Exploring patient living with chronic experiences and outcome with regards to psychosocial impact of chronic wound in selected hospitals in Ondo state; a qualitative study

Ehwarieme Timothy, Ikeh Ifunanya, Abiodun Oluwaseun

Abstract


Background: Patient experiences and outcomes related to the psychosocial impacts of chronic wounds are influenced by various factors. Exploring these experiences can provide valuable insights into the psychosocial burdens they encounter, informing targeted interventions that address their specific needs beyond clinical treatments. Aimed: This study aimed at exploring patient living with chronic experiences and outcome with regards to psychosocial impact of chronic wound in selected hospitals in Ondo state. Methods: The researchers adopted an existential descriptive phenomenological approach among 20 participants determine through data saturation. An in-depth interview guide was used to collect data. Reliability of the instrument was ensured by considering its trustworthiness Interview sessions were conducted in English language and Yoruba languages depending on the preference of the participants which lasted for a maximum of 45 minutes and were recorded, and transcribed using field notes. Thematic analysis approach as outlined by Creswell was used, themes and sub-themes were developed, all analysis were done using NVivo version 9. Result:  Three major themes with subtheme emerges; theme 1; Emotional and Financial Burdens of Chronic Wounds"(subthemes; Financial Strain, Impact on Relationships, Sadness, Isolation and worry, Mood change, theme 2: Positive Distraction and Social Engagement (subthemes: Watching movies and listening to music and playing games  Staying positive, Playing with other patients. Theme 3 Support Networks in Chronic Wound Management (subthemes: Pastors and church members, Healthcare workers, Family and friends, Workplace, Help and Support). Conclusion: The study highlights the profound psychosocial impact that chronic wounds have on patients, encompassing emotional, financial, and social dimensions. These findings underscore the importance of integrating psychosocial support into chronic wound care plans, ensuring that patient care extends beyond clinical treatment to address the holistic needs of individuals living with chronic wounds

 

Received: 12 September 2024

Accepted: 23 October 2024

Published: 11 November 2024


Keywords


Chronic Wounds, Experiences, Psychosocial impact, Adult Patients, Tertiary hospitals

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References


Abdalrahim A, Alkhawaldeh A, ALBashtawy M, Mohammad K, Al-Amer R, Al Omari O, et al. A phenomenological study of the lived experiences of elderly individuals with chronic wounds. Working with Older People. 2024;28(2).

Adderley U, Evans K, Coleman S. Reducing unwarranted variation in chronic wound care. Wounds UK [Internet]. 2017 Oct;13:22–6. Available from: https://www.researchgate.net/publication/321212308

Akimbekov NS, Razzaque MS. Laughter therapy: A humor-induced hormonal intervention to reduce stress and anxiety. Vol. 4, Current Research in Physiology. 2021.

An J, Payne L, Liechty T. Exploring the role and meaning of leisure in healthy aging among older adults with chronic conditions. Annals of Leisure Research. 2023;26(5).

Britto EJ, Nezwek TA, Robins M. Wound Dressings [Internet]. StatPearls Publishing; 2024. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470199/

Brown L, Haines S, Amonoo HL, Jones C, Woods J, Huffman JC, et al. Sources of resilience in frontline health professionals during covid-19. Healthcare (Switzerland). 2021;9(12).

Calhoun CD, Stone KJ, Cobb AR, Patterson MW, Danielson CK, Bendezú JJ. The Role of Social Support in Coping with Psychological Trauma: An Integrated Biopsychosocial Model for Posttraumatic Stress Recovery. Vol. 93, Psychiatric Quarterly. 2022.

Carbone R, Ferrari S, Callegarin S, Casotti F, Turina L, Artioli G, et al. Peer support between healthcare workers in hospital and out-of-hospital settings: a scoping review. Vol. 93, Acta Biomedica. 2022.

Choi JY, Lee SH, Yu S. Exploring Factors Influencing Caregiver Burden: A Systematic Review of Family Caregivers of Older Adults with Chronic Illness in Local Communities. Healthcare. 2024 May 13;12(10):1002.

Chun S, Heo J, Lee Y. Savouring the ordinary moments in the midst of trauma: benefits of casual leisure on adjustment following traumatic spinal cord injury. Leisure Studies. 2023;42(2).

Doss ER, Popejoy LL. Informal Family Caregiving of Patients with Diabetic Extremity Wounds: An Integrative Review. Vol. 45, Western Journal of Nursing Research. 2023.

