Úvod: Kompresivní terapie je jednou ze základních a klíčových modalit v terapii chronického žilního onemocnění. Naproti tomu je známo, že adherence ke kompresivní terapii není z různých důvodů u pacientů vysoká. Cílem práce bylo zjistit, zda je možné typem komprese dolních končetin ovlivnit adherenci k této léčbě. Metodika: Bylo sledováno 62 pacientů, kteří absolvovali kompresivní terapii jak elastickými obinadly, tak elastickými punčochami. Dále jsme sledovali vztah mezi nošením komprese, BMI a pohlavím. Bylo zkoumáno, který typ komprese je preferenční a jaká je adherence pacientů k dané terapii. Dále bylo zkoumáno, jestli je nějaký vztah k BMI pacientů. Výsledky: Bylo zjištěno, že více preferované byly punčochy, preferovalo je 52 (84 %) pacientů, z toho 32 pacientů (62 %) je nosilo trvale a 20 (38 %) více než ½ týdne. Mezi pacienty, kteří preferovali obinadlo, 4 pacienti (40 %) je nosili trvale a 6 (60 %) více než ½ týdne. Byla prokázána závislost preference typu komprese na BMI. Obézní pacienti více preferovali obinadla, volilo je 6 (75 %) obézních pacientů. Na pohlaví nebyla závislost prokázána. Závěr: Většina pacientů preferovala kompresi elastickými punčochami. Pouze obézní pacienti dávali přednost elastickým obinadlům. Vztah k typu komprese nebyl závislý na pohlaví. Zhruba jen polovina pacientů aplikovala kompresivní terapii dle doporučení lékaře a frekvence nošení elastických punčoch je výrazně vyšší než frekvence nošení elastických obinadel.
Compressive therapy is one of the basic and key modalities in chronic venous disorder therapy. On the contrary, it is known thatadherence to compressive therapy is not, due to variable reasons, high. The aim of this work was to find out if the type of lowerlimb compression can influence the adherence to this treatment.Methodic: 62 patients who finished compressive therapy (with the use either of elastic bandage or elastic stockings) were observed.We searched for the relationship between compression wear, BMI and gender. It was searched for the preferential typeof compression and the level of patient adherence to given therapy. The relation of BMI was further examined. Results: It was found out that stockings were preferred in 52 patients (84%) – from this group 32 (62%) patients wore stockingspermanently and 20 patients (38%) wore them more than a half week. In the group of patients who preferred elastic bandage,4 patients (40%) wore them permanently and 6 (60%) wore them more than a half week. The relationship between the type ofcompression and BMI was proved. Obese patients more preferred elastic bandage – it was chosen in 6 (75%) obese patients. Thegender was not proved to be dependent factor. Conclusion: Most of the patients preferred elastic stockings compression therapy. Only obese patients prefer compression therapywith the use of elastic bandage. The gender was not proved to be dependent factor for the choice of a given type of elasticcompression. Approximately only half of patients applied compressive therapy according to physician recommendation and thefrequency of elastic stockings wear is distinctly higher than the frequency of elastic bandage wear.
- MeSH
- Treatment Adherence and Compliance psychology MeSH
- Chronic Disease MeSH
- Body Mass Index MeSH
- Stockings, Compression classification trends utilization MeSH
- Compression Bandages * classification trends utilization MeSH
- Humans MeSH
- Peripheral Arterial Disease etiology classification prevention & control MeSH
- Peripheral Vascular Diseases etiology classification prevention & control MeSH
- Observational Studies as Topic methods statistics & numerical data utilization MeSH
- Sex Distribution MeSH
- Statistics as Topic MeSH
- Outcome and Process Assessment, Health Care methods trends utilization MeSH
- Venous Insufficiency * diagnosis etiology complications MeSH
- Check Tag
- Humans MeSH
- MeSH
- Varicose Ulcer * drug therapy nursing MeSH
- Diosmin pharmacology therapeutic use MeSH
- Emollients therapeutic use MeSH
- Drug Combinations MeSH
- Hesperidin pharmacology therapeutic use MeSH
- Stockings, Compression utilization MeSH
- Culture Techniques utilization MeSH
- Humans MeSH
- Bandages utilization MeSH
- Ofloxacin pharmacology therapeutic use MeSH
- Aged MeSH
- Silver therapeutic use MeSH
- Treatment Outcome MeSH
- Check Tag
- Humans MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
- Keywords
- flebektomie,
- MeSH
- Lower Extremity MeSH
- Endovascular Procedures MeSH
- Stockings, Compression utilization MeSH
- Laser Coagulation methods instrumentation MeSH
- Minimally Invasive Surgical Procedures MeSH
- Postoperative Care MeSH
- Preoperative Care MeSH
- Varicose Veins etiology surgery nursing therapy MeSH
- Vascular Surgical Procedures MeSH
- MeSH
- Lower Extremity surgery blood supply MeSH
- Endovascular Procedures methods MeSH
- Catheter Ablation methods MeSH
- Stockings, Compression utilization MeSH
- Laser Therapy methods MeSH
- Humans MeSH
