The role of a caregiver of a patient with venous leg ulcers in recurrence prevention: a case study.

IF 1.5 4区医学 Q3 DERMATOLOGY

Journal of wound care Pub Date : 2025-02-02 DOI:10.12968/jowc.2022.0128

Anna Karafová, Agnieszka Siemieniecka, Marian Karafa

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引用次数: 0

Abstract

Objective: Venous leg ulcer (VLU) is a common complication which significantly reduces the patient's quality of life. Despite many effective treatment methods, such as compression therapy, which allow the wound to heal in a short time, it is important to maintain the long-term effects of the therapy. We present the case of a 67-year-old male patient with a trophic ulcer of his left leg.

Method: The patient was treated with inelastic multicomponent compression bandages applied every day under Kikuhime pressure-measuring device (HPM-KH-01; TT Meditrade, Denmark) control and advised to wear a compression stocking.

Results: The patient's wound closed within eight weeks. After five months, the patient returned to our clinic with a one-month-old wound due to non-adherence with medical recommendations.

Conclusion: Key roles in recurrence prevention seem to be played not only by the patient's motivation and perseverance, but, more importantly, by the approach of the therapist. Health professionals should focus not only on one-time closure of the patient's wound, but on cooperation with the patient's family and caregivers, and instructing them on how to look after the patient on a daily basis, including with help to put on compression garments and with motivation to move and exercise. In many cases, with unaccompanied patients, rapid VLU recurrence is observed.

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静脉性腿部溃疡患者的护理人员在预防复发中的作用：一个案例研究。

目的：下肢静脉性溃疡（VLU）是一种常见的并发症，严重影响患者的生活质量。尽管有许多有效的治疗方法，如压迫疗法，可以使伤口在短时间内愈合，但重要的是保持治疗的长期效果。我们提出的情况下，一个67岁的男性患者与他的左腿营养性溃疡。方法：患者在Kikuhime压力测量仪(HPM-KH-01；TT medirade，丹麦)控制并建议穿压缩袜。结果：患者伤口在8周内愈合。5个月后，由于不遵医嘱，患者带着一个月大的伤口回到我们的诊所。结论：预防复发的关键作用似乎不仅在于患者的动机和毅力，更重要的是治疗师的方法。卫生专业人员不仅应关注一次性缝合患者伤口，还应关注与患者家属和护理人员的合作，并指导他们如何日常照顾患者，包括帮助他们穿上压缩服，并鼓励他们活动和锻炼。在许多病例中，无人陪伴的患者，可以观察到快速的VLU复发。

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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来源期刊

Journal of wound care DERMATOLOGY-

CiteScore

2.90

自引率

10.50%

发文量

215

期刊介绍： Journal of Wound Care (JWC) is the definitive wound-care journal and the leading source of up-to-date research and clinical information on everything related to tissue viability. The journal was first launched in 1992 and aimed at catering to the needs of the multidisciplinary team. Published monthly, the journal’s international audience includes nurses, doctors and researchers specialising in wound management and tissue viability, as well as generalists wishing to enhance their practice. In addition to cutting edge and state-of-the-art research and practice articles, JWC also covers topics related to wound-care management, education and novel therapies, as well as JWC cases supplements, a supplement dedicated solely to case reports and case series in wound care. All articles are rigorously peer-reviewed by a panel of international experts, comprised of clinicians, nurses and researchers. Specifically, JWC publishes: High quality evidence on all aspects of wound care, including leg ulcers, pressure ulcers, the diabetic foot, burns, surgical wounds, wound infection and more The latest developments and innovations in wound care through both preclinical and preliminary clinical trials of potential new treatments worldwide In-depth prospective studies of new treatment applications, as well as high-level research evidence on existing treatments Clinical case studies providing information on how to deal with complex wounds Comprehensive literature reviews on current concepts and practice, including cost-effectiveness Updates on the activities of wound care societies around the world.