Ulcer Essay

583 WordsFeb 6, 20123 Pages
Processes underlying adherence to leg ulcer treatment: A qualitative field study Ann Van Hecke *, Sofie Verhaeghe 1, Maria Grypdonck 2, Hilde Beele 3, Tom Defloor 2 Faculty of Medicine and Health Sciences, Department of Public Health - Nursing Science, Ghent University, U.Z. Blok A 28v, De Pintelaan 185, B-9000 Gent, Belgium International Journal of Nursing Studies 48 (2011) 145–155 A R T I C L E I N F O Article history: Received 4 February 2010 Received in revised form 25 June 2010 Accepted 1 July 2010 Keywords: Adherence Patient compliance Home care Leg ulcer Nursing intervention Qualitative research A B S T R A C T Background: Non-adherence to leg ulcer regimen is a major problem. Reasons for nonadherent behaviour are not fully understood. Literature about processes underlying adherence in leg ulcer patients is scarce. Objectives: To explore the processes underlying adherent behaviour in patients with leg ulcers who received an intervention to enhance adherence to leg ulcer lifestyle advice. Design: A qualitative field study was conducted among patients receiving an adherencepromoting intervention. Settings: The study was carried out in a home care setting in Belgium. Participants: Twenty-six patients with venous leg ulcers were included and received the intervention from five tissue viability nurses in a community healthcare organisation. Methods: Semi-structured interviews with open-ended questions were held with patients and nurses after the end of the intervention. Data were also collected by means of participant observation. Data collection and data analysis took place iteratively and analysis was validated by means of researcher triangulation. Results: Trust in the nurse was central to leg ulcer treatment adherence. Patients who had a trusting relationship with their nurse showed better adherence to the recommended

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