- Minimally Invasive Surgical Procedures MeSH
- Postoperative Care methods MeSH
- Preoperative Care methods MeSH
- Sclerotherapy methods MeSH
- Varicose Veins * etiology surgery therapy MeSH
- Check Tag
- Humans MeSH
- MeSH
- Medical History Taking MeSH
- Arteriosclerosis drug therapy MeSH
- Osteoarthritis, Hip MeSH
- Calcium Channel Blockers therapeutic use MeSH
- Diabetes Mellitus, Type 2 drug therapy MeSH
- Adult MeSH
- Drug Combinations * MeSH
- Hypertension drug therapy MeSH
- Stockings, Compression * utilization MeSH
- Humans MeSH
- Metformin therapeutic use MeSH
- Drug-Related Side Effects and Adverse Reactions MeSH
- Nifedipine analogs & derivatives therapeutic use MeSH
- Lipid Metabolism Disorders drug therapy MeSH
- General Practice MeSH
- Renin-Angiotensin System MeSH
- Aged MeSH
- Tachycardia, Supraventricular drug therapy MeSH
- Urologic Diseases MeSH
- Vasodilator Agents therapeutic use MeSH
- Venous Insufficiency * diagnosis drug therapy classification therapy MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
- MeSH
- Anticoagulants administration & dosage therapeutic use MeSH
- Surgical Procedures, Operative adverse effects MeSH
- Enteritis complications MeSH
- Heparin therapeutic use MeSH
- Hormones adverse effects therapeutic use MeSH
- Blood Coagulation Disorders complications MeSH
- Stockings, Compression utilization MeSH
- Coumarins therapeutic use MeSH
- Humans MeSH
- Neoplasms complications MeSH
- Obesity complications MeSH
- Rehabilitation methods trends MeSH
- Risk Factors * MeSH
- Heart Failure complications MeSH
- Pregnancy MeSH
- Age Factors MeSH
- Venous Thrombosis * diagnosis prevention & control therapy MeSH
- Check Tag
- Humans MeSH
- Pregnancy MeSH
- Keywords
- DETRALEX,
- MeSH
- Patient Compliance MeSH
- Chronic Disease therapy MeSH
- Lower Extremity physiopathology MeSH
- Adult MeSH
- Hesperidin * administration & dosage therapeutic use MeSH
- Stockings, Compression utilization MeSH
- Humans MeSH
- Obesity therapy MeSH
- Varicose Veins pathology MeSH
- Treatment Outcome MeSH
- Venous Insufficiency * diagnosis prevention & control therapy MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
Chronické žilní onemocnění (CVD) se řadí mezi civilizační nemoci. Na patofyziologii se podílí zejména žilní zánět, který způsobuje poškození a nedomykavost chlopní, čím dochází k morfologickým a funkčním změnám v žilách a rozvoji žilního refluxu, který vede k prohlubování žilní hypertenze. CVD je souborem různých klinických projevů, se kterými se pacienti obrací jak na lékaře, tak na lékárníky. Vzhledem k jeho progresivnímu charakteru má smysl začít s adekvátní léčbou co nejdříve. K léčebným postupům patří kompresivní punčochy nebo správně naložená elastická obinadla, změna životního stylu, užívání venofarmak a aplikace prostředků k lokálnímu ošetření kůže. Důležitou roli sehrávají i chirurgické metody. Pouze spojením vlivu lékařů a farmaceutů na pacienty s CVD, jejich edukací a motivací k dodržování doporučených léčebných postupů, dokážeme snížit vysoké procento neléčených pacientů s CVD, oddálit progresi žilního onemocnění a snížit prevalenci vyšších stadií tohoto onemocnění.
Chronic venous disease (CVD) is among civilization diseases. The pathophysiology is mainly venous inflammation, which causes damage and valve regurgitation, giving rise to morphological and functional changes in the veins and venous reflux development, which leads to increasing venous hypertension. CVD is a set of different clinical manifestations, the patient turns both to physicians and to pharmacists. Due to the progressive character of it is reasonable to start with adequate treatment as soon as possible. The treatments include compression stockings or elastic bandages, lifestyle changes, use of drugs and application of local treatment. Surgical methods play important role. By combining efforts of physicians and pharmacists to patients with CVD, educating and motivating them to adhere to recommended treatments, we can reduce the high percentage of untreated patients with CVD, delay the progression of venous disease and reduce the prevalence of higher stages of this disease.
- Keywords
- venofarmaka,
- MeSH
- Pain MeSH
- Chronic Disease * therapy MeSH
- Lower Extremity MeSH
- Epidemiologic Studies MeSH
- Drug Therapy MeSH
- Flavonoids administration & dosage pharmacology MeSH
- Cardiovascular Agents administration & dosage pharmacology MeSH
- Stockings, Compression utilization MeSH
- Humans MeSH
- Risk Factors MeSH
- Venous Insufficiency * physiopathology prevention & control therapy MeSH
- Check Tag
- Humans MeSH
- MeSH
- Patient Compliance MeSH
- Chronic Disease MeSH
- Adult MeSH
- Stockings, Compression utilization MeSH
- Middle Aged MeSH
- Humans MeSH
- Surveys and Questionnaires MeSH
- Aged MeSH
- Statistics as Topic MeSH
- Treatment Outcome MeSH
- Venous Insufficiency * therapy MeSH
- Life Style MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Research Support, Non-U.S. Gov't MeSH
