Perceived psychosocial effect and Coping Strategies among Patients living with chronic wound in Selected Tertiary Hospitals in Ondo State, Nigeria

Abstract

Understanding multifaceted psychosocial burden of patients grappling with chronic wounds is imperative for delivering comprehensive healthcare interventions. The study aimed at assessing the perceived psychosocial effect and coping strategies among patients living with chronic wound in selected tertiary hospitals in Ondo State, Nigeria. A descriptive cross-sectional survey design among 158 Patients living with chronic wound using purposive sampling technique. Researchers developed questionnaire with a reliability Cronbach’s Alpha value of 0.79 and 0.77 was used as instrument for data collection. Data collected were analyses using descriptive statistics while inferential statistics such as multiple logistic regression were used to test hypotheses stated at 5% level of significance. Findings showed that the most common psychosocial effect of chronic wound has on the respondents were financial burden to me and/or the family 3.49±0.89, trouble moving about because of the wound(s) 3.46±0.86, dependent on help from others 3.40±0.88 among others. The results indicated that 79(50.0%) experience a high psychosocial impact. The most coping strategies were Positive Affirmations 3.59±3.29, Gratitude Practices 3.33±0.91, and Spiritual Coping 3.27±1.02 among other. Multinomial logistic regression analysis, indicate that aged between 15-24 (P=0.01; OR= 12.12; CI: 2.36 – 62.25) and 35-44 (P=0.04; OR=2.65; CI: 1.03 – 6.80) are 12.2 times more likely to perceive high psychosocial effects compared to other age categories. This study highlights the significant psychosocial impact of chronic wounds on patients. These insights call for comprehensive healthcare approaches that address both the physical and psychosocial needs of these patients to improve their overall well-being.