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Disease-Specific Distress in Adults With Venous Leg Ulcers: An Integrative Review
Christina Narelle Parker1,2,3,4,5,6,7,8, Ut Bui1,2,3,4,5,6,7,8, Kathleen Finlayson1,2,3,4,5,6,7,8
1Christina Narelle Parker, PhD, Faculty of Health, School of Nursing, Queensland University of Technology, Queensland, and Center for Healthcare Transformation, Queensland University of Technology, Queensland, Australia.
Disease specific distress (DSD) in adults with venous leg ulcers (VLUs) is not well-studied. Patients with VLUs experience anxiety and depression, indicating significant DSD across multiple life domains.
Area of Science:
- Medical Research
- Psychology
- Public Health
Background:
- Venous leg ulcers (VLUs) are chronic wounds affecting many adults.
- Disease-specific distress (DSD) is a recognized issue in chronic illness, but its specific manifestations in VLU patients are under-explored.
Purpose of the Study:
- To identify disease-specific distress (DSD) in adults with venous leg ulcers (VLUs).
- To explore existing literature for evidence of DSD in the VLU population.
Main Methods:
- An integrative literature review was conducted.
- Searched databases included CINAHL, MEDLINE, PubMed, APA PsychInfo, and Embase.
- The initial approach was a systematic review, adapted due to limited specific research.
Main Results:
- No studies specifically examined DSD in adults with VLUs.
- No instruments were identified for measuring DSD in this population.
- Evidence suggests patients with VLUs commonly experience symptoms of anxiety and depression.
Conclusions:
- DSD in adults with VLU can be broadly categorized into emotional, healthcare, interpersonal/social, treatment, and symptom-related themes.
- Further research is crucial to formally identify and evaluate DSD in individuals with VLUs.
- Identifying distress indicators can improve person-centered care interventions for VLU patients.
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