• Geraldo Magela Salomé, Sergio Aguinaldo de Almeida, Maria Teresa de Jesus Pereira, Marcelo Renato Massahud, Carmelita Naira de Oliveira Moreira, Maria José Azevedo de Brito, and Lydia Masako Ferreira.
• Geraldo Magela Salomé, PhD, RN, is an Adjunct Professor, Master's Degree Program in Sciences Applied to Health, Sapucaí Valley University (UNIVÁS), Pouso Alegre, MG, Brazil. Sergio Aguinaldo de Almeida, RN, is a Specialist in Auditing, Private Practice, São Paulo, Brazil. Maria Teresa de Jesus Pereira, MSN, RN, is a Professor, School of Nursing, UNIVÁS, Pouso Alegre, MG, Brazil. Marcelo Renato Massahud, Jr, RN, is a student in the Master's Degree Program in Sciences Applied to Health, UNIVÁS, Pouso Alegre, MG, Brazil. Carmelita Naira de Oliveira Moreira is a Nursing Student, School of Nursing, UNIVÁS, Pouso Alegre, MG, Brazil. Maria José Azevedo de Brito, PhD, is Adjunct Professor, Master's Degree Program in Sciences Applied to Health, UNIVÁS, Pouso Alegre, MG, Brazil. Lydia Masako Ferreira, MD, PhD, is a Professor, Division of Plastic Surgery, Federal University of São Paulo (UNIFESP), São Paulo, SP, Brazil.
• Adv Skin Wound Care. 2016 Jul 1; 29 (7): 316-21.

ObjectiveTo evaluate self-esteem and body image in patients with venous leg ulcers (VLUs).DesignA multicenter, prospective, descriptive, analytical, clinical study.SettingsA nursing care and education center of a university hospital, a health center, and an outpatient wound care clinic in Brazil.PatientsFifty-nine consecutive adult patients with VLUs and Doppler ankle-brachial index ranging from 0.8 to 1.0 were recruited for the study. Exclusion criteria were mixed ulcers, arterial ulcers, and diabetic foot ulcers.Main Outcome MeasuresA questionnaire assessing sociodemographic and clinical characteristics of patients, the Brazilian version of the Body Investment Scale, and the Rosenberg Self-esteem (RSE)/UNIFESP-EPM (São Paulo da Universidade Federal de São Paulo-Escola Paulista de Medicina) scale were administered to all patients.Main ResultsMost participants were women, aged between 60 and 70 years, and smokers; 33 (56%) were divorced, widowed, or single, and 26 (44%) were married. The patients had the ulcer for a mean of 5.42 years. Exudate and foul odor were present in most cases. Twenty-one ulcers (36%) measured 29 cm or less in surface area, and 17 (29%) ulcers measured between 30 and 49 cm (mean, 3.39 cm). The mean RSE score was 22.66, indicating low self-esteem. The mean Body Investment Scale total score was 27.49, and the scores on the body image and body touch subscales were also low, indicating negative feelings about the body.ConclusionPatients with VLUs had low self-esteem and negative feelings about their bodies.

31 keywords...

hide…