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Non-adherence with compression garment wear in adult burns patients: A systematic review and meta-ethnography.
- Source :
-
Burns (03054179) . Mar2020, Vol. 46 Issue 2, p472-482. 11p. - Publication Year :
- 2020
-
Abstract
- <bold>Objective: </bold>Up to 40% of adult burn-injured patients are non-adherent with prescribed compression garment wear. The aim of this paper is to systematically review the literature to understand barriers to adherence with compression garment wear.<bold>Method: </bold>Papers were included if they: investigated adults who required compression garment wear for the management of burns scars; focussed on reasons for non-adherence to compression garment wear; and were available in English. The process of meta-ethnography was then followed to synthesise the findings.<bold>Results: </bold>The factors impacting adherence to compression garment wear were grouped into six themes: sensory factors, psychological state, the impact of the garment on the patient's function, the availability of social support, the degree of choice, and the education provided to patients by their therapists. A model of compression garment adherence was developed detailing how these factors fit within the continuum of treatment for a burn-injured patient.<bold>Conclusions: </bold>Adherence to compression garment wear post-burn injury is a complex, dynamic phenomenon impacted by a range of factors. Findings from this review may inform approaches to support more consistent and/or extended garment wear, potentially improving scar outcomes and quality-of-life. Further research is recommended to investigate how each of the six identified themes impact adherence. [ABSTRACT FROM AUTHOR]
- Subjects :
- *META-analysis
*BURN patients
*CLOTHING & dress
*SOCIAL support
*PATIENT education
*COMPRESSION garments
*TREATMENT for burns & scalds
*ANXIETY
*BODY temperature
*PAIN
*SELF-perception
*SYSTEMATIC reviews
*ACTIVITIES of daily living
*HYPERTROPHIC scars
*OCCUPATIONAL therapy
*DECISION making
*PATIENT compliance
*ETHNOLOGY
*SURGICAL dressings
*BODY image
Subjects
Details
- Language :
- English
- ISSN :
- 03054179
- Volume :
- 46
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Burns (03054179)
- Publication Type :
- Academic Journal
- Accession number :
- 142274630
- Full Text :
- https://doi.org/10.1016/j.burns.2019.08.011