Psychosocial adjustment, coping, and quality of life in persons with venous ulcers and a history of intravenous drug use.
Genetics & Molecular Biology

Genetics & Molecular Biology

Journal of Tissue Science & Engineering

Author(s): Pieper B, Szczepaniak K, Templin T

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Abstract OBJECTIVE/PURPOSE: Psychosocial adjustment, coping, and quality of life for persons with a venous ulcer and a history of intravenous drug use were examined. DESIGN: A cross-sectional design was used. SETTING AND SUBJECTS: Data were collected in an urban outpatient clinic. All eligible persons were asked to participate. Thirty-two patients agreed to participate, providing an 89\% response rate. The mean age of participants was 44.6 years (SD = 4.3); 91\% were African American, and 72\% were male. INSTRUMENTS: Subjects responded to questions about their health and substance abuse history and completed the Quality of Life With a Leg Ulcer Questionnaire, Psychosocial Adjustment to Illness Scale (PAIS), Ways of Coping Instrument, and Pain Questionnaire. Leg ulcer tracings were measured with the SigmaScan computer program. METHODS: Questionnaires were read to participants. Leg ulcers were traced at their borders onto plastic. RESULTS: Wound area correlated significantly with the domestic environment (r = .43) and the psychosocial distress (r = .38) scores of the PAIS. Wound area was negatively correlated to Quality of Life With a Leg Ulcer Questionnaire score (r = -.52). Pain interference was significantly related to the self-controlling coping score (r = .40), domestic environment score of the PAIS (r = .51), and Quality of Life With a Leg Ulcer Questionnaire score (r = -.65). Cox and Wermuth's multiple regression modeling approach was used to summarize the study's variables. CONCLUSIONS: A larger wound area was associated with greater illness-induced difficulties in the home environment, greater psychological distress, and poor quality of life. Pain Interference was associated with a greater effort to regulate one's feelings and actions, difficulties in the home, and poor quality of life. This article was published in J Wound Ostomy Continence Nurs and referenced in Journal of Tissue Science & Engineering

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