Healthcare interventions to aid patient self-management of lower limb wounds: A systematic scoping review
Author(s)
Saghdaoui, Layla Bolton
Lampridou, Smaragda
Racaru, Simona
Davies, Alun Huw
Wells, Mary
Type
Journal Article
Abstract
Chronic lower limb wounds can be described as having the inability to progress through stages of wound healing. Although 80% of lower limb wounds develop as a result of venous insufficiency, other causes include arterial disease and diabetes. In addition to the sustained impact on quality of life, the chronicity of lower limb wounds presents a significant financial burden to healthcare systems. Self-management is a fundamental aspect of the long-term management of chronic illness and its relevance has intensified since the start of the global pandemic. The objective of this systematic scoping review was to define what the self-management of a lower limb wound entails and explore the interventions available to support patients to self-manage. A total of seven articles were evaluated. There was limited consensus regarding the definition and components of self-management in this area. Interventions involved patients participating in additional exercise, wound care, and lifestyle behaviours such as limb elevation and skin care. Only two studies applied theory and only one evaluated participant acceptability of interventions, making it difficult to assess the feasibility of implementation. Although the evidence reviewed provides some insight into the self-management of a lower limb wound, theoretically-guided research is needed in this area.
Date Issued
2023-04
Date Acceptance
2022-09-15
Citation
International Wound Journal, 2023, 20 (4), pp.1304-1315
ISSN
1742-4801
Publisher
Wiley Open Access
Start Page
1304
End Page
1315
Journal / Book Title
International Wound Journal
Volume
20
Issue
4
Copyright Statement
© 2022 The Authors. International Wound Journal published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd.
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
License URL
Identifier
https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000870823800001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Subjects
ADULTS
chronic wound
DEFINITION
Dermatology
EDUCATION
health behaviours
LEG ULCER PATIENTS
Life Sciences & Biomedicine
lower limb
OUTCOMES
PHYSICAL-ACTIVITY
PROGRAM
QUALITY-OF-LIFE
Science & Technology
self-care
self-management
Surgery
Publication Status
Published
Date Publish Online
2022-10-21