Jull A B, Mitchell N, Arroll J, Jones M, Waters J, Latta A, Walker N, Arroll B
Clinical Trials Research Unit, University of Auckland, New Zealand.
J Wound Care. 2004 Mar;13(3):90-2. doi: 10.12968/jowc.2004.13.3.26590.
To investigate the factors influencing patient concordance with compression stockings after venous leg ulcer healing.
In 2001 patients discharged from a specialist leg ulcer service in New Zealand were approached to participate in a structured interview about their use of compression stockings in the first six months following venous leg ulcer healing. Univariate analyses were performed to identify significant associations between factors and stocking use. Multiple logistic regression was employed to model the factors associated with frequency of stocking use.
A total of 163 patients were identified, of whom 129 (79%) agreed to participate. Sixty-seven (52%) reported wearing stockings every day for the first six months after their ulcers had healed, 21 (16%) stated that they had worn the most days, seven (5%) had worn them occasionally and 29 (22%) had not worn them at all after their ulcer had healed. Five (4%) did not provide data. Two factors distinguished those who wore stockings from those who did not 75% of the time: the belief that wearing stockings was worthwhile and the belief that stockings were uncomfortable to wear. Commonly cited factors, such as age, sex, difficulty in applying stockings and cosmetic appearance were not significantly related to stocking use. Cost did not seem to influence the decision to purchase compression stockings.
Many factors previously thought to influence concordance appear to have little impact on compression-stocking use in people whose venous leg ulcers had healed.
探讨影响腿部静脉溃疡愈合后患者使用压力袜依从性的因素。
2001年，研究人员联系了从新西兰一家专业腿部溃疡治疗机构出院的患者，就他们在腿部静脉溃疡愈合后的头六个月内使用压力袜的情况进行结构化访谈。进行单因素分析以确定各因素与压力袜使用之间的显著关联。采用多元逻辑回归对与压力袜使用频率相关的因素进行建模。
共确定了163名患者，其中129名（79%）同意参与。67名（52%）报告称在溃疡愈合后的头六个月里每天都穿压力袜，21名（16%）表示穿的天数最多，7名（5%）偶尔穿，29名（22%）在溃疡愈合后根本没穿过。5名（4%）未提供数据。有两个因素在75%的情况下区分了穿压力袜的人和不穿的人：认为穿压力袜有价值以及认为穿压力袜不舒服。常见的因素，如年龄、性别、穿压力袜的困难程度和外观，与压力袜的使用没有显著关联。费用似乎并未影响购买压力袜的决定。
许多先前认为会影响依从性的因素，似乎对腿部静脉溃疡已愈合者使用压力袜的情况影响不大。
