Patients with/without leg ulceration who require compression bandages Nutritional, Metabolic, Endocrine
Conditions
Interventions
This is a non-interventional study. The research nurse will visit the participant at the place where they normally have their wound dressed, for example at their home or the ambulatory clinic, to coll
a dry bandage has no wet component. Both systems are currently used, but it is unknown which system works best under which circumstances.
Which leg receives what treatment will be decided using a pro
Sponsors
Newcastle Joint Research Office
Eligibility
Sex/Gender
All
Age
18 Years to 120 Years
Inclusion criteria
Inclusion criteria: 1. Age =18 years of age 2. Patient living in Newcastle upon Tyne, with a Newcastle GP 3. Patients with existing bilateral leg ulceration or legs that require compression bandages to prevent ulcer (re)-occurrence 4. Patients with new bilateral leg ulceration or legs that require compression bandages to prevent ulcer (re)-occurrence
Exclusion criteria
Exclusion criteria: 1. Patients younger than 18 years of age 2. Patients in nursing homes 3. Patients with leg ulcerations that do not necessitate compression bandages. 4. Patients with leg ulcerations that require a specific type of compression bandages (i.e. lymphoedema)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| This study aims to provide explanations of when, for whom, and in what circumstances two different types of compression bandages are selected for the treatment of lower limb ulceration. The premise is that all systems under review in this study work equally well, but it is unclear which system works best in the right patient, at the right time and in the hand of the right clinician. These data will be collected by the Research Nurse using questionnaires during study visits on the first day of the study (Day 1), after one week (Week 1), after four weeks (Week 4) and after eight weeks (Week 8). Theoretical framework A realist evaluation will be undertaken, which contends that intervention impacts (Outcomes) occur when certain causal processes (Mechanisms) are ‘triggered’ in the most favourable environments (Contexts). CMO configurations are used as explanatory theories that are refined and tested with empirical data. A key element in realist synthesis is the formulation of ‘educated guesses’ theories, which are explanatory statements based on the available literature, in addition to the researcher team's clinical expertise and experience. An initial meeting will take place before the beginning of the study with 1 District Nurse, 1 TVN (community); 1 Registered Nurse from the Ambulatory Clinics and the research team to develop these initial statements and they will be refined by the research team into Initial Programme Theories (IPTs). These IPTs will be tested and refined with the data collected below. | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary objectives are to add to the body of knowledge that pertains to leg ulceration care and guide staff to select the right compression bandage for each patient. These data will be collected by the Research Nurse using questionnaires during study visits on the first day of the study (Day 1), after one week (Week 1), after four weeks (Week 4) and after eight weeks (Week 8). | — |
Countries
England, United Kingdom
Contacts
Public ContactFania Pagnamenta
Outcome results
None listed