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Assessing the Impact of a Training Intervention on Venous Compression Bandaging Application: A Factorial Design
Anne Danjou1,2, Magali Bouisse3, Géraldine Dumas4
1Grenoble Alpes Data Institute, TIMC, UMR 5525 CNRS, Univ. Grenoble Alpes, Grenoble, France.
International Wound Journal
|March 17, 2026
Summary
A brief training intervention did not significantly improve compression bandaging skills for venous leg ulcers (VLU). Skills were not sustained long-term, indicating a need for ongoing practice and clinical integration for effective compression therapy.
Area of Science:
- Vascular Medicine
- Nursing Education
- Wound Care
Background:
- Venous leg ulcers (VLUs) are a common complication of chronic venous disease.
- Compression therapy is the established gold-standard treatment for VLUs.
- Ensuring high-quality compression bandaging is crucial for effective treatment.
Purpose of the Study:
- To evaluate the effectiveness and sustainability of a one-hour training intervention on compression bandaging quality.
- To compare two different compression bandage systems (A and B).
- To assess the impact on advanced practice nursing students (APNS).
Main Methods:
- A 2x2 factorial randomized open-label trial involving 50 APNS in France.
- Assessed a one-hour training intervention versus no intervention.
- Used a mannequin leg for bandaging with two system types (A or B).
- Measured the Control Score of compression bandaging (CCB score), installation conformity, and application time.
Main Results:
- The training intervention did not significantly improve the overall CCB score.
- A significant interaction was observed for installation conformity, with System B showing a tendency to improve and System A to decrease.
- Skill improvements at one month were not sustained at three months.
- Application time decreased over follow-up, and System B was applied more efficiently.
Conclusions:
- A brief, behaviorist-based training intervention is insufficient for achieving lasting improvements in compression bandaging proficiency.
- Repeated practice, feedback, and integration into clinical settings are necessary for skill enhancement.
- Further research should focus on optimizing training strategies for effective compression therapy delivery.
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