title: Factors affecting patient adherence to recommended measures for prevention of recurrent venous ulcers.
abstract: OBJECTIVE
  The purpose of the study was to describe patients' adherence to clinical recommendations for preventing recurrent venous leg ulcers (VLUs).
  
  
  METHODS
  A cross-sectional study design was used for data collection.
  
  
  METHODS
  The target population comprised patients discharged from 7 wound clinics with a healed VLU within 1 to 24 months prior to treatment for a recurrent VLU. Six of the wound clinics used for data collection were based in hospital outpatient departments and 1 were community based. Seventy-one patients participated in the study; 59% were male. Participants' mean age was 67 +/- 14 years (mean 6 SD).
  
  
  METHODS
  Participants completed a confidential anonymous questionnaire administered by wound care clinicians at each site. The 27-item questionnaire was developed by the investigators. Items on the questionnaire addressed multiple issues relevant to VLU recurrence, including compliance with compression stockings, leg elevation, and changes in medical condition. Items on the questionnaire also addressed satisfaction with education about prevention of VLU recurrence and subject demographics.
  
  
  RESULTS
  The majority of the patients (73%) reported wearing their stockings every day and elevating their legs (87%) as instructed. Sixteen respondents (25%) reported a weight gain since their last visit to the clinic; 9 reported weight gain varying from 10 to 50 pounds. Most of the patients (90%) were satisfied that they received sufficient information at discharge to care for their legs.
  
  
  CONCLUSIONS
  Seventy-three percent of patients with recurrent VLUs stated that they were adhering to recommendations for regular use of compression stockings in order to prevent recurrence. However, significant weight gain was reported by 25% of respondents. These findings suggest that prevention of weight gain should be examined as a possible intervention to prevent VLU recurrence in future studies.
authors.affiliation: Shannon Wound Care Consultants LLC., Chicora, Pennsylvania, USA. mary.satterthwaite@gmail.com
authors.forename: Mary M
authors.initials: MM
authors.lastname: Shannon
authors.forename: Joyce
authors.initials: J
authors.lastname: Hawk
authors.forename: Latroy
authors.initials: L
authors.lastname: Navaroli
authors.forename: Thomas
authors.initials: T
authors.lastname: Serena
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001458:Bandages; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D010353:Patient Education as Topic; D011187:Posture; D012008:Recurrence; D012307:Risk Factors; D011795:Surveys and Questionnaires; D014647:Varicose Ulcer / Q000517:prevention & control*; D015430:Weight Gain