Stücker Markus, Rabe Eberhard
Klinik für Dermatologie, Venenzentrum der dermatologischen und gefäßchirurgischen Kliniken, Ruhr-Universität Bochum, Gudrunstr. 56, 44791, Bochum, Deutschland.
Praxis für Phlebologie & Dermatologie, Bonn, Deutschland.
Dermatologie (Heidelb). 2022 Sep;73(9):708-717. doi: 10.1007/s00105-022-05007-3. Epub 2022 Jun 1.
Medical compression stockings (MCS) are indicated for chronic venous insufficiency (CVI) of all stages and are an indispensable component in lymphedema therapy. In all, 8% of the German population has been prescribed MCS by a physician-more women than men (12% vs. 5%), and especially persons aged 60 years and older (17%). Patient adherence is relevant for successful treatment with MCS. We examined MCS use from the patient's perspective.
This study examined the quality of care through structured interviews with 414 representative users in 2019. Findings are discussed taking into consideration scientific evidence on the efficacy of MCS.
Venous conditions are the most common reason for prescription (44%), followed by lymphedema (22%) or multiple indications (27%). Patients generally wear MCS daily and on average 11 h/day. In all, 89% of patients were satisfied or very satisfied with MCS, whereby efficacy was dependent on the indication. This reflects the extensive scientific evidence on the clinical efficacy of MCS. An important factor for patient adherence is physician training and education.
MCS are well accepted by patients. When prescribing them, practical aspects such as donning and doffing, recommended wearing time and frequency, and the mechanism of action of MCS should be clearly communicated.
医用弹力袜（MCS）适用于各阶段的慢性静脉功能不全（CVI），是淋巴水肿治疗中不可或缺的组成部分。在德国，总计有8%的人口已由医生开具了MCS处方——女性多于男性（12%对5%），尤其是60岁及以上的人群（17%）。患者的依从性对于MCS的成功治疗至关重要。我们从患者的角度对MCS的使用情况进行了研究。
本研究通过在2019年对414名具有代表性的使用者进行结构化访谈，考察了护理质量。在讨论研究结果时考虑了关于MCS疗效的科学证据。
静脉疾病是开具处方最常见的原因（44%），其次是淋巴水肿（22%）或多种适应症（27%）。患者通常每天穿着MCS，平均每天穿着11小时。总体而言，89%的患者对MCS感到满意或非常满意，疗效取决于适应症。这反映了关于MCS临床疗效的广泛科学证据。患者依从性的一个重要因素是医生的培训与教育。
MCS为患者所广泛接受。在开具MCS处方时，应清晰地告知患者诸如穿脱方法、推荐的穿着时间和频率以及MCS的作用机制等实际问题。
