Journal of Vascular Nursing最新文献

{"title":"Information for authors","authors":"","doi":"10.1016/S1062-0303(24)00054-2","DOIUrl":"10.1016/S1062-0303(24)00054-2","url":null,"abstract":"","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"42 3","pages":"Page A3"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1062030324000542/pdfft?md5=bd9c17dbe690cefee3c1df42dbea6763&pid=1-s2.0-S1062030324000542-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142148810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of education based on the Roy adaptation model on medication adherence and psychosocial adjustment in hypertensive patients","authors":"Cihat Demirel PhD, RN ,&nbsp;Serap Parlar Kiliç PhD, RN","doi":"10.1016/j.jvn.2024.01.003","DOIUrl":"10.1016/j.jvn.2024.01.003","url":null,"abstract":"<div><h3>Background and Aim</h3><p>Patient education utilizing nursing theory can enhance patient adherence to treatment and potentially decrease mortality rates. The objective of this investigation was to assess the impact of Roy's adaptation Model-focused education on medication adherence and psychosocial compliance in hypertensive patients.</p></div><div><h3>Methods</h3><p>This study was conducted in <em>N</em> = 60 hypertensive patients (<em>n</em> = 30 control group and <em>n</em> = 30 experimental group) based on a randomized controlled trial design. In the pre-test phase of the study, data was collected using the Patient Information Form, the medication adherence rating scale (MARS), and the psychosocial adjustment to illness scale-self-report (PAIS-SR). After the pre-test phase, the experimental group received hypertension education and the “Hypertension Education Booklet” for a duration of four weeks. No education was provided to the control group patients; only routine follow-ups were conducted. In the post-test phase (after four weeks), both groups were reassessed using MARS and PAIS-SR. After completing the study, the control group patients who volunteered to participate in the education were provided with hypertension education and the “Hypertension Education Booklet” for a duration of four weeks (<em>n</em> = 4).</p></div><div><h3>Results</h3><p>The post-test measurements of patients in the experimental group (after 4 weeks of education) revealed an increase in the mean MARS scores (6.50 ± 0.86) and a significant decrease in the total and subscale mean scores of PAIS-SR (24.12 ± 7.08) (<em>p</em> &lt; 0.05). No changes were observed in the control group patients.</p></div><div><h3>Conclusion</h3><p>The results of the study revealed that the education based on the Roy's Adaptation Model increased hypertensive individuals’ medication adherence and physiological, psychological, and social adjustment to the disease.</p></div><div><h3>Relevance to clinical practice</h3><p>The education based on the Roy's Adaptation Model seems to be effective in increasing patients' adherence to treatment and adjustment to the disease. This model can be used in various diseases and societies, since it increases adjustment to the disease and the effectiveness of treatment.</p></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"42 2","pages":"Pages 89-98"},"PeriodicalIF":1.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139965804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The bodyweight walking distance product and its relationship with clinical markers in patients with symptomatic peripheral artery disease","authors":"Fernando da Silva Santanna ,&nbsp;Paolo M. Cunha ,&nbsp;Renan Massena Costa ,&nbsp;Gabriel Grizzo Cucato ,&nbsp;Nelson Wolosker ,&nbsp;Simone Dal Corso ,&nbsp;Hélcio Kanegusuku ,&nbsp;Breno Quintella Farah ,&nbsp;Raphael Mendes Ritti-Dias ,&nbsp;Marilia de Almeida Correia PhD","doi":"10.1016/j.jvn.2024.02.002","DOIUrl":"10.1016/j.jvn.2024.02.002","url":null,"abstract":"<div><h3>Purpose</h3><p>The six-minute walk test (6MWT) is extensively employed to evaluate gait impairment in patients with symptomatic peripheral artery disease (PAD) and has been associated with different health outcomes. However, various approaches exist for calculating and interpreting the six-minute test in order to address the needs of patients more effectively. Therefore, we investigated how these different approaches correlate with functional capacity and cardiovascular health in patients with symptomatic PAD.