title: Patient perspectives of their leg ulcer journey.
abstract: OBJECTIVE
  To understand the personal impact of venous leg ulceration from the patients' perspective.
  
  
  METHODS
  Face-to-face, unstructured interviews were conducted with nine patient participants with venous leg ulcers. The interviews were digitally recorded, transcribed verbatim and, using thematic analysis, the themes and subthemes which impacted on quality of life were identified.
  
  
  RESULTS
  Four core themes were identified: the ulcer, symptoms, wound management and effects on daily life, with 16 subthemes that negatively impacted on quality of life (QoL) also identified.
  
  
  CONCLUSIONS
  This qualitative study offers a valuable insight into the complex issues that impact on daily living for this patient group. The implications of the findings are far reaching and suggest that proactive symptom management and the fostering of a patient focus to consultations may improve QoL and encourage the patient to engage as an active partner in his/her management plan; both of which are explored in the subsequent phases of the larger study.
  
  
  BACKGROUND
  This study was funded by West Midlands Strategic Health Authority. The authors have no conflicts of interest to declare.
authors.affiliation: Keele University School of Nursing and Midwifery, University Hospital of North Staffordshire NHS Trust, Stoke-on-Trent, UK. j.green@keele.ac.uk
authors.forename: J
authors.initials: J
authors.lastname: Green
authors.forename: R
authors.initials: R
authors.lastname: Jester
authors.forename: R
authors.initials: R
authors.lastname: McKinley
authors.forename: A
authors.initials: A
authors.lastname: Pooler
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D005122:Exudates and Transudates; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D009812:Odorants; D010146:Pain / Q000209:etiology; D036301:Qualitative Research; D011788:Quality of Life; D012648:Self Care; D014647:Varicose Ulcer / Q000150:complications / Q000451:nursing / Q000523:psychology