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

He, Bingyang; Shi, Junfang; Li, Lingyan; Ma, Yuanyuan; Zhao, Han; Qin, Peiwei; Ma, Peifen

doi:10.1111/iwj.14759

Cited by 2 publications

(4 citation statements)

References 35 publications

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“…Lifelong compression therapy is reported to be the foundation of recurrence prevention, with daily leg elevation and exercise also minimum recommendations. 1 , 8 , 9 , 10 , 11 , 12 However, recurrence continues, with research reporting general poor concordance with prevention strategy application. Furthermore, concordance with prevention applications appears to decrease over time, especially with regards to compression concordance.…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, concordance with prevention applications appears to decrease over time, especially with regards to compression concordance. 9 , 12 , 13 , 14 Research discusses a lack of understanding, discomfort, physical limitations and psychosocial impact being related to poor concordance with compression therapy. 12 , 13 , 15 However, difficulties in transitioning from health care dependent, during wound healing, to being able to self‐manage care independently, may also have a significant influence.…”

Section: Introductionmentioning

confidence: 99%

“…The experience of self‐management has been explored post healing, with evidence that education, patients' knowledge and beliefs around VLUs and compression strongly influence concordance with ongoing prevention activities. 1 , 8 , 9 , 12 , 13 , 15 Evidence also states that without guidance and education patients are not managing this chronic condition. 18 , 19 However, the concept of self‐management, post healing to prevent VLU recurrence, appears to have inconsistencies in terminology, with no clear definitions and possible conflicts in understanding and applications at times.…”

Section: Introductionmentioning

confidence: 99%

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Self‐management to prevent recurrence in venous leg ulcers: A concept analysis

Pennisi,

Müller,

Buckley

et al. 2024

International Wound Journal

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The recurrence of venous leg ulcers (VLUs) is of concern to both patients and health care systems, with large amounts of resources being consumed by this chronic condition. Self‐management has been recommended to decrease the recurrence of VLUs. However, this concept has not been clearly defined in VLU recurrence prevention. The aim of this concept analysis was to describe self‐management in VLU recurrence prevention, and explore the terms used and their application in preventing VLU recurrence. Using Walker and Avant's method of concept analysis, 19 articles were systematically reviewed. The primary term used was that of self‐care. The defining attributes included (a) completing preventative tasks of compression, elevation and exercise; (b) lifelong compliance with preventative tasks by patients; (c) internal factors of understanding why tasks are needed, and motivation/belief they will help prevent recurrence, hence changing routines/lifestyles; (d) environmental support through local health care systems and support systems, while avoiding risk. Inconsistent terminology use can cause communication issues within wound management as well as multidisciplinary teams. Although self‐management is evolving, its development may have been constrained by the medical model, which emphasises compliance with direct preventative tasks for this chronic condition. There is minimal focus on external or environmental factors that support behaviour change. The use of the term self‐management may be more beneficial to communication between professions as it aligns with the chronic disease research. Presently the concept focuses on concordance of the patient with completing the preventative tasks of lifelong compression, elevation and exercise/mobility. The person's beliefs and understanding that compliance with these tasks will reduce the risk of recurrence, and hence, lifelong changes to routines, habits and lifestyles must be made by the person.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Self‐management to prevent recurrence in venous leg ulcers: A concept analysis

Pennisi,

Müller,

Buckley

et al. 2024

International Wound Journal

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“…VLU affects 1% of the population with a prevalence that increases with age [12]. In the United States, up to 4% of people over the age of 65 are suffering from it [12]. VLUs are usually located on the medial side of the leg and the medial ankle.…”

Section: Introductionmentioning

confidence: 99%

Understanding CEAP Classification: Insights from an Italian Survey on Corona Phlebectatica and Recurrent Active Venous Ulcers by Vascular Specialists

Lessiani,

Gazzabin,

Cocco

et al. 2024

Medicina

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Background and Objectives: The clinical relevance of “corona phlebectatica” and the management of risk factors for recurrence of venous ulcers in patients with chronic venous disease may be variable based on vascular specialists in different geographical areas of Italy. The aim of the present survey is to evaluate the management of patients with chronic venous disease by vascular specialists in different areas of the national territory. In particular, this involves ascertaining the clinical/prognostic relevance attributed to the presence of the “corona phlebectatica” as well as to the management of risk factors related to recurrence of venous ulcers. Materials and Methods: The web-based survey aimed at vascular medicine specialists with particular interest in venous disease. A questionnaire was developed, based on 12 questions, in relation to clinical assessment, risk factor management, and therapy in patients with chronic venous disease. Results: Almost all of the specialists involved actively participated in the survey, declaring that they personally manage chronic venous disease overall. There was a strong agreement in the prognostic consideration attributed to the presence of “corona phlebectatica” and to the management of risk factors for venous ulcer recurrence, regardless of the different geographical areas of interest. Conclusions: Accordingly with the results of this self-assessment survey, the skills and experience of the specialists involved appear to be of a good standard, both in the clinical evaluation and in the management of the progression of chronic venous disease. However, the need to reach more cultural insights into the correlations between chronic venous disease and risk factors correlated with disease progression emerges. Moreover, there was the need for a greater and tighter overall clinical control of a patient with chronic venous disease, also in relation to the presence of comorbidities.

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

Cited by 2 publications

References 35 publications

Self‐management to prevent recurrence in venous leg ulcers: A concept analysis

Self‐management to prevent recurrence in venous leg ulcers: A concept analysis

Understanding CEAP Classification: Insights from an Italian Survey on Corona Phlebectatica and Recurrent Active Venous Ulcers by Vascular Specialists

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