</p></div><div><h3>Methods</h3><p>In total, 227 PAD patients [65.2% men and 67 (13) y.o.] were included in this cross-sectional study. The 6MWT was performed along a 30-meter corridor and the distance was expressed in three ways: absolute (described as the meters walked during the test), relativized (based on the results of the 6MWT in healthy individuals), and DW (multiplying the body weight in kilograms by the absolute distance in the 6MWT). A functional capacity z-score was calculated using the results of the handgrip strength test, 4-meter walking test, and sit-and-stand test. A cardiovascular parameter z-score was calculated with data on brachial and central blood pressure, the low-frequency component/high-frequency component ratio, and carotid-femoral pulse wave velocity.</p></div><div><h3>Results</h3><p>The absolute (b = 0.30, 95%CI: 18-0.43, R² = 0.11, p &lt; 0.001) and DW (b = 0.40, 95%CI: 27-0.53, R² = 0.17, p &lt; 0.001) measures were related to functional capacity, independently of sex, age, and the ankle-arm index of the patients. Neither absolute nor DW were related to cardiovascular health. The relativized measure was not associated with either functional capacity or cardiovascular health.</p></div><div><h3>Conclusion</h3><p>In patients with symptomatic PAD, absolute and DW measures are related to functional capacity, but not cardiovascular function.</p></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"42 2","pages":"Pages 105-109"},"PeriodicalIF":1.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140465278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing nursing practice in Ireland: A pathway of care for nurse-led integrated venous leg ulcer management","authors":"Marie O. Shaughnessy ,&nbsp;Dr. Susan Kent","doi":"10.1016/j.jvn.2024.02.003","DOIUrl":"10.1016/j.jvn.2024.02.003","url":null,"abstract":"<div><p>Approximately 80% of patients presenting with leg ulcers are venous in origin. However, lack of standardisation of care has a human and financial impact for patients and service providers. Increases in the aging population and number of patients entering older age with co-morbidities results in increases in the demand for venous leg ulcer treatments. A joint initiative between a Registered Advanced Nurse Practitioner (RANP) in tissue viability and wound care, and a vascular consultant, identified deficits in patient care delivery and quality of life.</p><p><em>A</em> joint initiative Implementing the principles of the <em>‘Sláintecare’ policy was</em> established as the Leg Ulcer Centre Ireland (LUCI) to deliver a pathway for the treatment and management of lower limb venous ulcers. The RANP provides a <em>“one stop shop”</em> for patients, offering a complete care package from diagnosis to surgical intervention - endovenous ablation, follow-up post operative care and discharge.</p><p>Audit findings include; reduced hospital admissions and waiting times; increased patient satisfaction; and, improved interdisciplinary integrated referral pathways.</p><p>The RANP offers an effective, efficient diagnosis-to-end treatment service for patients. The results demonstrate improved treatment, cost outcomes and value-based outcomes for patients. The new integrated service facilitates expansion of the service and further enhancement of the nursing skills and role.</p></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"42 2","pages":"Pages 110-114"},"PeriodicalIF":1.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1062030324000062/pdfft?md5=af92d0b3830f64d771f47acb13005369&pid=1-s2.0-S1062030324000062-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140283444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Information for readers","authors":"","doi":"10.1016/S1062-0303(24)00033-5","DOIUrl":"https://doi.org/10.1016/S1062-0303(24)00033-5","url":null,"abstract":"","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"42 2","pages":"Page A3"},"PeriodicalIF":1.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1062030324000335/pdfft?md5=e331de7f28d4db77c6d3eb62ad462bab&pid=1-s2.0-S1062030324000335-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141243916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors predicting acute kidney injury in patients after abdominal aortic aneurysm repair","authors":"Natchanikant Tepkit ,&nbsp;Kessiri Wongkongkam ,&nbsp;Prangtip Chayaput ,&nbsp;Khamin Chinsakchai","doi":"10.1016/j.jvn.2024.02.001","DOIUrl":"10.1016/j.jvn.2024.02.