Association of sociodemographic effects and injury to feelings of powerlessness and hope in individuals with venous ulcers

ALVES, SUELLEN GARCIA; GARDONA, RODRIGO GALVÃO BUENO; REIS, BEATRIZ CASTRO; VILELA, LUCIA HELENA ROCHA; SALOMÉ, GERALDO MAGELA

Acessibilidade / Reportar erro

Brasil

Revista Brasileira de Cirurgia Plástica

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Original Article • Rev. Bras. Cir. Plást. 28 (4) • Oct-Dec 2013 • https://doi.org/10.5935/2177-1235.2013RBCP0672 copy

Association of sociodemographic effects and injury to feelings of powerlessness and hope in individuals with venous ulcers

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

This study's objective was to evaluate feelings of powerlessness and hope in patients with venous ulcers and identify sociodemographic characteristics in the studied population.

Methods:

A clinical, descriptive, analytical and prospective study. 40 patients with venous ulcers participated. We used 3 instruments: a questionnaire that assessed demographic and clinical data, an Instrument for Measuring feelings of impotence and Herth Hope Index.

Results:

At Feelings of Impotence Scale patients scored a mean of 34.3 and at Herth Hope Index 27.50, revealing that these individuals feel powerless and hopeless that the wound can heal. Individuals aged between 50 and 59 years had an average of 39.00 at Feelings of Powerlessness Scale (P 0.120). At Herth Hope Index the average was 14.20 (P=0.508). Male, in both scales, had mean changes, with average of 36.00 at Feelings of Powerlessness Scale (P=0.068) and 26.70 as median at Herth Hope Index (P=0.332). Regarding the time of the injury, the average score was 39.00 at Feelings of Impotence Scale (p = 0.251) and 27.10 in Herth Hope Index, showing changes in patients over 1 to 2 years with injury. Patients who presented odor scored a high mean (36.10 / P=0.155) at Feelings of Impotence Scale and low mean at Herth Hope Scale (26.80).

Conclusion:

Results have revealed that the subjects with venous ulcers in this study feel helpless and hopeless about the possibility of wound healing.

Keywords:
Varicose Ulcers; Emotions; Quality of life

Patient with venous ul- cers		Total score of the Powerlessness Assessment Scale						Total score of the Herth Hope Index
Patient with venous ul- cers			Average	Median		Standard deviation		Average		Median		Standard deviation		P value
Score		34.3			32		7.665		27.50		27		5.339	0.001

Domain of the Powerlessness Assessment Scale	Average	Standard deviation	Minimum	Maximum	P
Behavioral performance capacity	50.78	6.980	34	59	0.002
Emotional response to situational control	51.02	7.301	35	59
Perception of decision-making capacities	52.09	7.578	36	60

Age (years)	Total score of the Powerlessness Assessment Scale			Total score of the Herth Hope Index
Age (years)	Average	Median	Standard deviation	Average	Median	Standard deviation
21 to 29	28.00	31	5.196	32.00	30	7.211
30 to 39	30.50	31	0.707	28.00	28	2.828
40 to 49	34.50	34	4.359	27.80	26	3.500
50 to 59	39.00	33	10.392	18.30	13	10.116
More than 60	34.80	33	8.034	27.90	27	4.043
Gender	Total score of the Powerlessness Assessment Scale			Total score of the Herth Hope Index
Gender	Average	Median	Standard deviation	Average	Median	Standard deviation
Female	33.90	32	7.650	27.70	27	4.922
Male	36.00	33	7.937	26.70	26	6.874
Smoker	Total score of the Powerlessness Assessment Scale			Total score of the Herth Hope Index
Smoker	Average	Median	Standard deviation	Average	Median	Standard deviation
Yes	37.00	33	11.529	27.10	26	5.253
No	34.00	32	7.253	31.00	29	5.477

Ulcer duration	Total score of the Powerlessness Assessment Scale			Total score of the Herth Hope Index
Ulcer duration	Average	Median	Standard deviation	Average	Median	Standard deviation
Up to 1 year	30.50	31	12.021	17.70	12	5.239
Between 1 and 2 years	39.00	33	10.392	14.10	12	5.242
Between 2 and 3 years	31.70	31	2.160	17.10	12	10.399
More than 3 years	34.70	32	7.942	15.80	12	4.438
Odor	Total score of the Powerlessness Assessment Scale			Total score of the Herth Hope Scale
Odor	Average	Median	Standard deviation	Average	Median	Standard deviation
Yes	36.10	33	9.479	26.80	26	7.222
No	33.00	31	5.881	27.90	27	3.476

Sociedade Brasileira de Cirurgia Plástica Rua Funchal, 129 - 2º Andar / cep: 04551-060, São Paulo - SP / Brasil, Tel: +55 (11) 3044-0000 - São Paulo - SP - Brazil
E-mail: rbcp@cirurgiaplastica.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Suellen Garcia Alves Av. Francisco de Paula Quintaninha Ribeiro, 280/134 - Jabaquara CEP: 04330-020. São Paulo, SP, Brasil