Effect of educational interventions on wound healing in patients with venous leg ulceration: A systematic review and meta‐analysis
Educational interventions for patients with venous leg ulceration (VLU) may promote adherence and self‐management, however, their effect on wound healing is unclear. A systematic literature search was performed and randomised controlled trials with a focus on educational interventions were included....
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| Veröffentlicht in: | International wound journal 2023-05, Vol.20 (5), p.1784-1795 |
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| creator | Bossert, Jasmin Vey, Johannes A. Piskorski, Lars Fleischhauer, Thomas Awounvo, Sinclair Szecsenyi, Joachim Senft, Jonas |
| description | Educational interventions for patients with venous leg ulceration (VLU) may promote adherence and self‐management, however, their effect on wound healing is unclear. A systematic literature search was performed and randomised controlled trials with a focus on educational interventions were included. Wound healing was analysed by assessing wound healing rate, ulcer size, and the PUSH Score. Additional outcomes comprised pain, quality of life, and functional ability. The study protocol for this work is registered at PROSPERO 2020 (ID: CRD42021286152). Nine studies were included in this meta‐analysis. The odds ratio for wound healing was 1.91 (95% CI, 0.99–3.67, P = .053) in favour of educational interventions compared to usual care. Ulcer size reduction was higher (MD: ‐7.22; 95% CI, −11.91 to −2.53, P = .003) in patients following educational interventions. Included studies also showed significant effects on pain, quality of life, and functional analysis, though no quantitative synthesis was feasible. The overall risk of bias showed some concerns. Educational interventions aim to actively involve patients in their treatment, thereby appearing to be able to have a positive impact on wound healing within 12 weeks. Consequently, integrating educational approaches to routine wound care may be a promising strategy to improve treatment of VLU. |
| doi_str_mv | 10.1111/iwj.14021 |
| format | Article |
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A systematic literature search was performed and randomised controlled trials with a focus on educational interventions were included. Wound healing was analysed by assessing wound healing rate, ulcer size, and the PUSH Score. Additional outcomes comprised pain, quality of life, and functional ability. The study protocol for this work is registered at PROSPERO 2020 (ID: CRD42021286152). Nine studies were included in this meta‐analysis. The odds ratio for wound healing was 1.91 (95% CI, 0.99–3.67, P = .053) in favour of educational interventions compared to usual care. Ulcer size reduction was higher (MD: ‐7.22; 95% CI, −11.91 to −2.53, P = .003) in patients following educational interventions. Included studies also showed significant effects on pain, quality of life, and functional analysis, though no quantitative synthesis was feasible. The overall risk of bias showed some concerns. Educational interventions aim to actively involve patients in their treatment, thereby appearing to be able to have a positive impact on wound healing within 12 weeks. Consequently, integrating educational approaches to routine wound care may be a promising strategy to improve treatment of VLU.</description><identifier>ISSN: 1742-4801</identifier><identifier>ISSN: 1742-481X</identifier><identifier>EISSN: 1742-481X</identifier><identifier>DOI: 10.1111/iwj.14021</identifier><identifier>PMID: 36408782</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>chronic wound ; Compression therapy ; Data collection ; educational interventions ; Humans ; Intervention ; Leg ; Leg ulcers ; Meta-analysis ; Pain ; Patients ; primary care ; Quality of Life ; Review ; Statistical methods ; Systematic review ; Ulcer ; Varicose Ulcer - therapy ; venous leg ulcer ; Wound Healing</subject><ispartof>International wound journal, 2023-05, Vol.20 (5), p.1784-1795</ispartof><rights>2022 The Authors. published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd.</rights><rights>2022 The Authors. International Wound Journal published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd.</rights><rights>2023. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the "License"). