Illness trajectories in patients suffering from leg ulcers: A qualitative study

J Health Psychol. 2017 Jun;22(7):932-942. doi: 10.1177/1359105315619224. Epub 2015 Dec 17.

Abstract

The aim of this study was to identify illness trajectories in leg ulcers by analysing personal, social and relational dimensions related to leg ulcer onset and to the care process. Semi-structured interviews were conducted with 21 patients, one physician and four nurses. Patients' medical records were also examined. Data were analysed using the grounded theory approach. Four illness trajectories were identified: possibility, denial, focus on illness and tragedy. The findings highlighted that leg ulcers can be experienced in different ways depending on the personal characteristics of the people suffering from them and the kind of relationship that exists between patients and healthcare professionals.

Keywords: chronic illness; health psychology; illness trajectories; leg ulcers; qualitative methods.

MeSH terms

  • Adult
  • Aged
  • Attitude to Health*
  • Body Image / psychology*
  • Disease Progression*
  • Female
  • Humans
  • Leg Ulcer / physiopathology
  • Leg Ulcer / psychology*
  • Male
  • Middle Aged
  • Qualitative Research