9 results on '"Protz, Kerstin"'
Search Results
2. Diagnosis and treatment of venous leg ulcers: S2k Guideline of the German Society of Phlebology and Lymphology (DGPL) e.V.
- Author
-
Valesky, Eva Maria, Hach‐Wunderle, Viola, Protz, Kerstin, Zeiner, Kim Nikola, Erfurt‐Berge, Cornelia, Goedecke, Falk, Jäger, Björn, Kahle, Birgit, Kluess, Holger, Knestele, Michaela, Kuntz, Anja, Lüdemann, Claas, Meissner, Markus, Mühlberg, Katja, Mühlberger, Dominic, Pannier, Felizitas, Schmedt, Claus‐Georg, Schmitz‐Rixen, Thomas, Strölin, Anke, and Wilm, Stefan
- Abstract
Summary: This S2k guideline on venous leg ulcers was created on the initiative and under the leadership of the German Society of Phlebology and Lymphology (DGPL). The guideline group also consisted of representatives from the German Society for Phlebology and Lymphology, German Dermatological Society, German Society for General Medicine, German Society for Angiology, German Society for Vascular Surgery and Vascular Medicine, German Society for Surgery, German Society for Dermatosurgery, German Society for Wound Healing and Wound Treatment, Professional Association of Phlebologists and Lymphologists and Initiative Chronische Wunden. The aim of this guideline is to combine the different approaches and levels of knowledge of the respective professional groups on the basis of consensus, so that a basic concept for the best possible treatment of patients with venous leg ulcers can be provided. A total of 70 specific recommendations were formulated and agreed upon, divided into the subject areas of diagnostics, therapy, prevention of recurrences, and everyday challenges. The guideline thus reflects the current state of scientific knowledge and is intended to be widely used as the best available document for the treatment of patients with venous leg ulcers in everyday clinical practice. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
3. Phlebological compression bandaging competence: comparing performance of nurses before and after one-off training.
- Author
-
Protz, Kerstin, Dissemond, Joachim, Augustin, Matthias, and Maria Janke, Toni
- Subjects
NURSING audit ,NATIONAL competency-based educational tests ,MEDICAL quality control ,STATISTICS ,HOSPITALS ,NURSING ,ONE-way analysis of variance ,FISHER exact test ,COMPRESSION bandages ,PRE-tests & post-tests ,T-test (Statistics) ,DESCRIPTIVE statistics ,REPEATED measures design ,LEG ulcers ,DATA analysis software ,DATA analysis ,EDUCATIONAL outcomes ,LONGITUDINAL method ,OUTPATIENT services in hospitals - Abstract
Objectives: To investigate the differences in applying phlebological compression bandaging (PCB) in nurses before and after one-off training, and to compare the performance of subgroups. Methods: Participants received training teaching the correct application of PCB. Participants' competence was measured using the newly developed control score of compression bandaging (CCB score) before and after training, one and three months later. Subgroup analyses compared participants (work setting, wound certification, PCBs applied per week). Results: In total, 47 participants took part (mean age 40.7 years, 85.1% female, 59.6% outpatient nurses, 59.6% >10 years' working experience, 55.3% with a wound certificate). The CCB score improved after training. In all subgroups, the score differed significantly over time (p≤0.002 in all cases) except for participants applying the highest number of PCBs (p=0.241). In hospital-based participants, the CCB score three months after training was considerably, but non-significantly, higher than before training (2.84 versus 4.21, respectively; p=0.068). In participants working in outpatient settings, with and without a wound certificate, and applying a low (<5) and medium (5–10) number of PCBs per week, the CCB score remained significantly higher than before training (p≤0.011 in all cases). Conclusion: All subgroups benefited from training, mostly significantly, and maintained gains in competence for three months. Frequently applying these skills may improve performance. Previously published results showed that ideal pressure-related parameters are rarely achieved. Regular training should be offered, including the use of pressure-measuring devices, allowing nurses to gain experience and develop deeper understanding of correct PCB application. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
4. Increasing competence in compression therapy for venous leg ulcers through training and exercise measured by a newly developed score—Results of a randomised controlled intervention study.
