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Healthcare interventions to aid patient self-management of lower limb wounds: A systematic scoping review

Title: Healthcare interventions to aid patient self-management of lower limb wounds: A systematic scoping review
Authors: Saghdaoui, LB
Lampridou, S
Racaru, S
Davies, AH
Wells, M
Item 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.
Issue Date: Apr-2023
Date of Acceptance: 15-Sep-2022
URI: http://hdl.handle.net/10044/1/100884
DOI: 10.1111/iwj.13969
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.
Publication Status: Published
Online Publication Date: 2022-10-21
Appears in Collections:Department of Surgery and Cancer
Faculty of Medicine

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