Kompressionsverbände mit und ohne Unterpolsterung. Eine kontrollierte Beobachtungsstudie zu Kompressionsdruck und Tragekomfort
Standard
Kompressionsverbände mit und ohne Unterpolsterung. Eine kontrollierte Beobachtungsstudie zu Kompressionsdruck und Tragekomfort. / Protz, K; Reich-Schupke, S; Müller, K; Augustin, M; Hagenström, K.
In: HAUTARZT, Vol. 69, No. 8, 08.2018, p. 653-661.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Kompressionsverbände mit und ohne Unterpolsterung. Eine kontrollierte Beobachtungsstudie zu Kompressionsdruck und Tragekomfort
AU - Protz, K
AU - Reich-Schupke, S
AU - Müller, K
AU - Augustin, M
AU - Hagenström, K
PY - 2018/8
Y1 - 2018/8
N2 - BACKGROUND: In the context of compression therapy, padded bandages are designed to prevent skin damage, increase adherence and support the success of therapy. Routine use is discussed, because comparative studies are lacking.OBJECTIVES: This study examines effectiveness, comfort, and impact of short-stretch bandages without padding compared to underpadded bandages.PARTICIPANTS AND METHODS: In all, 61 healthy participants wore padded bandages foam or synthetic cotton wool on one leg and nonpadded bandages on the other. On both sides, a resting pressure of 50 mm Hg was generated. After 60 min resting pressure, skin condition, comfort, pain, and fitting of the bandages were assessed.RESULTS: All bandages showed pressure losses after 1 h; 82.0% of nonpadded bandages had a pressure drop of 9 mm Hg or more. The following were observed in unpadded bandages: constrictions (100.0%), severe redness (77.0%) and bruises (42.6%). Comfort was rated as pleasant by 3.3% without padding, by 83.9% with foam padding, and by 73.3% with synthetic cotton wool padding. Nonpadded compression bandages caused in 62.3% pain from 1-3 (numerical rating scale 0-10).CONCLUSIONS: Padded compression bandages maintain the therapy-relevant pressure better, provide more comfort, and cause less pain and skin problems than nonpadded compression bandages. These aspects are crucial for adherence, and therapeutic success. After 1 h of use on the healthy leg, there were obvious differences. Significantly more side effects may appear after several hours of use on previously damaged skin. Therefore, compression bandages should always be padded.
AB - BACKGROUND: In the context of compression therapy, padded bandages are designed to prevent skin damage, increase adherence and support the success of therapy. Routine use is discussed, because comparative studies are lacking.OBJECTIVES: This study examines effectiveness, comfort, and impact of short-stretch bandages without padding compared to underpadded bandages.PARTICIPANTS AND METHODS: In all, 61 healthy participants wore padded bandages foam or synthetic cotton wool on one leg and nonpadded bandages on the other. On both sides, a resting pressure of 50 mm Hg was generated. After 60 min resting pressure, skin condition, comfort, pain, and fitting of the bandages were assessed.RESULTS: All bandages showed pressure losses after 1 h; 82.0% of nonpadded bandages had a pressure drop of 9 mm Hg or more. The following were observed in unpadded bandages: constrictions (100.0%), severe redness (77.0%) and bruises (42.6%). Comfort was rated as pleasant by 3.3% without padding, by 83.9% with foam padding, and by 73.3% with synthetic cotton wool padding. Nonpadded compression bandages caused in 62.3% pain from 1-3 (numerical rating scale 0-10).CONCLUSIONS: Padded compression bandages maintain the therapy-relevant pressure better, provide more comfort, and cause less pain and skin problems than nonpadded compression bandages. These aspects are crucial for adherence, and therapeutic success. After 1 h of use on the healthy leg, there were obvious differences. Significantly more side effects may appear after several hours of use on previously damaged skin. Therefore, compression bandages should always be padded.
KW - English Abstract
KW - Journal Article
U2 - 10.1007/s00105-018-4167-9
DO - 10.1007/s00105-018-4167-9
M3 - SCORING: Zeitschriftenaufsatz
C2 - 29696354
VL - 69
SP - 653
EP - 661
JO - HAUTARZT
JF - HAUTARZT
SN - 0017-8470
IS - 8
ER -