Soya E, N'djessan J J, Koffi J, Monney E, Tano E, Konin C
Institut de cardiologie d'Abidjan, BPV 206, Abidjan, Côte d'Ivoire.
Institut de cardiologie d'Abidjan, BPV 206, Abidjan, Côte d'Ivoire.
J Med Vasc. 2017 Jul;42(4):221-228. doi: 10.1016/j.jdmv.2017.05.001. Epub 2017 Jun 8.
Elastic venous compression is the basic treatment of chronic venous insufficiency (CVI) and deep vein thrombosis (DVT). Very little data exist in sub-Saharan Africa concerning the wearing of compression stockings.
To determine the factors of compliance with wearing elastic compression stockings.
This retrospective cross-sectional descriptive and analytical study involved 200 consecutive patients (93 cases of DVT, 94 cases of CVI, 13 cases of DVT and CVI). Data on compliance with wearing compression stockings and the factors influencing this compliance were collected.
The average age was 51±15 years old (range 17 and 91 years old). The sex ratio was 1. The majority of patients (78.5%) performed their occupation in a standing position, for more than 8hours per day for 80.5%. DVT were preferentially on the left side (52.9%) and proximal (44.4%). Concerning the CVI, the predominant symptoms were class C3 (52.3%), C4 and C5 (43.9%) of the CEAP classification. Bilateral involvement was dominant (53.3%) and the large saphenous vein was the most affected (66.9%) compared with 33.1% for the small saphenous vein exclusively. The most common type of stockings prescribed was the lower mid-thighs (57%), followed by the pantyhose (30%), in classes 3 (63%) and 2 (36.5%). The majority of patients (75%) agreed to wear their stockings after prescription with a good compliance rate of 58.5% at the beginning of the prescription. At the time of the study, this rate was 11%. The optimal duration of compliance with wearing compression stockings was 6 months (64%). Over 12 months this rate fell to 7.5%. The main causes were stocking-related compression discomfort (36.7%), patient neglect (21.5%), threading difficulties (16.9%), and an unfavorable working environment (8.7%). The determining factors of compliance with wearing of stockings were living in a couple (68.4% vs 54.2, P=0.04), CVI (53% vs 38.2%, P=0.04) and C3 (39% vs 80%), C4 (37.5% vs 17%), C5 (18% vs 3%) CVI (P=0.0005).
Compliance with wearing elastic compression stockings is mediocre. The main factors of non-compliance are discomfort, threading difficulties and patient neglect.
弹性静脉压迫是慢性静脉功能不全（CVI）和深静脉血栓形成（DVT）的基本治疗方法。在撒哈拉以南非洲，关于穿弹力袜的数据非常少。
确定影响穿着弹性压迫袜依从性的因素。
这项回顾性横断面描述性和分析性研究纳入了200例连续患者（93例DVT、94例CVI、13例DVT合并CVI）。收集了关于穿压迫袜依从性的数据以及影响这种依从性的因素。
平均年龄为51±15岁（范围17至91岁）。性别比为1。大多数患者（78.5%）从事站立工作，80.5%的患者每天站立超过8小时。DVT多发生在左侧（52.9%）且为近端（44.4%）。关于CVI，主要症状为CEAP分类中的C3级（52.3%）、C4和C5级（43.9%）。双侧受累占主导（53.3%），大隐静脉受累最常见（66.9%），单纯小隐静脉受累为33.1%。最常开具的袜子类型是大腿中下部款式（57%），其次是连裤袜（30%），分级为3级（63%）和2级（36.5%）。大多数患者（75%）在开具处方后同意穿袜子，处方开始时依从率良好，为58.5%。在研究时，该比率为11%。穿压迫袜的最佳依从持续时间为6个月（64%）。超过12个月，该比率降至7.5%。主要原因是袜子相关的压迫不适（36.7%）、患者疏忽（21.5%）、穿袜困难（16.9%）和工作环境不利（8.7%）。穿袜子依从性的决定因素是已婚（68.4%对54.2%，P = 0.04）、CVI（53%对38.2%，P = 0.04）以及C3（39%对80%）、C4（37.5%对17%）、C5（18%对3%）的CVI（P = 0.0005）。
穿弹性压迫袜的依从性一般。不依从的主要因素是不适、穿袜困难和患者疏忽。
