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J Wound Care. 2014 Jan;23(1):37, 40, 42-4, passim.

Evaluating the reasons underlying treatment nonadherence in VLU patients: introducing the VeLUSET Part 1 of 2.

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PhD, MSc, BSc(Hons), RN, Independent Tissue Viability Consultant, Doctoral Fellow; East of England Strategic Health Authority, UK.


Although healing rates have improved with the use of compression therapy, venous leg ulceration recurrence rates remain very high. There is evidence that certain self-care activities may reduce the risk of recurrence, however, many patients do not adhere to performing these self-care activities. The reasons for this may be multifactorial. Furthermore, the literature indicates that some patients appear to have a poor understanding of their condition despite having received information from health professionals. Since a concordant relationship is dependent on shared decision-making, this apparent knowledge deficit may have major implications in changing health behaviours and achieving adherence with self-care. This article is in two parts - part one will briefly discuss health behaviour change models underpinned by social cognitive theory. It introduces the VeLUSET, a newly developed and validated tool which provides an objective measure of nursing interventions designed to increase self-efficacy.

[Indexed for MEDLINE]

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