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  • Characteristics of people receiving wound care at home versus in a clinic

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    Embargoed until: 2022-12-11
    Author(s)
    Ogrin, R
    Parker, CN
    Finlayson, KJ
    Anderson, J
    Edwards, HE
    Griffith University Author(s)
    Ogrin, Rajna
    Year published
    2020
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    Abstract
    Objective: Chronic venous leg ulcers are a common health problem, particularly in older people. Addressing an evidence gap, this article compares the characteristics and healing outcomes of people with venous leg ulcers receiving care in specialist wound clinics with those receiving wound care at home by community home nurses. Methods: A secondary analysis of data was conducted from participants enrolled in a prospective study to develop and validate a risk assessment tool for delayed healing of venous leg ulcers. Descriptive statistics and associations between variables of interest were examined. Categorical variables were ...
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    Objective: Chronic venous leg ulcers are a common health problem, particularly in older people. Addressing an evidence gap, this article compares the characteristics and healing outcomes of people with venous leg ulcers receiving care in specialist wound clinics with those receiving wound care at home by community home nurses. Methods: A secondary analysis of data was conducted from participants enrolled in a prospective study to develop and validate a risk assessment tool for delayed healing of venous leg ulcers. Descriptive statistics and associations between variables of interest were examined. Categorical variables were analysed using Chi-square and Fisher's exact tests, continuous variables were analysed using t-tests and Mann–Whitney U tests. Significance was set at P < 0.05. Results: Participants from community home nursing (n= 98, mean age 78.25 ± 10.93) had more risk factors that reduced likelihood of healing their wounds within 24 weeks compared to participants attending wound clinics (n = 98, mean age 64.31 ± 15.15). Despite this, the two participant groups healed a similar proportion of wounds (71% clinic versus 66% home nursing) within 24 weeks. Conclusion: Structured, evidence-based care provided in the home by well-trained nurses can achieve venous leg ulcer healing in complex people at rates comparable to specialist clinics.
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    Journal Title
    Collegian
    DOI
    https://doi.org/10.1016/j.colegn.2020.11.006
    Copyright Statement
    © 2020 Australian College of Nursing Ltd. Published by Elsevier Ltd. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
    Note
    This publication has been entered as an advanced online version in Griffith Research Online.
    Subject
    Nursing
    Publication URI
    http://hdl.handle.net/10072/400647
    Collection
    • Journal articles

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