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Impact of Leg Ulcers on Quality of Life: Financial, Social, and Psychological Implications among the Patients Attending OPD of Vascular Surgery: A Study in Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh

AK Al Miraj*, HN Ashikur Rahaman, Md Magfur Rahman and Md Saif Ullah Khan

Background: Leg ulcers distress perhaps many persons within Bangladesh, though there are not any definitive data their prevalence is probably going to rise as time and therefore the population ages. They cause considerable disability to figure or earning, limb or a part of limb loss, and therefore the cost of treating these chronic wounds is gigantic. Objective: The purpose of this study was to assess the financial, social, and psychological Implications of leg ulcers on the overall quality of life and maltreated. Methods: This is a descriptive type of cross-sectional study. The study has been carried out at vascular surgery OPD, Bangabandhu Sheikh Mujib Medical University, Dhaka Bangladesh from January 2013 to April 2015. Data were collected by standardized personal interviews with 69 patients with chronic leg ulcers. The interview covered several domains that were selected to determine the impact of leg ulcers on the overall quality of life. Results: A significant number of patients had moderate to severe symptoms, principally pain, supplementary with the leg ulcer. Among them Seventy-three percent believed that their mobility was adversely suffering from the ulcer; the leading predictor of impaired mobility was swelling of the leg. For younger, working patients, leg ulceration was correlated with time lost from work, job loss, and adverse effects on finances like continuous discharge from the wound. Fifty-six percent of patients found caring for the ulcer burdensome. There was a robust correlation between time spent on ulcer care and feelings of anger and resentment and the inability to try the long-standing work. Seventy-two percent of patients reported that the ulcer had a negative emotional impact on their lives, including feelings of fear, social isolation, anger, depression, and negative selfimage isolation from relations. Conclusion: Leg ulcers cause a considerable threat to a variety of measurements of a patient's quality of life and need to intervene immediately.