- Author
-
Protz, Kerstin, Dissemond, Joachim, Karbe, Daniela, Augustin, Matthias, and Klein, Toni Maria
- Subjects
- *
RANDOMIZED controlled trials , *PRE-tests & post-tests , *COMPARATIVE studies , *COMPRESSION therapy , *EXERCISE , *CLINICAL competence , *HOSPITAL nursing staff , *DESCRIPTIVE statistics , *STATISTICAL sampling , *OUTPATIENT services in hospitals ,LEG ulcers - Abstract
Compression therapy with short‐stretch bandages is the most common treating option for patients with venous leg ulcers in the decongestion phase in Germany. This randomised controlled intervention study examined whether a training is suitable to sustainably improve the skills of health care professionals. Altogether 55 nurses from hospitals and outpatient care participated. They were randomly assigned to case and control groups. Participants' abilities to properly apply a compression bandaging were assessed before and after a training session as well as after 1 and 3 months using a newly developed score (CCB score) based on six control parameters (CPs): padding, starting point, heel inclusion, heart direction, pressure at forefoot (A) and calf base (B1). After training, a significant increase in competence was observed, which only decreased non‐significantly over the observation period: The average CCB score was 2.796 at V0, 4.89 at V1, 4.88 at V2, and 4.66 at V3. The CPs for pressure at A and B1 were met by a maximum of 42.6 and 43.6%, respectively, at all timepoints. The CP starting point was fulfilled by at least 61.7% after training, the CPs heart direction, heel and underpadding by at least 89.4, 96.4, and 97.9%, respectively. As a result of our study, it can be concluded that training improves the ability of users to apply compression bandagings, but one‐off training does not appear to be suitable to improve the ability to apply compression bandagings with a therapy‐relevant pressure. Therefor more training especially with pressure measuring devices would be necessary. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
5. Nutritional status and quality of nutrition in chronic wound patients.
- Author
-
Herberger, Katharina, Müller, Katharina, Protz, Kerstin, Zyriax, Birgit‐Christiane, Augustin, Matthias, and Hagenström, Kristina
- Subjects
MALNUTRITION ,DENTAL care ,FOOD quality ,LEG ulcers ,LONGITUDINAL method ,ORAL hygiene ,NUTRITIONAL assessment ,QUESTIONNAIRES ,RISK assessment ,WOUND healing ,PAIN management ,PAIN measurement ,CHRONIC wounds & injuries ,NUTRITIONAL status ,DISEASE complications ,DISEASE risk factors - Abstract
Malnutrition is a negative confounding factor influencing wound healing. The prevalence of malnutrition increases with age, as do chronic wounds. The aim of this prospective study was to analyse the nutritional status of patients with chronic wounds. Data collection of sociodemographic and nutritional parameters was based on an inter‐professionally developed questionnaire as well as the Mini Nutritional Assessment (MNA). A total of 90 patients with chronic wounds of different aetiologies were included. Pain and dental health were found to be significant factors: Patients with malnutrition or the risk of malnutrition had significantly lower tooth and oral health scores (rs = −0.218, P =.039), and higher pain levels at rest (rs = 0.339, P <.001), while dressing (rs = 0.268, P =.014), and upon exercising (rs = 0.303, P =.005). Our data address the impact of nutrition on chronic wounds and confirm the relationship between pain, dental health, and nutritional status. Clinicians should be aware of adequate pain management and dental health care in chronic wound patients. Further studies, particularly on characterisation of preventive and therapeutic measures in the nutrition of chronic wound patients, are of great importance. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
6. Education in people with venous leg ulcers based on a brochure about compression therapy: A quasi‐randomised controlled trial.
