The Impact of a Multidisciplinary Patient Education Program on Venous Leg Ulcer Healing: A Randomised Controlled Trial.

IF 3.4 3区医学 Q2 CELL BIOLOGY

Wound Repair and Regeneration Pub Date : 2025-09-01 DOI:10.1111/wrr.70084

Sebastian Probst, Camille Saini, Paul Bobbink, André Frei, Fiona Dudley-Martin, Simone Gafner, Florian Stern, Georgina Gethin

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Abstract

To evaluate the impact of a nurse-led, multidisciplinary education programme on wound healing, patient knowledge, and adherence to compression therapy, physical activity, and nutrition in individuals with venous leg ulcers (VLU). In this randomised controlled trial, 87 patients with VLU from three outpatient clinics in Western Switzerland were allocated to an intervention group (IG) receiving structured education plus standard care, or a control group (CG) receiving standard care alone. The 12-month intervention included in-person education, counselling, and follow-ups. The primary outcome was complete wound closure at 12 months. Secondary outcomes included wound area reduction, patient knowledge, adherence behaviours, and ulcer recurrence. At 12 months there was no significant difference in complete wound closure between groups (p = 0.668). Wound area reduction was significantly greater in the IG at 1 month (54.0% vs. 35.6%, p = 0.041). The IG showed earlier and greater improvements in knowledge, self-efficacy, and adherence to compression therapy and mobility. No significant differences in nutritional behaviour or body weight were observed. Nurse-led education improved early healing and patient engagement. Sustained behaviour change may require longer-term support and targeted nutritional interventions. Future research should explore adaptive education models and digital tools for long-term VLU management.

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多学科患者教育计划对腿部静脉溃疡愈合的影响：一项随机对照试验。

评估护士主导的多学科教育计划对静脉性腿部溃疡（VLU）患者伤口愈合、患者知识、压迫治疗依从性、身体活动和营养的影响。在这项随机对照试验中，来自瑞士西部三个门诊诊所的87例VLU患者被分配到接受结构化教育加标准治疗的干预组（IG）或单独接受标准治疗的对照组（CG）。为期12个月的干预包括面对面的教育、咨询和随访。主要结局是12个月时伤口完全愈合。次要结果包括伤口面积减少、患者知识、依从性行为和溃疡复发。12个月时，两组间伤口完全愈合无显著差异（p = 0.668）。1个月时IG组伤口面积减少明显大于对照组（54.0% vs. 35.6%, p = 0.041）。IG组在知识、自我效能、坚持压迫治疗和活动能力方面表现出更早和更大的改善。没有观察到营养行为或体重的显著差异。护士主导的教育改善了早期康复和患者参与。持续的行为改变可能需要长期支持和有针对性的营养干预。未来的研究应探索适应性教育模式和数字化工具，以实现VLU的长期管理。

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来源期刊

Wound Repair and Regeneration 医学-皮肤病学

CiteScore

5.90

自引率

3.40%

发文量

审稿时长

6-12 weeks

期刊介绍： Wound Repair and Regeneration provides extensive international coverage of cellular and molecular biology, connective tissue, and biological mediator studies in the field of tissue repair and regeneration and serves a diverse audience of surgeons, plastic surgeons, dermatologists, biochemists, cell biologists, and others. Wound Repair and Regeneration is the official journal of The Wound Healing Society, The European Tissue Repair Society, The Japanese Society for Wound Healing, and The Australian Wound Management Association.