| Autor: |
Patton, Declan, Avsar, Pinar, Sayah, Aicha, Budri, Aglécia, O'Connor, Tom, Walsh, Simone, Nugent, Linda, Harkin, Denis, O'Brien, Niall, Cayce, Jonathan, Corcoran, Michael, Gaztambide, Mario, Moore, Zena |
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| Zdroj: |
Journal of Wound Management; Jul2023, Vol. 24 Issue 2, p69-69, 1/2p |
| Abstrakt: |
Aim: To appraise existing systematic reviews (SR) measuring the impact of compression therapy on the health quality of life of (HRQoL) of people with venous leg ulcers (VLU). Method: Five databases were searched, AMSTAR-2 tool was used for quality appraisal. Narrative synthesis was undertaken. Results/Discussion: Three SRs, including 8 RCTs, 7 different HRQoL instruments, met the inclusion criteria. Three main comparisons were identified, 1. four-layer bandage versus two-layer bandage, short-stretch bandage or usual care; 2. unknown compression system plus exercise versus unknown compression alone; 3. two-layer compression system versus short-stretch bandage. Comparison 1: in 3 studies, for the domains physical symptoms, daily living scores, physical function, physical components and mental component, the mean difference (MD) in HRQoL scores was statistically significant in favour of a 4-layer bandage system. Two studies found a statistically significant difference in HRQoL years in favour of two-layer cohesive compression bandage, whereas one study found no difference in HRQoL years among the study groups. Comparison 2: one study found no differences between the study groups in terms of physical and mental component summary scale scores. In a further study, for the EQ visual analogue scale at 12 months, there was a statistically significant MD in HRQoL scores between the study groups, in favour of intervention group. However, in the same study, for the VEINES-QOL, at 12-month follow-up, there was no statistically significant MD between the groups. Comparison 3: one study found no statistically significant MD in HRQoL scores between the study groups. Conclusion: Results were varied, reflecting uncertainty in determining which of the compression systems exerts the greatest impact on HRQoL in people with VLU. [ABSTRACT FROM AUTHOR] |
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