Functional capacity and quality of life of adults and elderly people with wounds
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2023.208108Keywords:
Wounds, Functional capacity, Quality of life, Primary health care, Enterostomal therapyAbstract
Introduction. Wounds affect the general population and negatively compromise the quality of life and generate biopsychosocial impacts. Objective. Analyze the association between functional capacity and quality of life in adults and elderly people with chronic wounds. Methods. Cross-sectional study with 135 people with chronic wounds registered in the primary health care services of a municipality in Minas Gerais, Brazil. For data collection carried
out from 2017 to 2018, the following were used: i) Cardiff Wound Impact Schedule, which was translated, culturally adapted and validated for the Brazilian Portuguese language; ii) Katz Index and iii) a sociodemographic questionnaire with information about the health/illness profile and injury characteristics. Results. There was a predominance
of female participants (59.3%), aged over 60 years (70.4%), and until 4 years of study (72.6%). In the Cardiff Wound Impact Schedule questionnaire, the domain with the lowest score was well-being (mean 45.6 ± 18.2). In the evaluation of functionality using the Katz Index, 30 (22.2%) people were considered dependent on bathing and 33 (24.4%) needed help to get around. There was a statistically significant association between the following independent variables of the Katz Index and Cardiff Wound Impact Schedule for “social life” and “bathing”, “social
life” and “dressing”, “social life” and “personal hygiene”, “social life” and “locomotion”, “social life” and “feeding”, “physical symptoms and daily life” and “dressing”, “well-being” and “continence”. Conclusions. Functional disability is associated with decreased quality of life in adults and elderly people with chronic wounds.
Downloads
References
Oliveira AC, Rocha DM, Bezerra SMG, Andrade EMLR, Santos AMR, Nogueira LT. Quality of life of people with chronic wounds. Acta Paul Enferm. 2019;32(2):194–201. doi:10.1590/1982-0194201900027
Borges EL, Nascimento Filho HM, Pires Júnior JF. Prevalence of chronic wounds in a city of Minas Gerais (Brazil). REME Rev Min Enferm. 2018;22:e-1143. doi:10.5935/1415-2762.20180074
Oliveira AC, Alvarenga AS, Freitas FS, Rocha DM, Bezerra SMG, Nogueira LT. Functional capacity and quality of life of patients with chronic wounds. ESTIMA, Braz J Enterostomal Ther. 2018;16:e2918. doi:10.30886/estima.v16.612
Melo AF, Dantas VM, ChavagliA SRR, Barbosa MH, Júnior MAF, Barichello E. Construction, validation and reliability of an instrument for evaluation and evolution of chronic wounds. Biosci. J, 2019; 35(4). https://docs.bvsalud.org/biblioref/2020/01/1048936/construction-validation-and-reliability-of-an-instrument-for-e_DhRPL6J.pdf.
Vieira CPB, Araújo TME. Prevalence and factors associated with chronic wounds in older adults in primary care. Rev Esc Enferm USP. 2018;52:e3415. doi:10.1590/s1980-220x2017051303415
Lentsck MH, Baratieri T, Trincaus MR, Mattei AP, Miyahara CTS. Quality of life related to clinical aspects in people with chronic wound. Rev Esc Enferm USP. 2018;52:e03384. doi:10.1590/s1980-220x2017004003384
Haraldstad K, Wahl A, Andenæs R, et al. A systematic review of quality of life research in medicine and health sciences. Qual Life Res. 2019;28:2641–2650. doi:10.1007/s11136-019-02214-9
Brazil. E-Gestor. Primary Care Coverage. Geographical unit: Southeast - MG - Divinópolis. Updated 2020. Accessed August 22, 2021. https://egestorab.saude.gov.br/paginas/acessoPublico/relatorios/relHistoricoCoberturaAB.xhtml
Lino VTS, Pereira SRM, Camacho LAB, Ribeiro Filho ST, Buksman S. Cross-cultural adaptation of the Independence in Activities of Daily Living Index (Katz Index). Cad Saúde Pública. 2008;24(1):103–112. doi:10.1590/S0102-311X2008000100010
Brorsson B, Asberg KH. Katz index of independence in ADL: Reliability and validity in short-term care. Scand J Rehabil Med. 1984;16(3):125–132. https://pubmed.ncbi.nlm.nih.gov/6494836/
Augusto FS, Blanes L, Nicodemo D, Ferreira LM. Translation and cross-cultural adaptation of the Cardiff Wound Impact Schedule to Brazilian Portuguese. J Tissue Viability. 2017;26(2):113–118. doi:10.1016/j.jtv.2016.12.002
Price P, Harding K. Cardiff Wound Impact Schedule: The development of a condition-specific questionnaire to assess health-related quality of life in patients with chronic wounds of the lower limb. Int Wound J. 2004;1(1):10–17. doi:10.1111/j.1742-481x.2004.00007.x
World Health Organization. Lexicon of alcohol and drug terms. Updated 1994. Accessed August 19, 2021. https://apps.who.int/iris/handle/10665/39461
World Health Organization. Policy on non-recruitment of smokers or other tobacco users: Frequently asked questions. Updated September, 2008. Accessed June 28, 2021. https://www.who.int/employment/FAQs_smoking_English.pdf
Billett MC, Campanharo CRV, Lopes MCBT, Batista REA, Belasco AGS, Okuno MFP. Functional capacity and quality of life of hospitalized octogenarians. Rev Bras Enferm. 2019;72(Suppl 2):43–48. doi:10.1590/0034-7167-2017-0781
Rizzo MS, Jacon JC. Qualidade de vida, autocuidado e autoestima em pacientes com feridas crônicas. Rev Cuid Enferm. 2022.; 16(1):19-25. http://www.webfipa.net/facfipa/ner/sumarios/cuidarte/2022v1/p.19-25.pdf.
