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Increasing competence in compression therapy for venous leg ulcers through training and exercise measured by a newly developed score—Results of a randomised controlled intervention study
Compression therapy with short‐stretch bandages is the most common treating option for patients with venous leg ulcers in the decongestion phase in Germany. This randomised controlled intervention study examined whether a training is suitable to sustainably improve the skills of health care professi...
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Published in: | Wound repair and regeneration 2021-03, Vol.29 (2), p.261-269 |
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description | Compression therapy with short‐stretch bandages is the most common treating option for patients with venous leg ulcers in the decongestion phase in Germany. This randomised controlled intervention study examined whether a training is suitable to sustainably improve the skills of health care professionals. Altogether 55 nurses from hospitals and outpatient care participated. They were randomly assigned to case and control groups. Participants' abilities to properly apply a compression bandaging were assessed before and after a training session as well as after 1 and 3 months using a newly developed score (CCB score) based on six control parameters (CPs): padding, starting point, heel inclusion, heart direction, pressure at forefoot (A) and calf base (B1). After training, a significant increase in competence was observed, which only decreased non‐significantly over the observation period: The average CCB score was 2.796 at V0, 4.89 at V1, 4.88 at V2, and 4.66 at V3. The CPs for pressure at A and B1 were met by a maximum of 42.6 and 43.6%, respectively, at all timepoints. The CP starting point was fulfilled by at least 61.7% after training, the CPs heart direction, heel and underpadding by at least 89.4, 96.4, and 97.9%, respectively. As a result of our study, it can be concluded that training improves the ability of users to apply compression bandagings, but one‐off training does not appear to be suitable to improve the ability to apply compression bandagings with a therapy‐relevant pressure. Therefor more training especially with pressure measuring devices would be necessary. |
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This randomised controlled intervention study examined whether a training is suitable to sustainably improve the skills of health care professionals. Altogether 55 nurses from hospitals and outpatient care participated. They were randomly assigned to case and control groups. Participants' abilities to properly apply a compression bandaging were assessed before and after a training session as well as after 1 and 3 months using a newly developed score (CCB score) based on six control parameters (CPs): padding, starting point, heel inclusion, heart direction, pressure at forefoot (A) and calf base (B1). After training, a significant increase in competence was observed, which only decreased non‐significantly over the observation period: The average CCB score was 2.796 at V0, 4.89 at V1, 4.88 at V2, and 4.66 at V3. The CPs for pressure at A and B1 were met by a maximum of 42.6 and 43.6%, respectively, at all timepoints. The CP starting point was fulfilled by at least 61.7% after training, the CPs heart direction, heel and underpadding by at least 89.4, 96.4, and 97.9%, respectively. As a result of our study, it can be concluded that training improves the ability of users to apply compression bandagings, but one‐off training does not appear to be suitable to improve the ability to apply compression bandagings with a therapy‐relevant pressure. Therefor more training especially with pressure measuring devices would be necessary.</description><identifier>ISSN: 1067-1927</identifier><identifier>EISSN: 1524-475X</identifier><identifier>DOI: 10.1111/wrr.12899</identifier><identifier>PMID: 33598997</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Compression Bandages ; Humans ; intervention ; Leg ; phlebological compression bandaging ; Pressure ; short‐stretch bandages ; training ; Varicose Ulcer - therapy ; venous leg ulcer ; Wound Healing</subject><ispartof>Wound repair and regeneration, 2021-03, Vol.29 (2), p.261-269</ispartof><rights>2021 The Authors. published by Wiley Periodicals LLC on behalf of The Wound Healing Society.</rights><rights>2021 The Authors. 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This randomised controlled intervention study examined whether a training is suitable to sustainably improve the skills of health care professionals. Altogether 55 nurses from hospitals and outpatient care participated. They were randomly assigned to case and control groups. Participants' abilities to properly apply a compression bandaging were assessed before and after a training session as well as after 1 and 3 months using a newly developed score (CCB score) based on six control parameters (CPs): padding, starting point, heel inclusion, heart direction, pressure at forefoot (A) and calf base (B1). After training, a significant increase in competence was observed, which only decreased non‐significantly over the observation period: The average CCB score was 2.796 at V0, 4.89 at V1, 4.88 at V2, and 4.66 at V3. The CPs for pressure at A and B1 were met by a maximum of 42.6 and 43.6%, respectively, at all timepoints. The CP starting point was fulfilled by at least 61.7% after training, the CPs heart direction, heel and underpadding by at least 89.4, 96.4, and 97.9%, respectively. As a result of our study, it can be concluded that training improves the ability of users to apply compression bandagings, but one‐off training does not appear to be suitable to improve the ability to apply compression bandagings with a therapy‐relevant pressure. Therefor more training especially with pressure measuring devices would be necessary.