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Relationships between preventive activities, psychosocial factors and recurrence of venous leg ulcers : a prospective study

Finlayson, Kathleen J., Edwards, Helen E., & Courtney, Mary D. (2011) Relationships between preventive activities, psychosocial factors and recurrence of venous leg ulcers : a prospective study. Journal Of Advanced Nursing, 67(10), pp. 2180-2190.

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Abstract

Aim

To identify relationships between preventive activities, psychosocial factors and leg ulcer recurrence in patients with chronic venous leg ulcers.

Background

Chronic venous leg ulcers are slow to heal and frequently recur, resulting in years of suffering and intensive use of health care resources.

Methods

A prospective longitudinal study was undertaken with a sample of 80 patients with a venous leg ulcer recruited when their ulcer healed. Data were collected from 2006–2009 from medical records on demographics, medical history and ulcer history; and from self-report questionnaires on physical activity, nutrition, preventive activities and psychosocial measures. Follow-up data were collected via questionnaires every three months for 12 months after healing. Median time to recurrence was calculated using the Kaplan-Meier method. A Cox proportional-hazards regression model was used to adjust for potential confounders and determine effects of preventive strategies and psychosocial factors on recurrence.

Results:

There were 35 recurrences in a sample of 80 participants. Median time to recurrence was 27 weeks. After adjustment for potential confounders, a Cox proportional hazards regression model found that at least an hour/day of leg elevation, six or more days/week in Class 2 (20–25mmHg) or 3 (30–40mmHg) compression hosiery, higher social support scale scores and higher General Self-Efficacy scores remained significantly associated (p<0.05) with a lower risk of recurrence, while male gender and a history of DVT remained significant risk factors for recurrence.

Conclusion

Results indicate that leg elevation, compression hosiery, high levels of self-efficacy and strong social support will help prevent recurrence.

Impact and interest:

14 citations in Scopus
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9 citations in Web of Science®

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ID Code: 41878
Item Type: Journal Article
Additional URLs:
Keywords: venous leg ulcers, recurrence, prevention, chronic disease
DOI: 10.1111/j.1365-2648.2011.05653.x
ISSN: 0309-2402
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Copyright Owner: Copyright 2011 Blackwell Publishing Ltd
Deposited On: 10 Jun 2011 13:55
Last Modified: 06 Nov 2013 16:04

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