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Ripper, S; Renneberg, B; Landmann, C; Weigel, G; Germann, G.
Adherence to pressure garment therapy in adult burn patients.
Burns. 2009; 35(5): 657-664. Doi: 10.1016/j.burns.2009.01.011
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Co-Autor*innen der Med Uni Graz
Weigel Gerlinde
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Abstract:
Pressure garment therapy (PGT) is a generally accepted procedure to prevent hypertrophic scarring after severe burns. Wearing pressure garments is uncomfortable and challenging for the patient and, consequently adherence is low. In order to improve adherence, precise knowledge about the advantages and disadvantages of PGT is necessary. In this study we investigated specific aspects which inhibit or reinforce the application of PGT on the patients' part. Twenty-one patients participated in a semi-structured interview concerning their experiences with PGT. The complaints most frequently mentioned were 'physical and functional limitations' caused by the garments, 'additional effort' created by the need to care for garments and 'perceived deficiencies' of the treatment. At the same time, most of the patients reported coping strategies used to persevere with the therapy. Coping can be categorised into 'behavioural' and 'cognitive coping strategies'. Besides the 'expectation of success', 'emotional' as well as 'practical support' and experiencing 'good outcome' were motivating factors for the patients. Based on the analyses of limitations and resources, recommendations for future interventions enhancing adherence are outlined.
Find related publications in this database (using NLM MeSH Indexing)
Adaptation, Psychological -
Adolescent -
Adult -
Attitude to Health -
Burns - complications Burns - pathology
Cicatrix, Hypertrophic - etiology Cicatrix, Hypertrophic - prevention and control
Clothing - adverse effects
Female -
Humans -
Injury Severity Score -
Interpersonal Relations -
Male -
Middle Aged -
Occlusive Dressings -
Patient Compliance -
Pressure - adverse effects
Young Adult -

Find related publications in this database (Keywords)
Burn injuries
Adherence
Pressure garment therapy
The Health Action Process Approach
Rehabilitation
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