Eckert KA, Fife CE, Carter MJ. The Impact of Underlying Conditions on Quality-of-Life Measurement Among Patients with Chronic Wounds, as Measured by Utility Values: A Review with an Additional Study. Vol. 12, Advances in Wound Care. 2023.

Folkman S, Moskowitz JT. Coping: Pitfalls and Promise. Annu Rev Psychol. 2004 Feb 1;55(1):745–74.

Erfurt-Berge C, Ronicke M, Richter-Schmidinger T, Walther F, Renner R. Quality of life assessment in family members of patients with chronic wounds. European Journal of Dermatology. 2019;29(5).

Frykberg RG, Banks J. Challenges in the Treatment of Chronic Wounds. Adv Wound Care (New Rochelle). 2015;4(9).

Gallant MP. The Influence of Social Support on Chronic Illness Self-Management: A Review and Directions for Research. Health Education & Behavior. 2003 Apr 1;30(2):170–95.

Ghazalsaflou mehdi. The Role of Spirituality in Coping with Chronic Illness. Journal of Personality and Psychosomatic Research. 2023;1(4):38–45.

Ge Y, Wang Q. Current research on fungi in chronic wounds. Front Mol Biosci. 2023 Jan 11;9.

Grady PA, Gough LL. Self-Management: A Comprehensive Approach to Management of Chronic Conditions. Am J Public Health. 2014 Aug;104(8):e25–31.

Gurtner GC, Chapman MA. Regenerative Medicine: Charting a New Course in Wound Healing. Adv Wound Care (New Rochelle). 2016 Jul;5(7):314–28.

Gupta S, Sagar S, Kisaka T, Tripathi S, Gupta S, Care I, et al. Chronic wounds: magnitude, socioeconomic burden and consequences. Wounds Asia. 2021;4(1).

Hopman WM, Vandenkerkhof EG, Carley ME, Harrison MB. Health-related quality of life at healing in individuals with chronic venous or mixed-venous leg ulceration: a longitudinal assessment. J Adv Nurs. 2016;72(11).

Hossain MdI, Zahid MdS, Chowdhury MA, Hossain MMdM, Hossain N, Islam MdA, et al. Smart bandage: A device for wound monitoring and targeted treatment. Results Chem. 2024 Jan;7:101292.

Jiotsa B, Naccache B, Duval M, Rocher B, Grall-Bronnec M. Social Media Use and Body Image Disorders: Association between Frequency of Comparing One’s Own Physical Appearance to That of People Being Followed on Social Media and Body Dissatisfaction and Drive for Thinness. Int J Environ Res Public Health. 2021 Mar 11;18(6):2880.

Kapp S, Miller C, Santamaria N. The quality of life of people who have chronic wounds and who self-treat. J Clin Nurs. 2018;27(1–2).

Kim J, Lee JE. Social Support and Health-Related Quality of Life among Elderly Individuals Living Alone in South Korea: A Cross-Sectional Study. Journal of Nursing Research. 2018;26(5).

Kim J, Kim J, Han A. Leisure-time physical activity, coping and life satisfaction among Korean individuals with physical disabilities. Health Promot Int. 2021;36(3).

Klein TM, Andrees V, Kirsten N, Protz K, Augustin M, Blome C. Social participation of people with chronic wounds: A systematic review. Int Wound J. 2021;18(3).

Krist AH, Tong ST, Aycock RA, Longo DR. Engaging Patients in Decision-Making and Behavior Change to Promote Prevention. Stud Health Technol Inform. 2017;240.

Lagunes-Córdoba E, Yoldi-Negrete M, Hewson T, Guízar-Sánchez D, Robles-García R, Tovilla-Zárate CA, et al. A better way of life: The role of leisure activities on self-perceived health, perceived stress, confidence in stress management, and satisfaction with social support in psychiatrists and psychiatry trainees in Mexico. Front Psychiatry. 2022;13.

Lazarus RS. From psychological stress to the emotions: A history of changing outlooks. Annu Rev Psychol. 1993;44(1).

Lazarus R, Folkman S. Stress, Appraisal, and Coping. New York: Springer Publishing Company. 1984;

Lentsck MH, Baratieri T, Trincaus MR, Mattei AP, Miyahara CTS. Quality of life related to clinical aspects in people with chronic wound. Revista da Escola de Enfermagem. 2018;52.

Liosatos K, Tobiano G, Gillespie BM. Patient participation in surgical wound care in acute care settings: An integrative review. Int J Nurs Stud. 2024 Sep;157:104839.