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4441-ef33719f9a068657e8c8401bc78994d45b44bb59ff3f61cf8d496acccfe07d953</citedby><cites>FETCH-LOGICAL-c4441-ef33719f9a068657e8c8401bc78994d45b44bb59ff3f61cf8d496acccfe07d953</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10088831/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10088831/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,1417,11562,27924,27925,45574,45575,46052,46476,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36408782$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bossert, Jasmin</creatorcontrib><creatorcontrib>Vey, Johannes A.</creatorcontrib><creatorcontrib>Piskorski, Lars</creatorcontrib><creatorcontrib>Fleischhauer, Thomas</creatorcontrib><creatorcontrib>Awounvo, Sinclair</creatorcontrib><creatorcontrib>Szecsenyi, Joachim</creatorcontrib><creatorcontrib>Senft, Jonas</creatorcontrib><title>Effect of educational interventions on wound healing in patients with venous leg ulceration: A systematic review and meta‐analysis</title><title>International wound journal</title><addtitle>Int Wound J</addtitle><description>Educational interventions for patients with venous leg ulceration (VLU) may promote adherence and self‐management, however, their effect on wound healing is unclear. A systematic literature search was performed and randomised controlled trials with a focus on educational interventions were included. Wound healing was analysed by assessing wound healing rate, ulcer size, and the PUSH Score. Additional outcomes comprised pain, quality of life, and functional ability. The study protocol for this work is registered at PROSPERO 2020 (ID: CRD42021286152). Nine studies were included in this meta‐analysis. The odds ratio for wound healing was 1.91 (95% CI, 0.99–3.67, P = .053) in favour of educational interventions compared to usual care. Ulcer size reduction was higher (MD: ‐7.22; 95% CI, −11.91 to −2.53, P = .003) in patients following educational interventions. Included studies also showed significant effects on pain, quality of life, and functional analysis, though no quantitative synthesis was feasible. The overall risk of bias showed some concerns. Educational interventions aim to actively involve patients in their treatment, thereby appearing to be able to have a positive impact on wound healing within 12 weeks. Consequently, integrating educational approaches to routine wound care may be a promising strategy to improve treatment of VLU.</description><subject>chronic wound</subject><subject>Compression therapy</subject><subject>Data collection</subject><subject>educational interventions</subject><subject>Humans</subject><subject>Intervention</subject><subject>Leg</subject><subject>Leg ulcers</subject><subject>Meta-analysis</subject><subject>Pain</subject><subject>Patients</subject><subject>primary care</subject><subject>Quality of Life</subject><subject>Review</subject><subject>Statistical methods</subject><subject>Systematic review</subject><subject>Ulcer</subject><subject>Varicose Ulcer - therapy</subject><subject>venous leg ulcer</subject><subject>Wound Healing</subject><issn>1742-4801</issn><issn>1742-481X</issn><issn>1742-481X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kUFvFCEUx0mjaWvtoV-gIfGih21hYGagF9M0VWuaeNHojTDMY5cNM6wws5O9efAD-Bn9JNJuu9EmcoGX98uPB3-ETig5o3mdu2l5Rjkp6B46pDUvZlzQb892Z0IP0IuUloQUsizrfXTAKk5ELYpD9PPaWjADDhZDOxo9uNBrj10_QFxDf1cmHHo8hbFv8QK0d_08t_Eqo7mf8OSGBc5oGBP2MMejNxDvPRf4EqdNGqDLpcER1g4mrLOng0H__vFL56s2yaWX6LnVPsHxw36Evry7_nz1YXb76f3N1eXtzHDO6QwsYzWVVmpSiaqsQRjBCW1MLaTkLS8bzpumlNYyW1FjRctlpY0xFkjdypIdobdb72psOmhNnj9qr1bRdTpuVNBO_dvp3ULNw1pRQoQQjGbD6wdDDN9HSIPqXDLgve4hf4Aqaia4ZKIgGX31BF2GMeYXJ8WIJBURhIlMvdlSJoaUItjdNJSou3BVDlfdh5vZ07_H35GPaWbgfAtMzsPm_yZ18_XjVvkHY6yypA</recordid><startdate>202305</startdate><enddate>202305</enddate><creator>Bossert, Jasmin</creator><creator>Vey, Johannes A.</creator><creator>Piskorski, Lars</creator><creator>Fleischhauer, Thomas</creator><creator>Awounvo, Sinclair</creator><creator>Szecsenyi, Joachim</creator><creator>Senft, Jonas</creator><general>Blackwell Publishing Ltd</general><general>John Wiley & Sons, Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>202305</creationdate><title>Effect of educational interventions on wound healing in patients with venous leg ulceration: A systematic review and meta‐analysis</title><author>Bossert, Jasmin ; 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| subjects | chronic wound Compression therapy Data collection educational interventions Humans Intervention Leg Leg ulcers Meta-analysis Pain Patients primary care Quality of Life Review Statistical methods Systematic review Ulcer Varicose Ulcer - therapy venous leg ulcer Wound Healing |
| title | Effect of educational interventions on wound healing in patients with venous leg ulceration: A systematic review and meta‐analysis |
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