Reasons for patient non-compliance with compression stockings as a treatment for varicose veins in the lower limbs: A qualitative study

Gong, Jian-Mei; Du, Jianshi; Han, Dongmei; Wang, Xinyu; Qi, Shaolong

doi:10.1371/journal.pone.0231218

Cited by 21 publications

(23 citation statements)

References 25 publications

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“…Ayala et al, 24 in a study of 889 patients with CVD in a tropical country, who were prescribed compression therapy, reported that only 31.8% wore it as prescribed. Noncompliance to compression therapy is the result of a multitude of factors, 25 one of which is that patients may complain that it does not immediately result in improvement of their symptoms. Ayala et al, 24 reported that the main reasons for noncompliance were that it was uncomfortable (49.4%), too difficult to put on (34.5%), caused skin problems (21.5%) and was unattractive (19.8%).…”

Section: Discussionmentioning

confidence: 99%

Conservative therapy significantly reduces patients’ chronic venous disease symptoms: A Caribbean insight into the VEIN Act Program

et al. 2022

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Objectives We sought to determine the baseline demographic and clinical characteristics of patients with Chronic Venous Disease (CVD) across the Caribbean, and to evaluate patients’ compliance to conservative therapy and the effectiveness of such therapy in reducing patients’ CVD symptoms. Method Patients were enrolled into the VEIN Act Program, and their demographic data, CVD symptoms (and their intensity) and CEAP C-classification was recorded at the first visit. Patients were prescribed conservative therapy, and symptom intensity and patient compliance and satisfaction evaluated at a follow-up visit. Results We enrolled 193 patients into the study, most of which (76%) were female, between 39–78 years (80%) and within the C2-C4a classes (56.1%). Pain (61.1%) and heaviness (58.5%) were the most common symptoms. Patient compliance to the prescribed treatment was relatively high for all modalities (>75%) and most patients (92.1%) were at least somewhat satisfied with their treatment. Conclusions Patient compliance to conservative therapy for management of CVD is high across the Caribbean, and such therapy is effective in reducing intensity of CVD symptoms.

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Section: Discussionmentioning

confidence: 99%

Conservative therapy significantly reduces patients’ chronic venous disease symptoms: A Caribbean insight into the VEIN Act Program

et al. 2022

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“…Compression is a conservative treatment used to treat varicose veins [ 91 ]. In a study conducted by Gavrilov et al.…”

Section: Treatmentmentioning

confidence: 99%

Comprehensive overview of the venous disorder known as pelvic congestion syndrome

2021

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Pelvic venous disorders (PeVD) also known as Pelvic Congestion Syndrome (PCS) affect a great number of women worldwide and often remain undiagnosed. Gynecological symptoms caused by vascular background demand a holistic approach for appropriate diagnosis. This is a relevant cause of chronic pelvic pain and atypical varicose veins. The diagnosis is based on imaging studies and their correlation with clinical presentation. Although the aetiology of PCS still remains unclear, it may result from a combination of factors including genetic predisposition, anatomical abnormalities, hormonal factors, damage to the vein wall, valve dysfunction, reverse blood flow, hypertension and dilatation. The following paper describes an in-depth overview of anatomy, pathophysiology, symptoms, diagnosis and treatment of PCS. In recent years, minimally invasive interventions have become the method of first choice for the treatment of this condition. The efficacy of a percutaneous approach is high and it is rarely associated with serious complications. Key Messages Pelvic venous disorders demand a holistic approach for appropriate diagnosis. This article takes an in-depth look at existing therapies of Pelvic Congestion Syndrome and pathophysiology of this condition. Embolisation is an effective and safe treatment option.

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“…10 11 One of the reasons for non-compliance include difficulties putting ECS on and/or removing the ECS. [12][13][14][15][16] Some patients need assistive devices to preserve self-reliance, and a smaller proportion of patients rely on home care to assist with the application and removal of the ECS. The proportion of patients needing home care for this indication is not well known.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Using the Functional Resonance Analysis Method to explore how elastic compression therapy is organised and could be improved from a multistakeholder perspective

et al. 2021

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ObjectivesElastic compression stocking (ECS) therapy is an important treatment for patients with deep venous thrombosis (DVT) and chronic venous insufficiency (CVI). This study aimed to provide insight into the structure and variability of the ECS therapy process, its effects on outcomes, and to elicit improvement themes from a multiple stakeholder perspective.DesignThirty semi-structured interviews with professionals and patients were performed. The essential functions for the process of ECS therapy were extracted to create two work-as-done models using the Functional Resonance Analysis Method (FRAM). These findings were used to guide discussion between stakeholders to identify improvement themes.SettingTwo regions in the Netherlands, region Limburg and region North-Holland, including an academic hospital and a general hospital and their catchment region.ParticipantsThe interviewees were purposely recruited and included 25 healthcare professionals (ie, general practitioners, internists, dermatologists, nurses, doctor’s assistants, occupational therapists, home care nurses and medical stocking suppliers) and 5 patients with DVT or CVI.ResultsTwo FRAM models were created (one for each region). The variability of the functions and their effect on outcomes, as well as interdependencies between functions, were identified. These were presented in stakeholder meetings to identify the structure of the process and designated variable and uniform parts of the process and its outcomes. Ultimately, six improvement themes were identified: dissemination of knowledge of the entire process; optimising and standardising initial compression therapy; optimising timing to contact the medical stocking supplier (when oedema has disappeared); improving the implementation of assistive devices; harmonising follow-up duration for patients with CVI; personalising follow-up and treatment duration in patients with DVT.ConclusionsThis study provided a detailed understanding of how ECS therapy is delivered in daily practice by describing major functions and variability in performances and elicited six improvement themes from a multistakeholder perspective.

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Reasons for patient non-compliance with compression stockings as a treatment for varicose veins in the lower limbs: A qualitative study

Cited by 21 publications

References 25 publications

Conservative therapy significantly reduces patients’ chronic venous disease symptoms: A Caribbean insight into the VEIN Act Program

Conservative therapy significantly reduces patients’ chronic venous disease symptoms: A Caribbean insight into the VEIN Act Program

Comprehensive overview of the venous disorder known as pelvic congestion syndrome

Using the Functional Resonance Analysis Method to explore how elastic compression therapy is organised and could be improved from a multistakeholder perspective

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