Compression therapy in patients with venous leg ulcers: a best practice implementation project.

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Jbi Evidence Implementation Pub Date : 2024-06-05 DOI:10.1097/XEB.0000000000000433
María Jesús Samaniego Ruiz, Nieves Valero Moll, Miguel Muñoz Gálvez, Marina Gallego Jiménez, Laura Albornos Muñoz
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Abstract

Introduction and objectives: Venous leg ulcers are the most common ulcerations of the lower extremities. Compression is the most important consideration and the gold standard treatment for venous leg ulcers. This implementation project aimed to promote best practices in the management of venous leg ulcers in a rural community-care setting.

Methods: This project was guided by the JBI Evidence Implementation Framework, which is grounded in audit and feedback processes, along with a structured approach to identifying and managing barriers to compliance with recommended best practices.

Results: Compliance with best practices increased for most audit criteria. The use of compression therapy increased from 16.7% to 60%, documentation increased from 6.7% to 50%, replacement of compression bandages from 6.7% to 60%, patient education from 0% to 46.7%, and holistic assessment from 0% to 13%. However, compliance for individualized interventions to promote adherence remained at 0%.

Conclusions: This project succeeded in introducing compression therapy as a basic treatment for venous ulcers. However, continued improvement in the care for venous ulcers and guarantee of long-term implementation of evidence are necessary.

Spanish abstract: http://links.lww.com/IJEBH/A212.

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静脉性腿部溃疡患者的压力疗法:最佳实践实施项目。
导言和目标:腿部静脉溃疡是下肢最常见的溃疡。压迫是治疗腿部静脉溃疡最重要的考虑因素,也是治疗腿部静脉溃疡的金标准。本实施项目旨在推广在农村社区护理环境中治疗腿部静脉溃疡的最佳方法:方法:该项目以 JBI 证据实施框架为指导,该框架以审计和反馈流程为基础,并采用结构化方法来识别和管理在遵守推荐的最佳实践方面存在的障碍:结果:大多数审核标准的最佳实践合规率都有所提高。压力疗法的使用率从 16.7% 提高到 60%,文件记录从 6.7% 提高到 50%,压力绷带的更换率从 6.7% 提高到 60%,患者教育从 0% 提高到 46.7%,整体评估从 0% 提高到 13%。然而,为促进患者坚持治疗而采取的个性化干预措施的依从性仍为 0%:该项目成功地将压力疗法作为静脉溃疡的基本治疗方法。结论:该项目成功地将压力疗法引入静脉溃疡的基本治疗中,但仍需继续改善静脉溃疡的护理,并保证长期实施。西班牙文摘要:http://links.lww.com/IJEBH/A212。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
3.20
自引率
13.00%
发文量
23
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