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Krankheitsspezifische Lebensqualität bei Patienten mit Beinulzera

Eine Übersicht zu Messinstrumenten und Ergebnissen

Disease-specific quality of life in patients with leg ulcers

An overview of measurement instruments and results

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Zusammenfassung

Hintergrund

Die Erfassung der gesundheitsbezogenen Lebensqualität ist als relevanter Gesundheitsindikator in der Medizin, so auch in der Dermatologie, akzeptiert und hat dort eine große Bedeutung erzielt. Chronische Wunden mit entsprechenden körperlichen und psychischen Auswirkungen sind mit erheblichen Einschränkungen der physischen, emotionalen und sozialen Lebensqualität Betroffener verbunden.

Ziel der Arbeit

Der vorliegende Artikel führt in das Konstrukt der Lebensqualität und ihrer Messung ein. Es werden krankheitsspezifische deutschsprachige Messinstrumente für chronische Beinwunden vorgestellt sowie bisherige Ergebnisse zur krankheitsspezifischen Lebensqualität von Patienten mit chronischen Beinwunden dargestellt.

Material und Methoden

Es wurde eine Literaturrecherche zu krankheitsspezifischer Lebensqualität bei Ulcera crurum und entsprechenden Messinstrumenten in Datenbanken wie MEDLINE und EMBASE durchgeführt.

Ergebnisse

Für den deutschsprachigen Raum liegen verschiedene psychometrisch geprüfte Instrumente zur Erfassung der krankheitsspezifischen Lebensqualität bei Menschen mit chronischen Wunden vor. Häufig eingesetzte Instrumente sind der „Freiburg Life Quality Assessment Wunden“, der „Cardiff Wound Impact Schedule“, der „Würzburger Wundscore“ sowie der „Wound-QoL“. Anhand dieser Instrumente wurden erhebliche Einschränkungen der Lebensqualität bei Ulcera crurum belegt.

Diskussion

Die Lebensqualität bei Patienten mit chronischen Wunden sollte systematisch erfasst werden, um wichtige Einblicke in die Bedürfnisse der Betroffenen zu gewinnen und die Behandlung optimieren zu können.

Abstract

Background

The assessment of health-related quality of life as a relevant health indicator is well accepted in medicine, including dermatology and has achieved a great importance. Chronic wounds with corresponding physical and psychological effects are associated with a considerable reduction in the physical, emotional and social quality of life.

Objectives

This article aims to provide an introduction to the construct of health-related quality of life and its measurement. Disease-specific instruments for chronic leg wounds in Germany are presented and current results regarding the quality of life in patients with chronic leg wounds are summarized.

Material and methods

A literature search was conducted with respect to health-related quality of life in patients with chronic leg wounds in databases, such as MEDLINE and EMBASE.

Results

Different psychometrically tested health-related quality of life instruments are available for use in Germany. Often used instruments are the Freiburg life quality assessment wound module, the Cardiff wound impact schedule, the Würzburg wound score and the wound-QoL. Using these instruments, substantial impairment of the quality of life in patients with ulcus cruris were demonstrated.

Conclusion

A systematic assessment of the quality of life in patients with chronic wounds is necessary to provide important insights into patient needs and to be able to optimize treatment.

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Authors and Affiliations

  1. Institut für Versorgungsforschung in der Dermatologie und bei Pflegeberufen (IVDP), Competenzzentrum Versorgungsforschung in der Dermatologie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 41b, 20251, Hamburg, Deutschland

    R. Sommer MPH &  C. Blome

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Correspondence to R. Sommer MPH.

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R. Sommer und C. Blome geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Sommer, R., Blome, C. Krankheitsspezifische Lebensqualität bei Patienten mit Beinulzera. Gefässchirurgie 22, 169–173 (2017). https://doi.org/10.1007/s00772-017-0267-6

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