A randomised controlled trial of a community nursing intervention : improved quality of life and healing for clients with chronic leg ulcers

Edwards, Helen E., Courtney, Mary D., Finlayson, Kathleen J., Shuter, Patricia E., & Lindsay, Ellie (2009) A randomised controlled trial of a community nursing intervention : improved quality of life and healing for clients with chronic leg ulcers. Journal of Clinical Nursing, 18(11), pp. 1541-1549.

View at publisher


Aims and objective.  The negative impact of chronic leg ulcers on quality of life is well documented. The aim of this study was to determine the effectiveness of a new community nursing model of care on quality of life, morale, depression, self-esteem, social support, healing, pain and functional ability of clients with chronic venous leg ulcers.

Background.  Venous leg ulcers are slow to heal, frequently recur and are associated with pain, restricted mobility and decreased quality of life. Although chronic wound care consumes a large proportion of community nursing time and health care resources, there is little evidence available on the effectiveness of differing models of community care for this population.

Design.  Randomised controlled trial.

Methods.  We recruited a sample of 67 participants with venous leg ulcers referred for care to a community nursing organisation in Queensland, Australia after obtaining informed consent. Participants were randomised to either the Lindsay Leg Club® model of care (n = 34), emphasising socialisation and peer support; or the traditional community nursing model (n = 33) consisting of individual home visits by a registered nurse. Participants in both groups were treated by a core team of nurses using identical research protocols based on short-stretch compression bandage treatment. Data were collected at baseline, 12 and 24 weeks from commencement.

Results.  Participants who received care under the Leg Club model demonstrated significantly improved outcomes in quality of life (p = 0·014), morale (p < 0·001), self-esteem (p = 0·006), healing (p = 0·004), pain (p = 0·003) and functional ability (p = 0·044).

Conclusion.  In this sample, the evaluation of the Leg Club model of care shows potential to improve the health and well-being of clients who have chronic leg ulcers.

Relevance to clinical practice.  These results suggest further evaluation and implementation of this model is warranted by community health organisations involved in the care of this population.

Impact and interest:

56 citations in Scopus
42 citations in Web of Science®
Search Google Scholar™

Citation counts are sourced monthly from Scopus and Web of Science® citation databases.

These databases contain citations from different subsets of available publications and different time periods and thus the citation count from each is usually different. Some works are not in either database and no count is displayed. Scopus includes citations from articles published in 1996 onwards, and Web of Science® generally from 1980 onwards.

Citations counts from the Google Scholar™ indexing service can be viewed at the linked Google Scholar™ search.

Full-text downloads:

1,227 since deposited on 08 May 2009
76 in the past twelve months

Full-text downloads displays the total number of times this work’s files (e.g., a PDF) have been downloaded from QUT ePrints as well as the number of downloads in the previous 365 days. The count includes downloads for all files if a work has more than one.

ID Code: 20396
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Keywords: venous leg ulcer, chronic illness, community nursing, wound care
DOI: 10.1111/j.1365-2702.2008.02648.x
ISSN: 0962-1067
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2009 Blackwell
Copyright Statement: The definitive version is available at www3.interscience.wiley.com
Deposited On: 08 May 2009 00:21
Last Modified: 23 Jun 2017 14:10

Export: EndNote | Dublin Core | BibTeX

Repository Staff Only: item control page