Lommi M, Raffaele B, Tolentino Diaz MY, Montini G, Puleio C, Porcelli B. Nursing outcomes in wound care management: A mixed method study. Nurs Open. 2023;10(4).

Mościcka P, Cwajda-Białasik J, Jawień A, Sopata M, Szewczyk MT. Occurrence and severity of pain in patients with venous leg ulcers: A 12-week longitudinal study. J Clin Med. 2020;9(11).

Murphy C, Atkin L, Swanson T, Tachi M, Tan YK, de Ceniga MV, et al. Defying hard-to-heal wounds with an early antibiofilm intervention strategy: wound hygiene . J Wound Care. 2020;29(Sup3b).

Nagle SM, Waheed A, Wilbraham SC. Wound Assessment [Internet]. StatPearls Publishing; 2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482198/

NHS RightCare [Internet]. Available from: https://www.england.nhs.uk/rightcare/

De Oliveira AC, De Macêdo Rocha D, Bezerra SMG, Andrade EMLR, Dos Santos AMR, Nogueira LT. Quality of life of people with chronic wounds. ACTA Paulista de Enfermagem. 2019;32(2).

Parodi A, Messina VM, Martolini M, Haxhiaj S, Cozzani EC. Update sul management e trattamento del paziente con lesioni cutanee croniche. Italian Journal of Wound Care. 2021 Dec 27;5(3).

Pombeiro I, Moura J, Pereira MG, Carvalho E. Stress-Reducing Psychological Interventions as Adjuvant Therapies for Diabetic Chronic Wounds. Curr Diabetes Rev. 2022 Mar;18(3).

Reinboldt-Jockenhöfer F, Babadagi Z, Hoppe HD, Risse A, Rammos C, Cyrek A, et al. Association of wound genesis on varying aspects of health-related quality of life in patients with different types of chronic wounds: Results of a cross-sectional multicentre study. Int Wound J. 2021;18(4).

Ren H, Ding Y, Hu H, Gao T, Qin Z, Hu Y, et al. Relationships among economic stress, social support, age and quality of life in patients with chronic wounds: A moderated mediation model. J Adv Nurs. 2020;76(8).

Hayley R. The Impact of Psychological Interventions on Wound Healing [PhD]. The University of Auckland; 2017.

Schaper NC, van Netten JJ, Apelqvist J, Bus SA, Hinchliffe RJ, Lipsky BA. Practical Guidelines on the prevention and management of diabetic foot disease (IWGDF 2019 update). Diabetes Metab Res Rev. 2020;36(S1).

Schulz R, Sherwood PR. Physical and mental health effects of family caregiving. American Journal of Nursing. 2008;108(9 SUPPL.).

Sen CK. Human Wounds and Its Burden: An Updated Compendium of Estimates. Adv Wound Care (New Rochelle). 2019 Feb;8(2):39–48.

Shahin W, Kennedy GA, Stupans I. The association between social support and medication adherence in patients with hypertension: A systematic review. Pharm Pract (Granada). 2021;19(2).

Shin JY, Choi SW. Online interventions geared toward increasing resilience and reducing distress in family caregivers. Vol. 14, Current Opinion in Supportive and Palliative Care. 2020.

Thomas PA, Liu H, Umberson D. Family Relationships and Well-Being. Innov Aging. 2017;1(3).

Naiara Vogt T, Koller FJ, Dias Santos PN, Lenhani BE, Bittencourt Guimarães PR, Kalinke LP, et al. Quality of life assessment in chronic wound patients using the Wound-QoL and FLQA-Wk instruments. Invest Educ Enferm. 2020;38(3).

Weigelt MA, Lev-Tov HA, Tomic-Canic M, Lee WD, Williams R, Strasfeld D, et al. Advanced Wound Diagnostics: Toward Transforming Wound Care into Precision Medicine. Adv Wound Care (New Rochelle). 2022;11(6).

Yim JE. Therapeutic benefits of laughter in mental health: A theoretical review. Vol. 239, Tohoku Journal of Experimental Medicine. 2016.




DOI: http://dx.doi.org/10.21622/AMPDR.2024.04.2.1010

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Copyright (c) 2024 Ehwarieme Timothy A., Ikeh Ifunanya U., Abiodun Oluwaseun O

Advances in Medical, Pharmaceutical and Dental Research
E-ISSN: 2812-4898
P-ISSN: 2812-488X 

Published by:

Academy Publishing Center (APC)
Arab Academy for Science, Technology and Maritime Transport (AASTMT)
Alexandria, Egypt
ampdr@aast.edu