Royal District Nursing Service, Helen Macpherson Smith Institute of Community Health, Melbourne, Victoria, Australia.
Int Wound J. 2012 Oct;9(5):494-504. doi: 10.1111/j.1742-481X.2011.00908.x. Epub 2011 Dec 16.
A study conducted in an Australian home nursing service sought to ascertain whether the provision of funding for compression bandaging and medical footwear would impact on compression therapy use, wound healing and quality of life (QoL) among people with venous leg ulcers. Clients (n = 120) were randomly allocated to evaluation funded or not evaluation funded groups, the former provided funding for compression bandaging and medical footwear. Outcome measures included the number of wounds healed, healing rate, compression use and QoL. Analysis included ttests and Kaplan-Meier Survival Analysis. An alpha level of 0·05 classified findings as significant. There were no significant differences between groups for rate or time to healing, wounds healed or compression use. The evaluation funded group were significantly more likely to receive medical footwear. Those with confirmed diagnosis and who received multilayer bandaging, irrespective of group, achieved healing rates significantly higher than those who wore other compression therapy. Factors other than cost intervened with the capacity to evaluate the impact of wound product subsidisation. Further exploration of how to best promote evidence-based practice and future research to evaluate clinically and cost-effective wound treatments in a range of health care settings is required.
一项在澳大利亚家庭护理服务中进行的研究旨在确定为压缩绷带和医用鞋提供资金是否会影响静脉溃疡患者的压缩治疗使用、伤口愈合和生活质量（QoL）。将客户（n=120）随机分配到有评估资金和没有评估资金的组，前者为压缩绷带和医用鞋提供资金。结果测量包括愈合的伤口数量、愈合率、压缩使用和 QoL。分析包括 t 检验和 Kaplan-Meier 生存分析。将发现的显著性水平定为 0.05。两组在愈合率、愈合时间、伤口愈合或压缩使用方面均无显著差异。有评估资金的组更有可能获得医用鞋。无论组如何，经过确诊并接受多层绷带治疗的患者，其愈合率明显高于那些穿着其他压缩治疗的患者。除了成本之外，还有其他因素干预了评估伤口产品补贴影响的能力。需要进一步探索如何最好地促进循证实践，并在各种医疗保健环境中评估具有临床和成本效益的伤口治疗方法的未来研究。
