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Updated: Aug 8, 2025

Fabrication of Compressed Hosiery and Measurement of its Pressure Characteristic Exerted on the Lower Limbs
Published on: May 27, 2020
Hospital clinicians' perspectives of using compression therapy on venous leg ulcers: a systematic qualitative review
Yaping Lian1, Linda Birt2, David Wright3
1Tissue Viability Nurse Specialist, Tissue Viability Team, Cambridge University Hospitals NHS Foundation Trust, Cambridge, Cambridge.
Abstract:
Venous leg ulcer treatment is frequently discontinued in hospitals in contravention of national guidance, significantly affecting patient outcomes and increasing NHS costs.
Aim:
To identify, from the published literature, reasons for variable implementation.
Method:
Systematic review with narrative synthesis, including full papers in English with empirical qualitative data. Synonyms for venous leg ulcer, compression therapy and secondary care were searched across a range of health-related databases. The Critical Appraisal Skills Programme (CASP) checklist determined study quality, and meta-ethnography was used for data synthesis.
Results:
7040 titles and abstracts and 41 full-text papers were screened with four papers selected. Three key themes were generated: educational needs surrounding implementation of compression therapy, patient factors regarding adherence and organisational resources including availability of appropriate equipment and trained staff.
Conclusion:
Barriers at the ward level were identified. There is a need to better understand why hospitals are not addressing them.
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