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Postoperative acute kidney injury (AKI) is one of the most frequent complications in abdominal aortic aneurysm (AAA) patients after open and endovascular aortic aneurysm repair. AKI decreases the efficiency of kidney function, allowing accumulation of waste products in the body, and an imbalance of water, acid and electrolytes in the body. As a result, the functioning of various organs throughout the body is affected. These effects may raise the cost of treatment, length of stay, and mortality rate.</p></div><div><h3>Objective</h3><p>This study aims to examine the predictive factors of AKI – preoperative of estimated glomerular filtration rate (eGFR), preoperative of hemoglobin level, types of abdominal aortic aneurysms repair, and intraoperative of cardiac arrhythmias – after open and endovascular aortic repair among AAA patients within 72 h.</p></div><div><h3>Methods</h3><p>This is a retrospective study of 196 patients with AAA after elective open and endovascular aortic aneurysm repair within the first 72 h who met the inclusion criteria recruited from a tertiary care hospital in Bangkok, Thailand. Postoperative AKI after elective open and endovascular aortic repair among AAA patients is defined by the 2012 Kidney Disease Improving Global Outcomes (KDIGO) Clinical Practice Guidelines.</p></div><div><h3>Results</h3><p>A total of 196 AAA patients, 75.5% were male with an average age of 75.12 years (SD = 8.45). Endovascular aortic aneurysm repair was used more frequently than open aortic aneurysm repair (64.8% vs 35.2%) and 37.2% of the AAA patients had intraoperative cardiac arrhythmias. The occurrence of AKI among the AAA patients after abdominal aortic aneurysm repair within 72 h was 54.1%. The AKI rate of EVAR patients was 69.8% while the AKI rate for OAR patients was 30.2%. The preoperative estimated glomerular filtration rate (eGFR) and hemoglobin level were found to jointly predict AKI and explain 32.2% of the variance (Nagelkerke R² = 0.322, <em>p</em> &lt; .05). However, the type of abdominal aortic aneurysms repair and intraoperative cardiac arrhythmias did not correlate with the incidence of AKI in AAA repair patients. The predictive factors for AKI among AAA patients after aortic aneurysm repair were preoperative eGFR &lt; 60 mL/min/1.73 m² (OR = 4.436, 95% CI: 2.202–8.928, <em>p</em> &lt; .001) and preoperative hemoglobin level between 8.1–10.0 g/dL (OR = 4.496, 95% CI: 1.831–11.040, <em>p</em> = .001).</p></div><div><h3>Conclusion</h3><p>Preoperative eGFR &lt; 60 mL/min/1.73 m² and preoperative hemoglobin level between 8.1–10.0 g/dL were the predictive factors for AKI among AAA patients after both open and endovascular AAA repair. Therefore, healthcare providers should be aware of and monitor signs of AKI after surgery in AAA patients, especially those undergoing EVAR with lower eGFR and hemoglobin levels.</p></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"42 2","pages":"Pages 99-104"},"PeriodicalIF":1.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139966001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Competence of healthcare professionals in stroke care pathways: a cross-sectional study","authors":"Piia Kipinä MHSc, RN ,&nbsp;Anne Oikarinen Adjunct Professor, PhD, RN ,&nbsp;Kristina Mikkonen Professor, PhD, RN ,&nbsp;Maria Kääriäinen Professor, PhD, RN ,&nbsp;Anna-Maria Tuomikoski PhD, RN ,&nbsp;Merja Merilainen PhD, RN, Chief Executive Nursing Officer ,&nbsp;Eevi Karsikas MHSc, PhD Student, RN ,&nbsp;Arja Rantala Principal Lecturer, PhD, RN ,&nbsp;Päivi Jounila-Ilola MHSc, RN, Senior Lecturer ,&nbsp;Kirsi Koivunen Principal Lecturer, Team Manager, PhD, RN ,&nbsp;Erika Jarva PhD, PT","doi":"10.1016/j.jvn.2024.02.004","DOIUrl":"10.1016/j.jvn.2024.02.004","url":null,"abstract":"<div><h3>Aims</h3><p>To describe healthcare professionals' self-assessed competence in stroke care pathways based on their self-evaluation and identify the factors associated with competence.</p></div><div><h3>Design</h3><p>A cross-sectional, descriptive explorative study design was used.