Educational interventions in venous leg ulcer patients

Yim, Elizabeth; Driessche, Freya Van; Lamel, Sonia A.; Richmond, Nicholas A.; Braun, Lilza R.; Kirsner, Robert S.

doi:10.1111/wrr.12247

Cited by 10 publications

(21 citation statements)

References 10 publications

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“…The comparison of the study and control groups' sociodemographic characteristics indicated no significant differences at baseline that might have influenced the findings; this implies that the two study groups were homogeneous. This finding demonstrated that the patient characteristics of both groups were comparable to those in prior studies that assessed educational intervention in VLU patients [36]. Furthermore, the study's findings revealed that there were no statistical differences in terms of medical features between the two groups, with the majority of them wearing compression stockings below the knee.…”

Section: Discussionsupporting

confidence: 70%

Impact of Educational Nursing Intervention on Compression Therapy Adherence and Recurrence of Venous Leg Ulcers: A Quasi-Experimental Study

Behairy

Masry

2021

Ocul Oncol Pathol

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Following the healing of venous leg ulcers, the primary problems for nursing and patients are adhering to compression therapy and preventing ulcer recurrence. As a result, it is important that patients comprehend their situation. The purpose of this study is to see how an educational nursing intervention affected compression therapy adherence and recurrence of venous leg ulcers in patients with chronic venous leg ulcers. A quasi-experimental design is used, including an intervention, a control group, and before and post-assessments. This study is conducted in one of Egypt's largest teaching hospitals associated with Menoufia University. A 20-month study included 80 adult patients with healed venous leg ulcers. Each participant is randomized to either a control (got regular leg ulcer information) or study (received educational interventions) group. The following tools are used in the study: bio-sociodemographic variables, knowledge evaluation, compression therapy adherence scale, and recurrence follow-up, after three, six, and twelve months of implementation. Furthermore, there is a statistically significant difference between the study groups during the pretest (r=0.885, 0.774, 0.477, p=0.002). The use of nurse education increased patients' understanding and adherence to compression treatment substantially. As a consequence, those with chronic venous leg ulcers may be able to avoid recurrent venous leg ulcers.

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Section: Discussionsupporting

confidence: 70%

Impact of Educational Nursing Intervention on Compression Therapy Adherence and Recurrence of Venous Leg Ulcers: A Quasi-Experimental Study

Behairy

Masry

2021

Ocul Oncol Pathol

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“…A er screening of titles and abstracts, we identified 30 trial reports for full text assessment. Three studies met the inclusion criteria: two included in the first review (Edwards 2009, Heinen 2012) and one new trial (Baquerizo Nole 2015) . We also identified one ongoing study (O'Brien 2014).…”

Section: Results Of the Searchmentioning

confidence: 99%

“…The completeness of the evidence was hampered by failure of trials to report important outcomes. Time to healing and adverse events were not reported in either trial; recurrence and adherence were not reported in the Leg Club trial (Edwards 2009); and quality of life and pain were not reported in the Lively Legs trial (Heinen 2012) or the trial of education interventions (Baquerizo Nole 2015).…”

Section: Librarymentioning

confidence: 99%

Interventions for helping people adhere to compression treatments for venous leg ulceration

Weller

Buchbinder

Johnston

2016

Cochrane Database of Systematic Reviews

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BackgroundChronic venous ulcer healing is a complex clinical problem that requires intervention from skilled, costly, multidisciplinary wound-care teams. Compression therapy has been shown to help heal venous ulcers and to reduce recurrence. It is not known which interventions help people adhere to compression treatments. This review is an update of a previous Cochrane review. ObjectivesTo assess the benefits and harms of interventions designed to help people adhere to venous leg ulcer compression therapy, to improve healing and prevent recurrence a er healing. Search methodsIn June 2015, for this first update, we searched: The Cochrane Wounds Specialised Register; The Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library); Ovid MEDLINE; Ovid MEDLINE (In-Process & Other Non-Indexed Citations); Ovid EMBASE and EBSCO CINAHL. We also searched trial registries, and reference lists of relevant publications for published and ongoing trials. There were no language or publication date restrictions. Selection criteriaWe included randomised controlled trials (RCTs) of interventions that aim to help people with venous leg ulcers adhere to compression treatments compared with usual care, or no intervention, or another active intervention. Our main outcomes were ulcer healing, ulcer recurrence, quality of life, pain, adherence to compression therapy and number of people with adverse events. Data collection and analysisTwo review authors independently selected studies for inclusion, extracted data, assessed the risk of bias of each included trial, and assessed overall quality of evidence for the main outcomes in 'Summary of findings' tables. Main resultsOne randomised controlled trial was added to this update making a total of three. One ongoing study was also identified.Interventions for helping people adhere to compression treatments for venous leg ulceration (Review)

