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Developing skills in leg ulcer nursing: the lessons learned
1Clinical Development Centre, Gorse Hill Hospital, Leicestershire and Rutland Healthcare NHS Trust, UK.
Journal of Wound Care
|April 6, 2002
Summary
Compression bandaging significantly reduces costs and nurse time for venous leg ulcer treatment. This evidence-based approach promotes faster healing and offers benefits for non-healers.
Area of Science:
- Vascular Medicine
- Wound Care Management
- Health Economics
Background:
- Inappropriate leg ulcer management incurs high treatment costs and exhibits practice variations.
- A five-year training program in Leicestershire and Rutland NHS Trust promotes evidence-based leg ulcer management.
- Community nurse training aims to standardize and improve leg ulcer care protocols.
Purpose of the Study:
- To prospectively audit and compare the effectiveness of two compression bandage systems: Charing Cross and Robinson's Ultra Four kit.
- To assess healing times and cost-effectiveness of different compression bandaging regimens.
- To evaluate the impact of compression therapy on venous leg ulcer treatment outcomes.
Main Methods:
- Prospective audit comparing Charing Cross (August 1996-September 1997) and Ultra Four kit (October 1997-December 1998).
- Utilized the Leicestershire leg ulcer assessment form and an audit tool for data collection.
- Patients received 12-week supplies of compression bandages, with follow-up until healing or withdrawal.
Main Results:
- Patients using the Ultra Four kit demonstrated faster healing times, though not statistically significant.
- Significant cost reductions were observed in dressing costs (p < 0.001) compared to previous regimens.
- A significant reduction in required nurse time (p < 0.001) was documented with compression bandaging.
Conclusions:
- Compression bandaging therapy is an effective treatment for venous leg ulcer healing.
- Significant cost savings and reduced nurse time are key benefits of compression bandaging.
- Continued compression therapy may offer benefits for patients with non-healing leg ulcers.
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