A PILOT TRAIL: EFFECTIVENESS OF BIBLIOTHERAPY ON QUALITY OF LIFE, PSYCHOLOGICAL DISTRESS AND DEPRESSION AMONG PATIENT WITH CHRONIC LEG AND FOOT ULCER IN MANGALORE

Abstract

Abstract Introduction: Many clients living with chronic leg and foot ulcers experience diminished quality of life, pain, psychosocial maladjustment, limited work capacity, and physical disabilities. Bibliotherapy helps the individual to cope up with illness. Objectives: Assess the pretest level of psychological distress, quality of life and depression in both Interventional and control group. Evaluate the effectiveness of bibliotherapy on quality of life, psychological distress and depression Methods: Pilot study was conducted among the twenty patients with chronic leg and foot ulcer .Randomized clinical trial comparison with pair group method was used to evaluate the effectiveness of bibliotherapy .Data were assessed by using chronic wound impact schedule, Kessler's psychological distress scale and beck depression inventory were used to assess the quality of life, psychological distress and depression respectively. Simple random sampling by lottery method was used to collect the data. Results: Findings show that there is mean of the quality of life (56.3), distress (28.3) and depression (22.5) were falls on the moderate level among the patient suffering with chronic leg and foot ulcer. Two way analysis of variance proves that bibliotherapy highly significant in increasing quality of life (F= 20.3,P<0.001) ,decreasing the psychological distress (F=25.2,P<0.01) and decreasing depression (F=5.18 ,P<0.05). Conclusion. Need based bibliotherapy is effective to meet the psychological aspects of chronic leg and foot ulcer