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Clinical Trial
. 2019 Dec 11;16(24):5037.
doi: 10.3390/ijerph16245037.

The Effectiveness of Advanced Practice Nurses with Respect to Complex Chronic Wounds in the Management of Venous Ulcers

Juan Francisco Jiménez-García  1 , Gabriel Aguilera-Manrique  2 , Josefina Arboledas-Bellón  3 , María Gutiérrez-García  4 , Francisco González-Jiménez  5 , Nieves Lafuente-Robles  6 , Laura Parra-Anguita  7 , Francisco Pedro García-Fernández  8
Affiliations
Clinical Trial

The Effectiveness of Advanced Practice Nurses with Respect to Complex Chronic Wounds in the Management of Venous Ulcers

Juan Francisco Jiménez-García et al. Int J Environ Res Public Health. .

Abstract

This study aims to evaluate the effectiveness of advanced practice nurses with respect to complex chronic wounds (APN-CCWs) in the care of patients with venous ulcers. A multicentric, quasi-experimental pre-post study was conducted without a control group in the sanitary management areas where the APN-CCW program is being piloted. The intervention consisted of a mass training of clinical nurses from the participating districts on the proper management of injuries and the use of compression therapy. The data were collected through a specifically constructed questionnaire with questions regarding descriptive variables of injuries and their treatment. A total of 643 professionals responded (response rate of 89.1%), attending to a total population of 707,814 inhabitants. An increase in multilayer bandage use by 15.67%, an increase in elastic bandage use by 13.24%, and a significant decrease in the referral of patients to consultation with hospital specialists was achieved, from 21.08% to 12.34%. The number of patients referred to the APNs was 13.25%, which implied a resolution rate of 94.08% of their injuries. In conclusion, the coordination by the APN-CCWs in patients with venous ulcers was effective in improving the continuity of care, in the optimization of resources, and in their care role.

Keywords: advanced practice nurse; complex chronic wounds; effectiveness; venous ulcers.

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Conflict of interest statement

The authors declare no conflicts of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results.

Figures

Figure 1
Figure 1
Characteristics of skin perilesional in venous ulcers.
Figure 2
Figure 2
Treatment of perilesional skin in venous ulcers. Abbreviations: HOAF, hyper-oxygenated fatty acids; NIBP, non-irritating barrier products.
See this image and copyright information in PMC

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