| Title |
Factors affecting patients’ self-management in chronic venous disorders: a single-center study
|
|---|---|
| Published in |
Patient preference and adherence, August 2016
|
| DOI | 10.2147/ppa.s110773 |
| Pubmed ID | |
| Authors |
Kamil Barański, Jerzy Chudek |
| Abstract |
The conservative treatment of chronic venous disorders (CVDs) includes pharmacotherapy, compression therapy, physiotherapy, and changes in lifestyle. These methods are available without prescription and not reimbursed by Polish National Health Service. Adherence to therapy is affected by poorly characterized patient-related factors. The aim of the study was to perform an assessment of factors that affect the usage and resignation from conservative methods in CVD self-management. A structured interview concerning self-management was carried out with 407 consecutive CVD patients of mean age 64.4 years (range: 23-87 years). All the patients had recently undergone Doppler examination and were classified in accordance with Clinical, Etiology, Anatomy, and Pathophysiology (CEAP) classification. Pharmacotherapy was the most frequently (85.0% of respondents) used method in CVD self-management. Obese (odds ratio [OR] =1.75 [95% confidence interval {CI} 0.99-3.05]) and subjects with longer duration of the disease (OR =1.74 [95% CI 1.16-2.62]) were more likely to use venoactive drugs, while females used ointments commonly containing heparin (OR =1.82 [95% CI 1.08-3.03]). Compression therapy was perceived by respondents as the most difficult method in self-management (OR =2.50 [95% CI 1.61-3.88]) and was also recognized as the most effective method of treatment (OR =13.9 [95% CI 7.35-26.4]). Longer duration of CVD (≥15 years) increased (OR =1.78 [95% CI 1.16-2.71]) while obesity decreased (OR =0.38 [95% CI 0.20-0.72]) the utilization of compression therapy. Females were more likely to adhere to lifestyle changes than males (OR =1.68 [95% CI 0.97-2.90]). Physiotherapy was rarely used by the patients. Obesity and longer duration of CVDs increase the use of venoactive drugs. Subjects with longer duration of the disease and without obesity are more likely to utilize compression therapy, the method considered to be the most effective but difficult in CVD self-management. Females are more prone to lifestyle changes and the use of heparin-containing ointments. There is an unmet need for health promotion regarding available CVD treatment methods and proper weight control measures to support CVD self-management. |
X Demographics
The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Practitioners (doctors, other healthcare professionals) | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 52 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 52 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Ph. D. Student | 9 | 17% |
| Student > Bachelor | 9 | 17% |
| Student > Master | 7 | 13% |
| Researcher | 4 | 8% |
| Student > Doctoral Student | 2 | 4% |
| Other | 7 | 13% |
| Unknown | 14 | 27% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 14 | 27% |
| Nursing and Health Professions | 8 | 15% |
| Social Sciences | 4 | 8% |
| Pharmacology, Toxicology and Pharmaceutical Science | 2 | 4% |
| Agricultural and Biological Sciences | 1 | 2% |
| Other | 7 | 13% |
| Unknown | 16 | 31% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 24 August 2016.
All research outputs
#18,467,727
of 22,883,326 outputs
Outputs from Patient preference and adherence
#1,300
of 1,606 outputs
Outputs of similar age
#283,275
of 366,373 outputs
Outputs of similar age from Patient preference and adherence
#72
of 79 outputs
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