</description><subject>Compression Bandages</subject><subject>Humans</subject><subject>intervention</subject><subject>Leg</subject><subject>phlebological compression bandaging</subject><subject>Pressure</subject><subject>short‐stretch bandages</subject><subject>training</subject><subject>Varicose Ulcer - therapy</subject><subject>venous leg ulcer</subject><subject>Wound Healing</subject><issn>1067-1927</issn><issn>1524-475X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><recordid>eNp1kctu1DAUhi0EoqWw4AWQl7BIaydxPF6iikulSkgjEOwixzmZBjl2OHY6ZMdD8Dg8DU_CmU5hhzfHl8-fj_wz9lyKc0njYo94LsuNMQ_YqVRlXdRafXlIc9HoQppSn7AnKX0VQihlNo_ZSVVRNUafsl9XwSHYNIYdd3GaIUNwwMdwt0JIaYyB5xtAO698iMhvIcQlcQ87vngHmOgU47K74RntGA4iG3oO3wHdmIBPZF8Qet6t3PIAe7_yHm7Bx5k2k4sIv3_83EJafE48DgQhCeJEl3vqImSM3tN0DBmQXs-HjlJe-vUpezRYn-DZfT1jn96--Xj5vrj-8O7q8vV14apGmGLjGq2c0OCkdLY2gzalEKCUthtle1X1Xd0MugHXqKrTUFedVV2p-66q9aBcdcZeHr0zxm8LpNxScw68twHoL9qyNlLo2hhF6Ksj6jCmhDC0M46TxbWVoj2E1VJY7V1YxL641y7dBP0_8m86BFwcgf3oYf2_qf283R6VfwADFKYt</recordid><startdate>202103</startdate><enddate>202103</enddate><creator>Protz, Kerstin</creator><creator>Dissemond, Joachim</creator><creator>Karbe, Daniela</creator><creator>Augustin, Matthias</creator><creator>Klein, Toni Maria</creator><general>John Wiley & Sons, Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1509-7055</orcidid><orcidid>https://orcid.org/0000-0002-4026-8728</orcidid><orcidid>https://orcid.org/0000-0002-9861-9519</orcidid></search><sort><creationdate>202103</creationdate><title>Increasing competence in compression therapy for venous leg ulcers through training and exercise measured by a newly developed score—Results of a randomised controlled intervention study</title><author>Protz, Kerstin ; Dissemond, Joachim ; Karbe, Daniela ; Augustin, Matthias ; Klein, Toni Maria</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3609-8c675c07ec11ca49f79200e557a85ad53db46f76ec653b7e43ba5b27db347f5c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Compression Bandages</topic><topic>Humans</topic><topic>intervention</topic><topic>Leg</topic><topic>phlebological compression bandaging</topic><topic>Pressure</topic><topic>short‐stretch bandages</topic><topic>training</topic><topic>Varicose Ulcer - therapy</topic><topic>venous leg ulcer</topic><topic>Wound Healing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Protz, Kerstin</creatorcontrib><creatorcontrib>Dissemond, Joachim</creatorcontrib><creatorcontrib>Karbe, Daniela</creatorcontrib><creatorcontrib>Augustin, Matthias</creatorcontrib><creatorcontrib>Klein, Toni Maria</creatorcontrib><collection>Open Access: Wiley-Blackwell Open Access Journals</collection><collection>Wiley Online Library</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Wound repair and regeneration</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Protz, Kerstin</au><au>Dissemond, Joachim</au><au>Karbe, Daniela</au><au>Augustin, Matthias</au><au>Klein, Toni Maria</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Increasing competence in compression therapy for venous leg ulcers through training and exercise measured by a newly developed score—Results of a randomised controlled intervention study</atitle><jtitle>Wound repair and regeneration</jtitle><addtitle>Wound Repair Regen</addtitle><date>2021-03</date><risdate>2021</risdate><volume>29</volume><issue>2</issue><spage>261</spage><epage>269</epage><pages>261-269</pages><issn>1067-1927</issn><eissn>1524-475X</eissn><notes>ObjectType-Article-2</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-News-1</notes><notes>ObjectType-Feature-3</notes><notes>content type line 23</notes><abstract>Compression therapy with short‐stretch bandages is the most common treating option for patients with venous leg ulcers in the decongestion phase in Germany. This randomised controlled intervention study examined whether a training is suitable to sustainably improve the skills of health care professionals. Altogether 55 nurses from hospitals and outpatient care participated. They were randomly assigned to case and control groups. Participants' abilities to properly apply a compression bandaging were assessed before and after a training session as well as after 1 and 3 months using a newly developed score (CCB score) based on six control parameters (CPs): padding, starting point, heel inclusion, heart direction, pressure at forefoot (A) and calf base (B1). After training, a significant increase in competence was observed, which only decreased non‐significantly over the observation period: The average CCB score was 2.796 at V0, 4.89 at V1, 4.88 at V2, and 4.66 at V3. The CPs for pressure at A and B1 were met by a maximum of 42.6 and 43.6%, respectively, at all timepoints. The CP starting point was fulfilled by at least 61.7% after training, the CPs heart direction, heel and underpadding by at least 89.4, 96.4, and 97.9%, respectively. As a result of our study, it can be concluded that training improves the ability of users to apply compression bandagings, but one‐off training does not appear to be suitable to improve the ability to apply compression bandagings with a therapy‐relevant pressure. Therefor more training especially with pressure measuring devices would be necessary.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>33598997</pmid><doi>10.1111/wrr.12899</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-1509-7055</orcidid><orcidid>https://orcid.org/0000-0002-4026-8728</orcidid><orcidid>https://orcid.org/0000-0002-9861-9519</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Compression Bandages Humans intervention Leg phlebological compression bandaging Pressure short‐stretch bandages training Varicose Ulcer - therapy venous leg ulcer Wound Healing |
title | Increasing competence in compression therapy for venous leg ulcers through training and exercise measured by a newly developed score—Results of a randomised controlled intervention study |
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