Journal Articles

Factors that impact compression hosiery concordance post healing

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Factors that impact compression hosiery concordance post healing

Geraint Hughes, Julie Green
31 October 2019

Background: Low concordance with compression hosiery following healing of venous leg ulcers leads to high rates of venous leg ulceration reoccurrence. Aims: To determine what factors impact concordance and what actions can be undertaken to limit reoccurrence rates. Methods: Medline, CINAHL, AMED, TRIP and Joanna Briggs institute databases were explored from 2007–2017. Studies concerning concordance/ adherence with compression hosiery post venous leg ulcer (VLU) healing were reviewed. Seven studies were included in the final literature review. Results: Discomfort/pain, application difficulties, lack of patient education regarding compression hosiery use and aesthetic factors were all reported to influence hosiery concordance. These factors contributed to increased VLU recurrence rates, affecting patients’ quality of life (QoL) and providing an avoidable burden on healthcare services. Conclusion: Current practice provides limited support to patients. The implementation of a compression clinic would provide assessment of leg condition, hosiery efficacy, advice and support to patients to increase hosiery concordance and thus reduce VLU recurrence.

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