Compression and peri-ulcer skin in outpatients’ venous leg ulcers: results of a French survey
| Autor: | Serge Bohbot, F. Vin, Isabelle Lazareth, O. Dereure |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
medicine.medical_specialty Time Factors Nursing (miscellaneous) Compression Bandage Adolescent Concordance Nursing assessment Dermatitis Severity of Illness Index Varicose Ulcer Ambulatory care Surveys and Questionnaires Outpatients Severity of illness Ambulatory Care Prevalence Humans Medicine Prospective Studies Prospective cohort study Contraindication Nursing Assessment Aged Aged 80 and over Wound Healing business.industry Middle Aged Skin Care Bandages Surgery Treatment Outcome Health Care Surveys Ambulatory Physical therapy Patient Compliance Fundamentals and skills France Family Practice business |
| Zdroj: | Journal of Wound Care. 14:265-271 |
| ISSN: | 2052-2916 0969-0700 |
| Popis: | Objective: To evaluate concordance with compression therapy in ambulatory patients with venous leg ulcers. Method: This was a prospective observational survey conducted in general practice. Consecutive patients with venous leg ulcers about to receive a non-adherent primary dressing and with no contraindication to compression bandaging were selected. At the inclusion visit, size, local aspect of the ulcer and the peri-ulcer skin were scored. Patients were asked about concordance with compression and were given a questionnaire to be completed at home. If patients were seen at a three-week followup visit, ulcer and peri-ulcer characteristics and concordance were reassessed. Results: A total of 2842 patients were included, of whom 2532 were re-evaluated at three weeks and 1397 (49%) returned their questionnaire. A compression bandage was already available for 62.9% of these patients, and 62.7% said they used it on a daily basis, 23.3% wore it one or two days per week and 13.7% wore it irregularly or never. There was a statistically significant correlation between concordance with compression and ulcer and peri-ulcer skin severity scores (pConclusion: On a short-term basis, concordance with compression can be substantially improved by simple measures with a clear favourable consequence on both ulcer status and peri-ulcer skin aspect when a non-adherent primary dressing is used. However, the acceptability of compression to patients is poor, and continuous effort is required to convince them of its importance. Declaration of interest: This study was sponsored by Laboratories Urgo, France. |
| Databáze: | OpenAIRE |
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