Journal
JOURNAL OF TISSUE VIABILITY
Volume 21, Issue 1, Pages 3-12Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.jtv.2011.11.001
Keywords
Health-related quality of life; Pressure ulcers; Contributory factors; Qualitative research; Multi-centre; Framework analysis
Categories
Funding
- National Institute for Health Research (NIHR) under its programme Grants for Applied research funding scheme [RP-PG-0407-10056]
- National Institutes of Health Research (NIHR) [RP-PG-0407-10056] Funding Source: National Institutes of Health Research (NIHR)
- National Institute for Health Research [RP-PG-0407-10056] Funding Source: researchfish
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With the recognition of health-related quality of life (HRQL) as an important and relevant outcome in pressure ulceration, it is important to gain better understanding of the complex relationship among the various factors that affect it. A problem with existing literature in this area is that the impact of having a pressure ulcer on HRQL is combined conceptually with contributory factors which may influence outcome. This study identified contributory factors affecting pressure ulcer-related HRQL and explored interrelationships between factors based on views of adults with pressure ulcers. We obtained patient-reported qualitative data through semi-structured interviews with 30 patients with pressure ulcers recruited from hospital and community settings around England and Northern Ireland. Patients described how pressure ulcers affected their lives by recounting specific relevant events. Events (patient-reported issues) were sorted into categories and data framework analysed to produce a taxonomy of contributory factors. Inter-rater reliability established the extent of agreement between two independent raters. We identified 16 contributory factors, into two theme taxonomy: experience-of-care and individual-patient factors, defined by descriptive components. Our taxonomy is a comprehensive theoretical model of factors that contribute to pressure ulcer-related HRQL. We have also identified further research priorities to inform clinical practice. (c) 2011 Tissue Viability Society. Published by Elsevier Ltd. All rights reserved.
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