A systematic review of qualitative research into people’s experiences of living with venous leg ulcers
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, Psyc INFO 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.
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The aetiology of venous leg ulcers appears to be misunderstood by those affected.
“The aetiology of venous leg ulcers appears to be misunderstood by those affected (Phillips et al., 2018)”
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 Phillips et al., 2018
Impairments related to venous leg ulcers are often physical or psychological, such as pain, decreased mobility, or social restrictions.
“Impairments related to venous leg ulcers are often physical or psychological such as pain, decreased mobility, or social restrictions (Phillips et al., 2018).”
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 Phillips et al., 2018
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- Authors
- Phillips, P., Lumley, E., Duncan, R., Aber, A., Woods, H. B., Jones, G. L., & Michaels, J.
- Affiliations
- Sheffield Teaching Hospitals NHS Foundation Trust (GB)
- Sheffield Hallam University (GB)
- University of Sheffield (GB)
- Leeds Beckett University (GB)
- Corresponding author
- Phillips, Patrick
- ORCID
- Venue
- Journal of Advanced Nursing
- Publisher
- Wiley
- Published
- 2017-10-24
- Volume
- 74
- Issue
- 3
- Pages
- 550-563
- ISSN
- 0309-2402 (ISSN-L)
- 1365-2648
- OpenAlex
- W2757411504
- Cited by
- 146
- References
- 43
- Citations by year
- 2026: 9 · 2025: 10 · 2024: 21 · 2023: 20 · 2022: 34 · 2021: 18 · 2020: 22 · 2019: 9 · 2018: 2 · 2013: 1
- FWCI
- 1.91
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Advanced Nursing (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute for Health Research (RPPG‐1210‐12009)
- Topics
- Health Sciences › Medicine › Surgery › Diagnosis and Treatment of Venous Diseases
- Health Sciences › Medicine › Rehabilitation › Wound Healing and Treatments
- Health Sciences › Medicine › Internal Medicine › Venous Thromboembolism Diagnosis and Management
- Keywords
- venous leg ulcers, patient experience, health-related quality of life, chronic wounds, pain, sleep disorders, mobility (physical function), mood, psychological impact, social impact, patient-reported outcome measures, wound care
- MeSH terms
- Patient Reported Outcome Measures, Humans, Leg Ulcer, Nurse-Patient Relations, Quality of Life, Social Behavior, Varicose Ulcer, Reproducibility of Results, Qualitative Research
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