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

Behairy, Amoura Soliman; Masry, Samah E.

doi:10.1159/000521054

Cited by 3 publications

(3 citation statements)

References 40 publications

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“… 12 Compression stockings are a routine method for preventing recurrence of VLU, but it is not yet determined whether the use of higher pressure‐level stockings is related to further reducing risks. 13 In addition, Behairy and Masry 14 showed that education can increase the compliance of patients with VLU, thereby helping to avoid the recurrence of ulcers. Compression therapy, exercise, and leg elevation are recommended to prevent recurrence, but how to intervene and the effectiveness of using these strategies are not described.…”

Section: Introductionmentioning

confidence: 99%

Prevention strategies for the recurrence of venous leg ulcers: A scoping review

He,

Shi,

et al. 2024

International Wound Journal

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Venous leg ulcer (VLU) is the most severe manifestations of chronic venous disease, which has characterized by slow healing and high recurrence rates. This typically recalcitrant and recurring condition significantly impairs quality of life, prevention of VLU recurrence is essential for helping to reduce the huge burden of patients and health resources, the purpose of this scoping review is to analyse and determine the intervention measures for preventing recurrence of the current reported, to better inform healthcare professionals and patients. The PubMed, Embase, Web of Science, Cochrane Library databases, Chinese National Knowledge Infrastructure (CNKI), Chinese Biomedical Literature Database (CBM), Wan Fang Data and Chongqing VIP Information (CQVIP) were accessed up to June 17, 2023. This scoping review followed the five‐steps framework described by Arksey and O'Malley and the PRISMA extension was used to report the review. Eleven articles were included with a total of 1503 patients, and adopted the four effective measures: compression therapy, physical activity, health education, and self‐care. To conclude, the use of high pressure compression treatment for life, supplementary exercise therapy, and strengthen health education to promote self‐care are recommended strategies of VLU prevention and recurrence. In addition, the importance of multi‐disciplinary teams to participate in the care of VLU in crucial.

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Section: Introductionmentioning

confidence: 99%

Prevention strategies for the recurrence of venous leg ulcers: A scoping review

He,

Shi,

et al. 2024

International Wound Journal

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“…The healing time and the high rates of ulcer recurrence have the potential to decrease, but actions must be taken by the healthcare staff. Therefore patient education must be acknowledged as a crucial part of ulcer management as well as adherence to therapy [32,33], and effective educational interventions have been requested [34,35]. Several studies have shown that patients have not experienced satisfactory information during ulcer management, instead, the staff 's focus was on cleaning and dressing the ulcer [7,36].…”

Section: Introductionmentioning

confidence: 99%

Associations between self-care advice and healing time in patients with venous leg ulcer– a Swedish registry-based study

Rosenburg,

Tuvesson,

Lindqvist

et al. 2024

BMC Geriatr

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Background Venous leg ulcers take time to heal. It is advocated that physical activity plays a role in healing, and so does the patient’s nutritional status. Additionally, malnutrition influences the inflammatory processes, which extends the healing time. Therefore, the staff’s advising role is important for patient outcomes. Thus, this study aimed to investigate the associations between given self-care advice and healing time in patients with venous leg ulcers while controlling for demographic and ulcer-related factors. Methods The sample consisted of patients registered in the Registry of Ulcer Treatment (RUT) which includes patient and ulcer-related and healing variables. The data was analyzed with descriptive statistics. Logistic regression models were performed to investigate the influence of self-care advice on healing time. Results No associations between shorter healing time (less than 70 days) and the staff´s self-care advice on physical activity was identified, whilst pain (OR 1.90, CI 1.32–2.42, p < 0.001) and giving of nutrition advice (OR 1.55, CI 1.12–2.15, p = 0.009) showed an association with longer healing time. Conclusions Neither self-care advice on nutrition and/or physical activity indicated to have a positive association with shorter healing time. However, information and counseling might not be enough. We emphasize the importance of continuously and systematically following up given advice throughout ulcer management, not only when having complicated ulcers.

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“…Dissatisfaction with how professionals approach patients might lead to controversies and dismissal of advice (Silva et al, 2019). To achieve self-care, it is important that patients get education on VLUs, as most patients have insufficient knowledge about them (Behairy & Masry, 2022).…”

Section: Caring For Patients With Venous Leg Ulcersmentioning

confidence: 99%

Living with a venous leg ulcer: Lived experiences and the presence of self-care in daily life

Rosenburg

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[en] Aim: The overall aim of this thesis was to describe the lived experiences of patients with hard-to-heal venous leg ulcers before and after healing, as well as the understanding of the role and presence of self-care activities in ulcer management. Methods: The thesis is based on four studies, with differing designs. In Studies I and II, a phenomenological approach was used. To describe lived experiences of undergoing ulcer management, 16 persons were interviewed (I), and to describe lived experiences of daily life after healing,15 persons were interviewed (II). Study III was a registry-based, quantitative study. In total, data from 699 patients with venous leg ulcers(VLUs) were analyzed. Logistic regressions were performed to describe associations between advice given on self-care and its impact on ulcer healing. Study IV, which focused on patient experiences of the feasibility of an intervention for self-care, was based on eleven interviews with six patients with VLUs. The data from the interviews underwent qualitative content analysis. Results: Ulcer management aims at ulcer healing. In the protracted process, patients often experience hopelessness. When healing is slow, patients doubt the professionals’ knowledge. A patient’s trust in professionals and the entire healthcare system may erode if treatment and information vary between different professionals (Study I). Study II revealed that daily life after healing was still strongly affected by the ulcer. Memories from a lost period in life were ever-present. Life after healing was changed – for some, life was not very eventful. The patients’ own knowledge was often limited, and there was a struggle to do what was best for the own body to prevent a new ulcer. Study III revealed that advice on nutrition and physical activity had no impact on healing time. Only 44% of the sample were advised on both nutrition and physical activity. It was common to have an ulcer for a long time before seeking help; about half of the sample had an ulcer for >84 days before registration. Other findings were that the median age among the 699 patients was 77 years, the majority were female, and comorbidity was common. The intervention tested in Study IV offered welcomed information. However, even among those experiencing some sense of recognition, the link to their own situation and life was unclear. The technical solution with videos on a flash drive was difficult for most people to use. The importance of close cooperation with professionals was highlighted. Conclusion: Venous leg ulcers have a profound impact on patients and their life situations. Ulcer management can, in different ways, impose suffering on patients. Not being listened to or seen as a person is anexperience that leaves its marks on a patient. When healing is slow, and someone has to be blamed, relationships with professionals are damaged. The role of self-care is unclear for most patients, which makes self-care harder. Those who tried a video-based intervention for self-care showed difficulties in relating it to their own life. Enabling a caring relationship can enhance patients’ understanding of information and advice. Patients must be invited to share their own experiences, to create a foundation for self-care. The provision of advice alone is not the solution to the issues related to self-care.

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

Cited by 3 publications

References 40 publications

Prevention strategies for the recurrence of venous leg ulcers: A scoping review

Prevention strategies for the recurrence of venous leg ulcers: A scoping review

Associations between self-care advice and healing time in patients with venous leg ulcer– a Swedish registry-based study

Living with a venous leg ulcer: Lived experiences and the presence of self-care in daily life

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