Clinical Results of Compression Therapy at Home for Patients with Venous Ulcer

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  • 在宅医療での静脈うっ滞性潰瘍に対する圧迫療法の臨床成績
  • ザイタク イリョウ デ ノ ジョウミャクウッタイセイ カイヨウ ニ タイスル アッパク リョウホウ ノ リンショウ セイセキ

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<p>　Compression therapy is an important treatment for venous ulcers. For successful treatment, maintaining proper pressure and adherence to the therapy are important. In our home care clinic, treatments, such as compression therapy using an elastic bandage, ointment treatment, and debridement, are performed at home for patients with venous ulcer. Compression therapy at home is considered to be beneficial in terms of patient adherence; however, the clinical outcomes and safety remain to be elucidated. We investigated the clinical outcomes of compression therapy at home for patients with venous ulcer. Patient background, clinical condition, and type of treatment were analyzed in 64 legs of 51 patients treated between May 2019 and December 2021 at four TOWN Home Care Clinics. We found that adherence to compression therapy was 96%, and the ulcer healing rate was 71%. Our findings suggest that compression therapy for venous ulcer in the home care setting is beneficial, but complications must be carefully monitored. It is possible to achieve high adherence by providing patient education and treatments tailored to patient’s lifestyle in cooperation with family members and medical professionals.</p>

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