</p></div><div><h3>Methods</h3><p>The data were collected during May and September 2021 through a survey sent to healthcare professionals (<em>N=</em>1200, <em>n=</em>215) working in neurological care. Competence in stroke care pathways was measured using the RN-STROKE, PT-STROKE and OT-STROKE instruments defined by four-factor model. The instruments’ validity and reliability were confirmed through exploratory factor analysis and Cronbach's alpha. K-means clustering, one-way ANOVA, Chi Square, Mann Whitney U and Kruskal-Wallis were used to analyze the data. The results were reported as frequencies, percentages, mean and standard deviation. The results were reported according to STROBE guidelines.</p></div><div><h3>Results</h3><p>Four main areas of healthcare professionals' competence in stroke care pathways were identified: (1) counseling and interaction competence (2) competence to use evidence-based information, (3) self-management and development competence, and (4) multiprofessional and collaboration competence. The study then identified three competence profiles of healthcare professionals working in the stroke care pathway. Professionals in Profile A evaluated their competence at the highest level, those in Profile B at the average level, and those in Profile C at the lowest level. Healthcare professionals' occupation and participation in their organisation's expert network were found to be associated with competence profiles.</p></div><div><h3>Conclusion</h3><p>The overall competence of healthcare professionals in the stroke care pathway was rated as good, but competence to use evidence-based information in clinical practice, in particular, should be improved. Organisations should, therefore, increase education and training in this area and provide adequate resources to enable the use of evidence-based information in clinical work.</p></div><div><h3>Implications for the profession and/or patient care</h3><p>The study identifies three profiles relating to healthcare professionals’ competence in the stroke care pathway, which can be used to create continuous education and ensure better patient care according to participants’ profiles.</p></div><div><h3>Reporting method</h3><p>The study was reported using the STROBE Statement checklist.</p></div><div><h3>Patient or public contribution</h3><p>No patient or public contribution.</p></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"42 2","pages":"Pages 115-122"},"PeriodicalIF":1.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1062030324000074/pdfft?md5=6945200e7c5bbd8480ee0d78eb76fd6b&pid=1-s2.0-S1062030324000074-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140278922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability and validity of the Turkish version of the Self-care of Hypertension Inventory Version 3.0 in adults with hypertension","authors":"Beyza Nur Durukan ,&nbsp;Yusuf Ziya Sener ,&nbsp;Aysegul Erkoc ,&nbsp;Ebru Calik-Kutukcu ,&nbsp;Alper Tuna Guven","doi":"10.1016/j.jvn.2024.02.006","DOIUrl":"10.1016/j.jvn.2024.02.006","url":null,"abstract":"<div><h3>Background</h3><p>Hypertension is an important cardiovascular disease risk factor. Blood pressure control for hypertensive patients is crucial to prevent hypertension related complications. Ensuring and assessing self-care of hypertensive patients is important for blood pressure control and hypertension management. The Self-care of Hypertension Inventory (SC-HI) is an inventory developed for assessing self-care of hypertensive individuals. SC-HI has three subscales; maintenance, monitoring and management.</p></div><div><h3>Objective</h3><p>The aim of this study was to conduct Turkish version of SC-HI Version 3.0 (SC-HI V3.0) and assessing its psychometric properties for adults with hypertension.</p></div><div><h3>Methods</h3><p>We included 120 hypertensive patients in this methodological study. SC-HI V3.0 translated Turkish and tested for reliability and validity. To analyse structural validity item-total correlations and factor analyses was used. Intraclass correlation coefficient (ICC) method was selected for analysing scale's consistency and convergent validity was conducted.</p></div><div><h3>Results</h3><p>The mean age of participants were 54.74 ± 7.19 years and the mean duration from hypertension diagnosis were 38.19 ± 19.42 months. Translated Turkish version's factor loadings were ranged between 0.419 and 0.841. Cronbach's alpha coefficient values were 0.661, 0.880, 0.805 and ICC values were 1.0, 0.99, 0.99 for maintenance, monitoring and management, respectively. Convergent validity's correlation coefficients weak to very strong and statistically significant.