Subjective and objective assessment of patients’ compression therapy skills as a predicator of ulcer recurrence

Mościcka, Paulina; Szewczyk, Maria T.; Jawień, Arkadiusz; Cierzniakowska, Katarzyna; Cwajda‐Białasik, Justyna

doi:10.1111/jocn.13218

Cited by 11 publications

(19 citation statements)

References 23 publications

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“…To develop an understanding of one's own illness, its developmental mechanisms, and its associated measures, an indication‐specific education is necessary . The content should always be based on the individual needs of the patient .…”

Section: Introductionmentioning

confidence: 99%

Education in people with venous leg ulcers based on a brochure about compression therapy: A quasi‐randomised controlled trial

Protz

Dissemond

Seifert

et al. 2019

International Wound Journal

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Brochures are a useful supplement to patient education. There is increasing evidence that they are an effective medium to support patient satisfaction, adherence, and empowerment. This study aims to produce reliable data on how much patients with venous leg ulcer (VLU) may profit from a brochure that focuses on VLU and on measures and aims of the related compression therapy. The evaluation took part from October 2018 until March 2019 and included 136 patients with VLU and related compression therapy. They were randomly sorted into a case group and a control group of 68 patients each. The case group received a brochure about venous disease and compression therapy and filled in a questionnaire after reading. The questions ranged from basic knowledge about VLU and compression therapy to aspects of self‐care. The control group answered the same questions without previous reading of the brochure. The results show that in almost every aspect, the patients in the case group were better informed about their diseases, the compression therapy, and how they may support the measures adequately. This study suggests that patients with VLU may profit from a brochure that explains their disease and the related compression therapy. Better knowledge and understanding may strengthen their empowerment and adherence.

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Section: Introductionmentioning

confidence: 99%

Education in people with venous leg ulcers based on a brochure about compression therapy: A quasi‐randomised controlled trial

Protz

Dissemond

Seifert

et al. 2019

International Wound Journal

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“…It was also shown in this study that majority (55%) of the respondents agreed that it is the role of nurses to institute first aid measures where necessary, while 39% of the respondents strongly agreed that it is part of nurses´ role to institute first aid measures where necessary. Another study in line with this finding unfolds that nurses must ensure the collection and interpretation of physiological data using a primary survey approach and quickly institute first aid measures where necessary [ 41 , 42 ].…”

Section: Discussionmentioning

confidence: 97%

“…These findings are in conformity with one study that states “the essential roles of a nurse in charge of triage are to ensure assessment of patients by observation of general appearance, collection of a focused history in order to identify the presenting problems and clinical risk”. In addition, nurses must also assess patient subjectively and objectively [ 41 ]. It was also shown in this study that majority (55%) of the respondents agreed that it is the role of nurses to institute first aid measures where necessary, while 39% of the respondents strongly agreed that it is part of nurses´ role to institute first aid measures where necessary.…”

Section: Discussionmentioning

confidence: 99%

A perception survey on the roles of nurses during triage in a selected public hospital in Kwazulu-Natal Province, South Africa

Olofinbiyi¹,

Dube²,

Mhlongo³

2020

Pan Afr Med J

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Introduction triage is gradually becoming an autonomous nursing role essential to patients' safety and the efficient delivery of emergency care. The increased need for more holistic and advanced care during triage makes the role of nurses during triage highly indispensable. However, several studies have shown that nurse-led triage has been so successful over the years in most African countries and in other developing countries. South African Triage Scale (SATS) is an example of triage tool that was designed in such a way that the lowest cadre nurse can successfully implement. The success recorded by this tool made most African countries and some other developing countries adopt the tool. The study was designed to explore the roles of nurses during triage in a selected public hospital in KwaZulu-Natal province. Methods this study utilized a quantitative approach, in which a non-experimental survey involving convenience sampling technique was chosen as the most suitable sampling technique for the study. Recognition-primed decision model formed the framework of the study. Ethical clearance was obtained from University of KwaZulu-Natal Ethics Review Board and ethics principles were observed during the study. Results the result of the study indicated that majority (100%) of the respondents perceived that nurses have lots of roles to perform during triage. They further unveiled that it is highly paramount for nurses to manage the waiting room and control overcrowding in the unit. Conclusion the study draws on the need for qualified and experienced nurses to be in charge of these roles in order to reduce the mortality and morbidity rates that usually occur during triage administration.

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“…The reasons for ulcer occurrence are complex, and their multifactorial etiology makes successful treatment a difficult, long, and unpredictable process . Even if the wound heals, recurrence may appear . Nonhealing ulcers are the greatest challenge because they are resistant to standard methods of therapy.…”

Section: Introductionmentioning

confidence: 99%

“…3,5,6 Even if the wound heals, recurrence may appear. 7 Nonhealing ulcers are the greatest challenge because they are resistant to standard methods of therapy. The key factor to improve the results of treatment seems to be the rapid diagnosis of the difficulty level of wound healing and distinguishing between a healing and nonhealing wound.…”

Section: Introductionmentioning

confidence: 99%

Infrared thermography to prognose the venous leg ulcer healing process—preliminary results of a 12‐week, prospective observational study

Cwajda‐Białasik

Mościcka

Jawień

et al. 2019

Wound Repair Regeneration

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Venous leg ulcers are complex, and their multifactorial etiology make successful treatment a difficult and long process. Nonhealing ulcers are the greatest challenge because they are resistant to standard therapies. In this study, we analyzed whether monitoring the temperature of the ulcered limb wound area could benefit the diagnosis of the wound's tendency to heal (estimating the presence of a healing or nonhealing wound) in patients with two‐sided venous leg ulcers. This prospective, 12‐week observational study included 57 adult individuals with chronic venous leg ulcers. The dynamics of wound healing was assessed by planimetry and infrared thermography every two weeks. We analyzed temperatures measured at three marked areas—the wound, the periwound skin, and the reference area. An initial wound area larger than 1 cm2 was associated with a temperature increase of 0.027 °C in the periwound skin. A 1‐cm2 decrease in the wound area was associated with a 0.04 °C decrease in the temperature difference between the periwound skin and wound. A strong positive relationship was identified for both the bacteriology variables (the presence of bacteria: temperature increase in the periwound skin of 0.4 °C, p < 0.001; the number of bacterial species in a wound, temperature increase of 0.95 °C, p < 0.001). The temperature in the reference area was significantly correlated with the failure of the superficial and perforating veins (temperature increase of 0.69 °C, p = 0.04). This study reports that the assessment of the temperature a limb may be beneficial in predicting whether an ulcer is a healing or a nonhealing ulcer. The decrease in the temperature differences between the areas referred to as healing wounds was the only beneficial prognostic marker. Other temperature differences in the periwound skin were caused by disorders, such as multibacterial wound infections and superficial venous inflammation.

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Subjective and objective assessment of patients’ compression therapy skills as a predicator of ulcer recurrence

Cited by 11 publications

References 23 publications

Education in people with venous leg ulcers based on a brochure about compression therapy: A quasi‐randomised controlled trial

Education in people with venous leg ulcers based on a brochure about compression therapy: A quasi‐randomised controlled trial

A perception survey on the roles of nurses during triage in a selected public hospital in Kwazulu-Natal Province, South Africa

Infrared thermography to prognose the venous leg ulcer healing process—preliminary results of a 12‐week, prospective observational study

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