Compliance hinsichtlich der Kompressionstherapie bei Patienten mit floridem Ulcus cruris venosum

Abstract

In cases of insufficient compression, possible impediments should be identified and eliminated. Patients who do not perform any compression therapy, should be motivated with easy-to-handle compression therapy options like compression stocking systems.

Kompressionstherapie – Versorgungspraxis: Informationsstand von Patienten mit Ulcus cruris venosum

“…72 000 Betroffenen mit einem floriden UCV . Die für dieses Krankheitsbild notwendige kausale Behandlung ist die Kompressionstherapie . Allerdings ist diese bei Komorbidität, wie peripherer arterieller Verschlusskrankheit (pAVK) oder Sensibilitätsstörungen der Extremitäten, je nach Ausprägung, nur eingeschränkt oder gar nicht möglich .…”

Compression therapy – current practice of care: level of knowledge in patients with venous leg ulcers

“…11.2 % put on the bandages themselves or with the help of relatives. In the majority of cases, however, no satisfactory results are to be expected when patients apply bandages themselves .…”

“…The Remedies and Therapeutic Appliances Report issued by the Barmer Ersatzkasse (one of Germany's largest statutory health insurances) confirmed this number for the year 2012, with approximately 72,000 patients affected by florid VLUs . Compression therapy – as causal treatment – is essential in this condition . However, depending on the presence and severity of comorbidities such as peripheral artery disease (PAD) or sensory deficits in the extremities, such treatment may only be implemented to a certain extent or not at all .…”

“…In medical school, this topic is rarely taught . A cross‐sectional study revealed that only one‐half of patients wearing short‐stretch bandages had a bandage that was “adequately wrapped” . With respect to users (e.g.…”

Practical aspects of compression therapy – Update 2016

“…Up to 61 % of patients with a florid VLU receive no compression therapy (13)(14)(15)(16). Furthermore, data from the cross-sectional study "Compression therapy -scientific background and practical applications" conducted throughout Germany, show that many of the professional groups involved in the care of persons with a VLU have insufficient knowledge of the available compression materials and are also unfamiliar with their features (17).…”