Alkahtani Abeer Muflih, Dumville Jo C, Armitage Christopher J
Division of Nursing, Midwifery and Social Work, School of Health Sciences, University of Manchester, Manchester, UK.
Division of Psychology and Mental Health, School of Health Sciences, University of Manchester, Manchester, UK.
Int Wound J. 2025 Jan;22(1):e70101. doi: 10.1111/iwj.70101.
Preventing recurrence of venous leg ulcers can be achieved through strongest tolerated compression and endo-venous ablation surgery, but it is not clear how often this is done in practice. This study explores (1) nurses' awareness of strongest tolerated compression and endo-venous ablation surgery as prophylactic treatments for venous leg ulcer, (2) how often these treatments are offered, and (3) assessment of the barriers and enablers to deploying those treatments using the capabilities, opportunities and motivations model of behaviour change. An online cross-sectional survey was conducted among nurses who treat and manage venous leg ulcers across the United Kingdom. Data were analysed descriptively using within-participants ANOVA, within-participants MANOVA and multiple linear regression. We received 96 questionnaire responses. All the respondents reported that they were aware of strongest compression to prevent recurrence while 87.5% reported they were aware of endo-venous ablation surgery for recurrence prevention. Nurses' capabilities, opportunities, and motivations to offer the strongest tolerated compression were significantly greater when offering the strongest compression compared with referring to vascular surgery. Both preventative treatments were associated with marked deficits in opportunities (social and physical) and automatic motivation. Interventions targeted at increasing nurses' opportunities and boosting their motivation are needed to support the delivery of both preventive treatments. Further research is required to gain in-depth understanding of those barriers and enablers to identify candidate behaviour change techniques.
通过使用患者能够耐受的最强压力治疗和静脉内消融手术，可以预防下肢静脉溃疡复发，但在实际操作中这种治疗的实施频率尚不清楚。本研究探讨了：（1）护士对使用患者能够耐受的最强压力治疗和静脉内消融手术作为下肢静脉溃疡预防性治疗方法的认知；（2）这些治疗方法的提供频率；（3）运用行为改变的能力、机会和动机模型，评估实施这些治疗的障碍和促进因素。对英国各地治疗和管理下肢静脉溃疡的护士进行了一项在线横断面调查。使用组内方差分析、组内多变量方差分析和多元线性回归对数据进行描述性分析。我们共收到96份问卷回复。所有受访者均表示知晓使用最强压力预防复发，87.5%的受访者表示知晓静脉内消融手术可预防复发。与建议患者接受血管手术相比，护士在提供最强压力治疗时，其提供该治疗的能力、机会和动机显著更强。这两种预防性治疗在机会（社会和身体方面）和自发动机方面均存在明显不足。需要采取旨在增加护士机会并增强其动机的干预措施，以支持这两种预防性治疗的实施。需要进一步开展研究，深入了解这些障碍和促进因素，以确定潜在的行为改变技巧。
