Manduz Şinasi, Ada Fatih, Ada Yusuf
Cardiovascular Surgery Department, Cumhuriyet University School of Medicine, Sivas, Turkey.
Department of Business Administration, Cumhuriyet University Faculty of Economics and Administrative Sciences, Sivas, Turkey.
Patient Prefer Adherence. 2018 Mar 16;12:399-407. doi: 10.2147/PPA.S157344. eCollection 2018.
The purpose of this study was to reveal the treatment outlook, usage habits, and factors affecting these habits, in addition to providing suggestions for solutions for patients who are frequently recommended the use of compression stockings as treatment for conditions such as chronic venous insufficiency, deep vein thrombosis, lymphedema, and pregnancy.
The study was conducted as a face-to-face questionnaire session with 1,004 patients who had previously registered at the cardiovascular surgeon's polyclinic of Sivas Numune Hospital between March 29, 2017, and October 31, 2017. In the study, basic criteria such as the patients' history, physical examination findings, and the use of compression stockings were evaluated. The survey was conducted in patients who were recommended compression stockings treatment for conditions such as chronic venous insufficiency, deep vein thrombosis, lymphedema, or pregnancy. The patients were asked about their demographics, characteristics of the compression stockings, whether compression stockings were used or not, and doctor evaluations related to the diagnosis.
At the end of the study, it was found that 20.5% of the patients who were recommended compression stockings never bought them and only 11.5% of the patients regularly used them. Another surprising detail was that only 54.7% of the patients thought that the compression stockings were part of the treatment and 44.0% of the patients thought that they would benefit from using them.
In many guidelines, use of compression stockings is the cornerstone of treatment of venous diseases. However, when the treatment incompatibility of the patients is taken into account, many duties fall to the doctors. The first of these is to inform the patient about the treatment and to answer any questions from the patients. In addition, the socioeconomic and sociocultural status of patients should be considered by the doctors.
本研究的目的是揭示治疗前景、使用习惯以及影响这些习惯的因素，此外还为那些经常被建议使用压力袜治疗慢性静脉功能不全、深静脉血栓形成、淋巴水肿和妊娠等病症的患者提供解决方案建议。
该研究以面对面问卷调查的形式进行，调查对象为2017年3月29日至2017年10月31日期间在锡瓦斯努穆内医院心血管外科门诊预先登记的1004名患者。在研究中，对患者病史、体格检查结果和压力袜使用情况等基本标准进行了评估。调查针对那些因慢性静脉功能不全、深静脉血栓形成、淋巴水肿或妊娠等病症而被建议使用压力袜治疗的患者。询问了患者的人口统计学信息、压力袜的特点、是否使用压力袜以及与诊断相关的医生评估情况。
研究结束时发现，被建议使用压力袜的患者中有20.5%从未购买过，只有11.5%的患者经常使用。另一个令人惊讶的细节是，只有54.7%的患者认为压力袜是治疗的一部分，44.0% 的患者认为他们会从使用压力袜中受益。
在许多指南中，使用压力袜是静脉疾病治疗的基石。然而，考虑到患者的治疗不兼容性，许多职责落在了医生身上。其中首要的是向患者告知治疗情况并回答患者的任何问题。此外，医生应考虑患者的社会经济和社会文化状况。
