The purpose of this review is to determine the reasons for patient non-concordance with compression bandaging and subject these reasons to thematic analysis. However, the degree of concordance with compression bandaging therapy is reported to be frequently at sub-optimal levels 4,5. The adoption and tolerance of recommended levels of compression by patients has been described as compliance, adherence or concordance with treatment 11. IntroductionĬompression bandaging remains the gold standard treatment for venous leg ulceration 1,6-8 however, not all patients find it an achievable, acceptable therapy 9,10. The development of a risk screening tool for non-concordance will permit targeted intervention to address barriers to concordance before the patient has a poor experience of compression therapy. Consequently patients experience protracted ulceration. However, the degree of concordance with compression bandaging therapy remains at sub-optimal levels 4,5. These themes were used to develop a screening tool to identify patients who exhibit barriers to concordance with compression bandaging.ĭiscussion Compression bandaging is the recommended treatment for venous leg ulceration 1-3. These were termed knowledge deficit resource deficit psychosocial issues pain/discomfort physical limitations and wound management. These were then subjected to thematic analysis. The full texts were read and the reasons for non-concordance tabulated. Forty-one articles were identified which met inclusion criteria. Articles were included if they discussed reasons for non-concordance with compression bandaging. Method A literature search was undertaken using the terms ‘concordance’, ‘compression bandaging’ and ‘venous leg ulcer’. Aims To elucidate reasons for non-concordance with compression bandaging, subject the identified reasons to thematic analysis and use the resultant themes as the basis for the development of a screening tool to identify those patients at risk of non-concordance with compression bandaging.
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