Beele H, Smet S, Van Damme N, Beeckman D. Incontinence-associated dermatitis: Pathogenesis, contributing factors, prevention and management options. Drugs Aging. 2018;35:1–10. doi:10.1007/s40266-017-0507-1
Organização Pan-Americana da Saúde - OPAS 2020. Marco de Referência sobre a Dimensão Comercial dos Determinantes Sociais da Saúde na Agenda de Enfrentamento das Doenças Crônicas Não Transmissíveis. OPAS/BRA/NMH/20-136. https://iris.paho.org/bitstream/handle/10665.2/52975/OPASBRANMH20136_por.pdf?sequence=1&isAllowed=y
Martins NPR, Silqueira SMF, Souza LME, Souza CPM, Soares SM, Matos SS. Quality of life of older adults admitted to a Medical Clinic Unit of a Public Hospital in Brazil. Rev Esc Enferm USP. 2020;54:e03573. doi:10.1590/s1980-220x2018032903573
Pereira JL, Araujo FF, Santos KT. Functional capacity and quality of life in elderly. Fisioter Bras. 2020;21(2):135–140. doi:10.33233/fb.v21i2.1310
Teixeira TRF, Avila MAG, Braga EM. Patients’ understanding of nursing instructions in cardiac catheterism: A qualitative study. Cogitare enferm. 2019, 24:e56604. doi:10.5380/ce.v24i0.56604
Golbert A, Vasques ACJ, Faria ACRA, et al. Diretrizes Sociedade Brasileira de Diabetes 2019-2020. Clannad. http://www.saude.ba.gov.br/wp-content/uploads/2020/02/Diretrizes-Sociedade-Brasileira-de-Diabetes-2019-2020.pdf
Paula JGF, Gonçalves LHT, Nogueira LMV, Delage PEGA. Correlation between functional independence and risk of falls in older adults at three long-term care facilities. Rev Esc Enferm. USP. 2020;54:e03601. doi:10.1590/s1980-220x2018054103601
Farías-Antúnez S, Lima NP, Bierhals IO, Gomes AP, Vieira LS, Tomasi E. Disability relating to basic and instrumental activities of daily living: A population-based study with elderly in Pelotas, Rio Grande do Sul, 2014. Epidemiol Serv Saúde. 2018,27(2):e2017290. doi:10.5123/S1679-49742018000200005
Paz LPS, Borges LL, Marães VRFS, Gomes MMF, Bachion MM, Menezes RL. Factors associated with falls in older adults with cataracts. Ciênc Saúde Colet. 2018;23(8):2503–2514. doi:10.1590/1413-81232018238.14622016
Maresova P, Javanmardi E, Barakovic, S, et al. Consequences of chronic diseases and other limitations associated with old age – a scoping review. BMC Public Health, 2019; 19(1):1431. doi: 10.1186/s12889-019-7762-5.
Grden CRB, Martins AR, Cabral LPA, et al. Incontinence associated dermatitis in elderly people admitted to a university hospital. Rev Bras Enferm. 2020; 73 (Suppl 3):e20190374. doi:10.1590/0034-7167-2019-0374
Ribeiro PCPSV, Marques RMD, Ribeiro MP. Geriatric care: Ways and means of providing comfort. Rev Bras Enferm. 2017;70(4):830–837. doi:10.1590/0034-7167-2016-0636
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Letícia Eugênio Mota, Maria Gabriella Campos Nunes, Thallita Claucia Moraes Barbosa, Jessica Goulart, Andreza Oliveira-Cortez, Fernanda Moura Lanza, Juliano Teixeira Moraes, Daniel Nogueira Cortez

This work is licensed under a Creative Commons Attribution 4.0 International License.