Phillips, P. orcid.org/0000-0003-0241-1527, Lumley, E., Duncan, R. et al. (4 more authors) (2018) A Systematic Review of Qualitative Research; Experiences of Living With Venous Leg Ulcers. Journal of Advanced Nursing, 74 (3). pp. 550-563. ISSN 0309-2402
Abstract
Aim
To systematically identify, evaluate and synthesize qualitative research that examined the symptoms and health-related quality of life themes that are important from the perspective of patients with venous leg ulceration.
Background
Venous leg ulceration is a common chronic condition; the symptoms and associated treatments have a negative effect on health-related quality of life. Qualitative research methods can provide insight into the personal experiences of patients with venous leg ulceration.
Design
Qualitative evidence synthesis (using framework synthesis).
Data Sources
Multiple electronic databases including MEDLINE, EMBASE, PsycINFO and CINAHL were comprehensively searched from inception to November 2015.
Review Methods
Systematic identification, quality assessment and synthesis of existing qualitative research were performed; framework synthesis was conducted on included studies. An inductive approach was used and emergent themes were identified. The final stage in the synthesis involved the development of new interpretations.
Results
Thirteen studies met the inclusion criteria; the overall quality of the included studies was good. Four overarching themes were identified; physical impact, psychological impact, social impact and treatment and, in these, further subthemes were identified. Ulcer and treatment-related pain, as well as odour and exudate appeared to have significant and direct negative effects on quality of life, with additional and cumulative effects on sleep, mobility and mood.
Conclusion
The themes identified in this review should be considered by professionals providing services, care and treatment for venous leg ulcer patients and in the selection, or development, of patient-reported outcome measures for use with this population.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | This is the peer reviewed version of the following article: Phillips P, Lumley E, Duncan R, et al. A systematic review of qualitative research into people's experiences of living with venous leg ulcers. J Adv Nurs. 2018;74:550–563, which has been published in final form at https://doi.org/10.1111/jan.13465. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. |
Keywords: | framework synthesis; literature review; nursing; patient experience; qualitative; quality of life; systematic review; venous leg ulcer |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > ScHARR - Sheffield Centre for Health and Related Research |
Funding Information: | Funder Grant number NATIONAL INSTITUTE FOR HEALTH RESEARCH NIHR VASCUALAR SERV |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 25 Aug 2017 12:42 |
Last Modified: | 24 Oct 2018 00:38 |
Published Version: | https://doi.org/10.1111/jan.13465 |
Status: | Published |
Publisher: | Wiley |
Refereed: | Yes |
Identification Number: | 10.1111/jan.13465 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:120327 |