Journal article
Non-adherence with compression garment wear in adult burns patients: A systematic review and meta-ethnography
Burns, Vol.46(2), pp.472-482
2020
PMID: 31852617
Abstract
Objective:
Up to 40% of adult burn-injured patients are non-adherent with prescribed compression garment wear. The aim of this paper is to systematically review the literature to understand barriers to adherence with compression garment wear.
Method:
Papers were included if they: investigated adults who required compression garment wear for the management of burns scars; focussed on reasons for non-adherence to compression garment wear; and were available in English. The process of meta-ethnography was then followed to synthesise the findings.
Results:
The factors impacting adherence to compression garment wear were grouped into six themes: sensory factors, psychological state, the impact of the garment on the patient’s function, the availability of social support, the degree of choice, and the education provided to patients by their therapists. A model of compression garment adherence was developed detailing how these factors fit within the continuum of treatment for a burn-injured patient.
Conclusions:
Adherence to compression garment wear post-burn injury is a complex, dynamic phenomenon impacted by a range of factors. Findings from this review may inform approaches to support more consistent and/or extended garment wear, potentially improving scar outcomes and quality-of-life. Further research is recommended to investigate how each of the six identified themes impact adherence.
Details
- Title
- Non-adherence with compression garment wear in adult burns patients: A systematic review and meta-ethnography
- Authors
- E Crofton (Author) - University of QueenslandPamela J Meredith (Author) - University of QueenslandP Gray (Author) - University of QueenslandS O’Reilly (Author) - University of QueenslandJ Strong (Author) - University of Queensland
- Publication details
- Burns, Vol.46(2), pp.472-482
- Publisher
- Elsevier Ltd
- Date published
- 2020
- DOI
- 10.1016/j.burns.2019.08.011
- ISSN
- 1879-1409
- PMID
- 31852617
- Organisation Unit
- School of Health - Occupational Therapy; University of the Sunshine Coast, Queensland; School of Health and Behavioural Sciences - Legacy; Cancer Research Cluster
- Language
- English
- Record Identifier
- 99568007902621
- Output Type
- Journal article
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24 Record Views
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- Collaboration types
- Domestic collaboration
- Web Of Science research areas
- Critical Care Medicine
- Dermatology
- Surgery
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Source: InCites