Social participation of people with chronic wounds: a systematic review
Open accessAbstract
Living with chronic ulcers can be burdensome and restrictive, with regard to not only physical and psychological but also social well-being. This review aims to analyse social participation in patients with chronic wounds and to compare results across different wound types. A search string was applied in several electronic databases. Results were screened according to predefined inclusion and exclusion criteria. Data of eligible articles were extracted and synthesised narratively. The search revealed 42 eligible publications. Only minor differences across different ulcer types could be detected. Overall, family members were the main social contacts for patients; they often provided wound care and emotional support. Patients had few non-family relations, but those existing were often very close. Patients felt guilty as their condition imposed burden on family and friends, as well. A close relationship with nurses was described. Restrictions were caused by direct and indirect consequences of the wound. Overall, social support and social connections were reduced in wound patients. Inconsistent results were found regarding social isolation. In summary, people with chronic wounds experience impairments in all aspects of social participation. Therefore, social participation deserves increased attention in routine care both as a trigger of burden and as an outcome of therapy.
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There is a close relationship between nurses and individuals living with venous leg ulcers.
“The literature emphasizes the close relationship between nurses and individuals living with venous leg ulcers (Klein et al., 2021)”
From Application and challenges of using a Constructivist Grounded Theory methodology to address an undertheorized clinical challenge: A discussion paper (2024) · cites this paper as Klein et al., 2021
The Results section (‘Social cohesion’; page not provided) reports that patients with venous leg ulcers describe a strong relationship with their nurses. It qualifies this finding: the relationship was reported only when the same person consistently provided care, a condition the citing sentence omits. (LLM, conf=0.85)
Experimental — accuracy not yet measuredIndividuals living with a venous leg ulcer feel guilty when imposing the burden of their condition on family or friends.
“a recent literature review highlights that individuals living with a venous leg ulcer also feel guilty when imposing the burden of their condition on family or friends (Klein et al., 2021).”
From Application and challenges of using a Constructivist Grounded Theory methodology to address an undertheorized clinical challenge: A discussion paper (2024) · cites this paper as Klein et al., 2021
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“The literature emphasizes the close relationship between nurses and individuals living with venous leg ulcers (Klein et al., 2021) but only a few studies have explored the effectiveness of individualized nurse-led educational interventions for promoting self-management among those with venous leg…”
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Self-citation
- Authors
- Klein, T. M., Andrees, V., Kirsten, N., Protz, K., Augustin, M., & Blome, C.
- Affiliations
- University Medical Center Hamburg-Eppendorf (DE)
- Corresponding author
- Klein, Toni Maria
- ORCID
- Venue
- International Wound Journal
- Publisher
- Wiley
- Published
- 2020-12-13
- Volume
- 18
- Issue
- 3
- Pages
- 287-311
- ISSN
- 1742-4801 (ISSN-L)
- 1742-481X
- PMC
- PMC8244007
- OpenAlex
- W3110735032
- Cited by
- 73
- References
- 106
- Citations by year
- 2026: 13 · 2025: 16 · 2024: 17 · 2023: 16 · 2022: 8 · 2021: 2 · 2020: 1
- FWCI
- 0.83
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- International Wound Journal (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rehabilitation › Wound Healing and Treatments
- Health Sciences › Medicine › Epidemiology › Burn Injury Management and Outcomes
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Keywords
- chronic wounds, chronic ulcers, social participation (health and rehabilitation), social support, social isolation, family caregivers, wound care, emotional support, guilt, nurse-patient relationship, social well-being
- MeSH terms
- Aged, Humans, Quality of Life, Social Support, Wound Healing, Social Participation
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