226154Lifecycle Medical, Newport, NSW, Australia.
Aria Health, San Diego, CA, USA.
Phlebology. 2022 Sep;37(8):564-571. doi: 10.1177/02683555221096298. Epub 2022 May 3.
To perform a preliminary usability evaluation of a novel, compact pneumatic compression device in patients with lymphoedema.
This open-label, single-arm trial had two phases: the first focused on the fitting of the pneumatic compression device (Aria Free, Aria Health, San Diego CA, USA) and the second focused on evaluating the comfort of the entire system during a 45-min usage period. Both phases were conducted in a monitored clinical environment. Patients aged ≥18 years with a diagnosis of lower limb lymphoedema who had used a pneumatic compression device for ≥3 months were eligible. Patients rated subjective fit, comfort and usability on an 11-point Likert scale (where higher scores indicate better fit/comfort/usability). The truncated cone method was used to infer limb volume before and after therapy in phase 2.
Twenty-four patients were screened, and 15 were enrolled (80% female; mean age 62 years); all completed both study phases. Patients rated the garment as easy to set up and fit (median score 6.5), and all reported that the therapy was comfortable (median score 10; < 0.001 vs. reference score of 6). There was a 1.85% reduction in limb volume after device use for 45 min ( = 0.018 vs. before therapy). No safety issues were identified.
The new pneumatic compression device fitted well, was easy to use and reduced leg oedema.
对一种新型紧凑型气动加压装置在淋巴水肿患者中的初步使用情况进行评估。
这是一项开放性、单臂试验,包括两个阶段:第一阶段主要关注气动加压装置(美国圣地亚哥 Aria Health 的 Aria Free)的适配性,第二阶段主要评估在 45 分钟使用期间整个系统的舒适度。两个阶段均在监测的临床环境中进行。年龄≥18 岁、下肢淋巴水肿诊断明确且已使用气动加压装置≥3 个月的患者有资格入组。患者使用 11 分制 Likert 量表对主观适配性、舒适度和易用性进行评分(得分越高表示适配性/舒适度/易用性越好)。在第二阶段,采用截头圆锥法推断治疗前后的肢体体积。
共筛选了 24 名患者,其中 15 名入组(80%为女性;平均年龄 62 岁),均完成了两个研究阶段。患者认为该设备易于组装和适配(中位数评分 6.5),且均表示治疗过程舒适(中位数评分 10;<0.001 与 6 的参考评分相比)。使用该设备 45 分钟后,肢体体积减少了 1.85%( = 0.018,与治疗前相比)。未发现安全问题。
新型气动加压装置适配良好,易于使用,并可减轻腿部水肿。