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“…En total se analizó a 84 pacientes en la clínica de heridas vasculares del Servicio de Angiología y Cirugía Vascular, de los cuales 73.8% (62) presentó cicatrización completa y 26.2% (22) no alcanzó cicatrización completa a las 12 semanas, pero con contracción de ésta (Fig. 3).…”

Section: Resultsunclassified

“…En la actualidad existen datos limitados acerca de la forma en que las intervenciones educativas dirigidas a pacientes con úlceras venosas crónicas pueden mejorar el conocimiento de la enfermedad, prevenir complicaciones e incrementar el apego al tratamiento. Algunas series señalan que los folletos mejoran la observancia del tratamiento, al reducir la tasa de recurrencia hasta nueve veces, lo que representa una mejoría de la calidad de vida 8,20 ; hay evidencia que favorece el uso de videos respecto de los folletos como método educativo y también ha registrado un incremento del cumplimiento y una disminución de las tasas de recurrencia 8,21,22 . En consecuencia, es importante considerar que las úlceras venosas crónicas representan enormes efectos en la calidad de vida y social, pero sobre todo en el aspecto económico, en los pacientes que la padecen y en los sistemas de salud.…”

Section: Introductionunclassified

Resultados de la instauración de un programa de enseñanza y autocuidado en la cicatrización de úlceras venosas crónicas. Estudio de cohorte retrospectiva

Nieto-Zepeda¹,

Flores-Aguilar²,

Carbajal-Robles³

et al. 2021

RMA

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La insuficiencia venosa crónica origina el 80% de las úlceras en las extremidades inferiores. Se ha demostrado que los programas de capacitación en la adecuada aplicación de vendajes y curación de las heridas permiten disminuir el tiempo de cicatrización, el número de recurrencias, así como las complicaciones relacionadas con el vendaje. Objetivo: Describir los efectos de un programa de entrenamiento en autocuidado y apego en la colocación correcta de vendaje compresivo. Material y métodos: Se revisaron los expedientes de los participantes del programa piloto: Entrenamiento y autocuidado en pacientes con úlceras venosas crónicas de la clínica de heridas del Servicio de Angiología y Cirugía Vascular del Hospital General de México Dr. Eduardo Liceaga. Resultados: Se analizó a 84 pacientes, de los cuales 73.8% (62) presentó cicatrización completa y el 26.2% ( 22) no alcanzó cicatrización completa a las 12 semanas. El tiempo de cicatrización promedio para el total de pacientes fue de 7.6 (3.3) semanas. Conclusiones: Del total de la población estudiada se observó que el 73.8% (62) cicatrizó al final del seguimiento y que los factores de riesgo relacionados con la falta de cicatrización fueron el diámetro inicial > 5 cm de la úlcera y las úlceras con tiempo de evolución > 6 meses.

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Educational interventions in venous leg ulcer patients

Cited by 10 publications

References 10 publications

Impact of Educational Nursing Intervention on Compression Therapy Adherence and Recurrence of Venous Leg Ulcers: A Quasi-Experimental Study

Impact of Educational Nursing Intervention on Compression Therapy Adherence and Recurrence of Venous Leg Ulcers: A Quasi-Experimental Study

Interventions for helping people adhere to compression treatments for venous leg ulceration

Resultados de la instauración de un programa de enseñanza y autocuidado en la cicatrización de úlceras venosas crónicas. Estudio de cohorte retrospectiva

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