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Depression in patients with chronic venous ulceration
June Jones1, Wally Barr, Jude Robinson
1Health and Community Care Research Unit, CNS Leg Ulcers, Southport and Formby PCT, University of Liverpool, UK.
British Journal of Nursing (Mark Allen Publishing)
|July 13, 2006
Summary
Many patients with chronic venous leg ulcers experience anxiety and depression. Pain and odor were linked to these psychological impacts, highlighting the need for integrated care.
Area of Science:
- Medical Research
- Psychology
- Wound Care
Background:
- Research on leg ulcers primarily addresses treatment, neglecting psychosocial aspects.
- The psychosocial impact of chronic venous ulceration is understudied.
- Understanding mental health in leg ulcer patients is crucial for holistic care.
Purpose of the Study:
- To investigate the prevalence of anxiety and depression in patients with chronic venous ulceration.
- To identify factors associated with anxiety and depression in this patient group.
- To inform care strategies for chronic wound management.
Main Methods:
- A study involving 190 patients with chronic venous ulceration across 9 NHS Trusts in Northwest England.
- Utilized the Hospital Anxiety and Depression Scale (HADS) for screening.
- A cut-off score of 9 on the HADS was used to indicate 'caseness' for anxiety and depression.
Main Results:
- A significant prevalence of psychological distress was found: 52 (27%) patients scored as depressed and 50 (26%) as anxious.
- Pain and odor were identified as symptoms associated with anxiety and depression.
- No significant association was found between anxiety/depression and living alone, mobility, or exudate levels.
Conclusions:
- Chronic venous ulceration significantly impacts patients' mental health, with high rates of anxiety and depression.
- Pain and odor are key factors influencing psychological well-being in these patients.
- Care for chronic leg ulcers should incorporate psychological assessment and support, especially when cure is not feasible.
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