</p></div><div><h3>Conclusions</h3><p>Turkish version of the SC-HI Version 3.0 is reliable, valid and useful scale for assessing self-management in hypertensive adults for clinical practice and research purposes.</p></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"42 2","pages":"Pages 131-137"},"PeriodicalIF":1.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140280965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Information for authors","authors":"","doi":"10.1016/S1062-0303(24)00032-3","DOIUrl":"https://doi.org/10.1016/S1062-0303(24)00032-3","url":null,"abstract":"","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"42 2","pages":"Page A2"},"PeriodicalIF":1.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1062030324000323/pdfft?md5=039d34628e98c225c8986420a192e911&pid=1-s2.0-S1062030324000323-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141243885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrating new approaches to care in a vascular wound clinic","authors":"Jana Pinkova RN, MAd.N ,&nbsp;Susan Monaro RN, BAppSc (Nursing), MN and PhD(C)","doi":"10.1016/j.jvn.2024.01.002","DOIUrl":"10.1016/j.jvn.2024.01.002","url":null,"abstract":"<div><h3>Introduction</h3><p>An evidence-based approach is essential in the treatment of wounds to optimise healing, reduce costs and improve patient outcomes.</p></div><div><h3>Aim</h3><p>This case study aimed to demonstrate our model of care, which assesses and manages patients with venous disease and complex wounds. In this case, venous leg ulcer (VLU) was treated with TLC-NOSF dressing and therapeutic compression. The wound was serially assessed using a smart App that gave the patient a graphic representation of their progress.</p></div><div><h3>Design</h3><p>Descriptive Observational Case Study.</p></div><div><h3>Clinical care</h3><p>An evidence-based approach for managing a chronic, severe VLU. The patient was initially seen at the Outpatient Vascular Wound Clinic twice weekly, then every two weeks for conservative sharp wound debridement, skin care, dressing change, and compression therapy using a compression (Ready) wrap. Wound progress was monitored by the digital application ‘Tissue Analytics’, a “purposedesigned digital wound management platform that records, tracks, and analyses wounds”.</p></div><div><h3>Results</h3><p>Week 1: On initial review, ulcer length was 3.15cm, width was 3.1 cm, and total surface area was 6.31 cm². The wound base was mildly sloughy (&lt;25%), with areas of good granulation tissue on view.</p><p>Week 12: Length was 1.32 cm, width 1.50 cm, and total surface area of 1.45 cm², a 77% reduction in wound size.</p><p>Week 24: The length was 0.48 cm, the width was 0.64 cm, and the total surface area was 0.18 cm². This represented a 97% reduction in wound size.</p><p>Week 36: Length was 0.01 cm, the width 0.06 cm, with a total surface area of 0.00 cm². This represented a 99.99% reduction in wound size.</p></div><div><h3>Conclusion</h3><p>The patient’s treatment for a complex venous leg ulcer included the application of TLC-NOSF dressing in combination with individualised therapeutic compression therapy. We found TLC-NOSF was very effective in combination with the best standard of VLU care (i.e. therapeutic graduated compression therapy). The clinician and patient were impressed with the healing rate at 12 weeks, as the wound dimensions were the lowest since the wound started six years ago. This dramatically improved patient concordance and engagement in care. Despite incomplete healing at 36 weeks, the wound-healing journey over the 36 weeks indicated wound closure was close. In addition, using a wound assessment App, the patient could immediately see the benefits of the new treatment, facilitating patient compliance with the treatment.</p></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"42 2","pages":"Pages 83-88"},"PeriodicalIF":1.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1062030324000025/pdfft?md5=17e67a5a7f3ad9530a45e09dfd3f5fd9&pid=1-s2.0-S1062030324000025-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140468171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}