Factors that affect concordance with compression therapy.
نویسنده
چکیده
C.J. Moffatt, PhD, MA, RN, Professor of Nursing, Thames Valley University; Director, Centre for Research and Implementation of Clinical Practice; Nurse Consultant, Leg Ulcer Service, St George’s Hospital, London, UK. Email: christine.moffatt@ tvu.ac.uk Practitioners frequently report that patients with leg ulcers have difficulty adhering to treatment, although the extent of this remains unknown. Concordance with therapy is a complex subject and extends beyond the traditional definition of compliance, described by Haynes as: ‘The extent to which a person’s behaviour (in terms of taking medications, following diets or executing lifestyle changes) coincides with medical or health advice.’ Research has failed to identify any common demographic or patient characteristics associated with poor concordance with therapy. This is not helped when professionals are frequently judgmental about patients who do not adhere to treatment. Fineman stated: ‘It is reasonable to suggest that non-compliance is not the neat, objective diagnostic label that biomedicine claims, rather it is better understood as a complex, subjective, provider created category of unacceptable behaviour.’ Many factors affect concordance with treatment. This paper focuses on how the practitioner can provide effective care for patients with leg ulceration and discusses how the choice and application of compression therapy can influence concordance.
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ورودعنوان ژورنال:
- Journal of wound care
دوره 13 7 شماره
صفحات -
تاریخ انتشار 2004