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

Creator:

Weller, C., et al

Subject Keywords: Venous leg ulcer, Compression therapy
Type: Article
Region: International (other)
Description:

Venous leg ulcers take weeks - or months - to heal, cause distress, and are very costly for health services. Although compression, using bandages or stockings, helps healing and prevents recurrence, many people do not adhere to compression therapy. Therefore, interventions that promote the wearing of compression should improve healing, and prevent recurrence of venous ulcers.

We found two studies of low quality evidence, so further studies may change the review findings.  

Leg Club®, a community-based clinic, may not significantly improve healing of venous leg ulcers or quality of life more than nurse home-visit care does, but probably results in less pain after six months.  Seventeen more people out of 100 were healed after participating in Leg Club (46/100 people in Leg Club healed compared with 29/100 people having usual home care). Leg Club participants rated their quality of life 0.85 points better than those receiving home care, assessed on a 10 point scale. Leg Club participants rated their pain at six months 12.75 points lower than the home care group, assessed on a 100 point scale. This trial did not report whether Leg Club clinics improve adherence to compression, time to healing, or prevent recurrence more than home care.

Lively Legs®, a community-based self-management programme, may not significantly improve healing of ulcers or decrease recurrence after 18 months any more than usual care in a wound clinic. Ten more people out of 100 were healed at 18 months after participating in Lively Legs (55/100 Lively Legs participants healed versus 45/100 people having usual care). Ten fewer people out of 100 had a recurrent leg ulcer 18 months after participating in Lively Legs (47/100 Lively Legs participants had recurrence compared with  57/100 people having usual care). The same number of people adhered to compression therapy after participating in Lively Legs (45/100 participants in both groups). The trial did not report whether the Lively Legs self-management programme clinics improve time to healing of ulcers, reduce pain, or improve quality of life any more than usual care in a wound clinic.

Date:

06/09/2013

Rights: © The Cochrane Collaboration
Suggested citation:

Weller, C., et al. (2013) Interventions for helping people adhere to compression treatments for venous leg ulceration [Online]. Available from: http://publichealthwell.ie/node/579821 [Accessed: 19th July 2019].

  

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