Hagedoren-Meuwissen Edith, Roentgen Uta, Zwakhalen Sandra, van der Heide Loek, van Rijn Marie Josee, Daniëls Ramon
Research Centre on Assistive Technology in Care, Zuyd University of Applied Sciences, Heerlen, The Netherlands.
Department of Health Services Research, Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands.
PLoS One. 2024 Dec 26;19(12):e0316034. doi: 10.1371/journal.pone.0316034. eCollection 2024.
This qualitative study aimed to describe users' experiences and needs related to wearing, donning, and doffing compression hosiery, and the provision process of compression hosiery and associated assistive products for donning and doffing. Adults who have been advised to wear compression hosiery participated in semi-structured interviews. Existing frameworks about the provision process and acceptance of assistive technology guided the topic list. The interviews were analyzed using directed content analysis. After 19 interviews, data saturation was reached. Three main themes were revealed: (1) becoming and being a compression hosiery wearer (or not), (2) wearing compression hosiery, and (3) donning and doffing compression hosiery. In cases of acute conditions, the participants reported feeling overwhelmed when they were first prescribed compression hosiery. In contrast, those with long-term complaints felt relieved. Participants considered advantages and disadvantages and then decided whether to wear compression hosiery. Despite mentioned beneficial effects from wearing compression hosiery, participants had to cope with a range of discomforts, including pinching, straining, sagging, and heat. Additionally, participants had difficulties with the appearance, and often tried to hide the compression hosiery. They mentioned problems with donning and doffing, which can result in dependency of home or informal care, which stopped some participants from wearing. In general, participants were not aware of the full range of assistive products for donning and doffing, but were interested in them. In conclusion, wearing compression hosiery has a large impact on a person's life because of its lack of comfort, unattractive appearance, and possible loss of independence through the need of donning and doffing support. These are expressed reasons for non-adherence, in addition to a lack of understanding of the importance of wearing and the consequences of not wearing compression hosiery. Easy-to-find independent information and more attention to donning and doffing during the fitting appointment of compression hosiery are recommended.
这项定性研究旨在描述使用者在穿着、穿脱弹力袜方面的体验和需求，以及弹力袜及相关穿脱辅助产品的提供过程。被建议穿着弹力袜的成年人参与了半结构化访谈。关于辅助技术提供过程和接受度的现有框架指导了访谈主题清单的制定。采用定向内容分析法对访谈进行分析。在进行了19次访谈后，达到了数据饱和。揭示了三个主要主题：（1）成为或不成为弹力袜使用者，（2）穿着弹力袜，（3）穿脱弹力袜。在急性病患者中，参与者报告说刚开始被开出处方使用弹力袜时感到不知所措。相比之下，患有长期疾病的人则感到宽慰。参与者权衡了利弊，然后决定是否穿弹力袜。尽管提到了穿弹力袜的有益效果，但参与者不得不应对一系列不适，包括紧绷、勒痛、下垂和发热。此外，参与者对外观也有困扰，经常试图隐藏弹力袜。他们提到了穿脱方面的问题，这可能导致对家庭或非正式护理的依赖，这使得一些参与者不再穿弹力袜。总体而言，参与者并不了解全套的穿脱辅助产品，但对其感兴趣。总之，由于穿着弹力袜缺乏舒适度、外观不吸引人，以及可能因需要穿脱支持而丧失独立性，穿着弹力袜对一个人的生活有很大影响。这些是不依从的明确原因，此外还包括对穿着弹力袜的重要性以及不穿弹力袜的后果缺乏了解。建议在弹力袜试穿预约期间提供易于获取的独立信息，并更多关注穿脱问题。