- Author
-
Protz, Kerstin, Dissemond, Joachim, Seifert, Myriam, Hintner, Marianne, Temme, Barbara, Verheyen‐Cronau, Ida, Augustin, Matthias, and Otten, Marina
- Subjects
LEG ulcers ,RESEARCH methodology ,PAMPHLETS ,PATIENT compliance ,PATIENT education ,QUESTIONNAIRES ,HEALTH self-care ,SELF-efficacy ,RANDOMIZED controlled trials ,HEALTH literacy ,COMPRESSION therapy - Abstract
Brochures are a useful supplement to patient education. There is increasing evidence that they are an effective medium to support patient satisfaction, adherence, and empowerment. This study aims to produce reliable data on how much patients with venous leg ulcer (VLU) may profit from a brochure that focuses on VLU and on measures and aims of the related compression therapy. The evaluation took part from October 2018 until March 2019 and included 136 patients with VLU and related compression therapy. They were randomly sorted into a case group and a control group of 68 patients each. The case group received a brochure about venous disease and compression therapy and filled in a questionnaire after reading. The questions ranged from basic knowledge about VLU and compression therapy to aspects of self‐care. The control group answered the same questions without previous reading of the brochure. The results show that in almost every aspect, the patients in the case group were better informed about their diseases, the compression therapy, and how they may support the measures adequately. This study suggests that patients with VLU may profit from a brochure that explains their disease and the related compression therapy. Better knowledge and understanding may strengthen their empowerment and adherence. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
7. Compression therapy - cross-sectional observational survey about knowledge and practical treatment of specialised and non-specialised nurses and therapists.
- Author
-
Heyer, Kristina, Protz, Kerstin, and Augustin, Matthias
- Subjects
COMPRESSION stockings ,LEG ulcers ,NURSES ,PRACTICAL nursing ,CROSS-sectional method ,COMPRESSION therapy - Abstract
Knowledge about methods and materials and their correct usage is the basis for compression therapy. This study compares knowledge and practical skills of participants with further training with those who had no training. This comparison provides information on whether further qualifications have an impact on knowledge and practical skills. In seminars for compression therapy, data on specific and non-specific expertise were acquired. A practical test determined the participants' skills for creating a compression bandage in a pressure value range of 50-60 mmHg. In total, 1338 participants with specific expertise and 138 participants with non-specific expertise took part. Knowledge evaluation showed that 7·9% of the specific expertise group had knowledge regarding padding, 10% regarding multi-component systems and 13·6% regarding ulcer stocking systems. In the practical test, 12·3% of all participants achieved the target range. The majority of users in both groups is not familiar with the different compression materials or their appropriate usage. In the non-specific expertise group, knowledge concerning up-to-date materials and methods is one-third lower. The practical test showed major deficits on both sides. Appropriate exercises, for example, with pressure-measuring devices, should be mandatory for all professional groups who perform compression bandaging. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
8. Epidemiology and use of compression treatment in venous leg ulcers: nationwide claims data analysis in Germany.
- Author
-
Heyer, Kristina, Protz, Kerstin, Glaeske, Gerd, and Augustin, Matthias
- Subjects
COMPRESSION stockings ,CHRONIC diseases ,COHORT analysis ,LEG ulcers ,NOSOLOGY ,WOUND care ,DATA analysis ,COMPRESSION therapy - Abstract
Chronic venous diseases are the most common causes of leg ulcers. Compression treatment ( CT) is a central component of venous leg ulcer ( VLU) therapy along with prevention based on guidelines and clinical evidence. However, large-scale data on the use of CT are rare. In particular, there have not yet been published nationwide data for Germany. We analysed data from a large German statutory health insurance ( SHI) on incident VLU between 2010 and 2012. VLUs were identified by ICD-10 diagnoses. The status of active disease was defined by wound-specific treatments. Compression stockings and bandages were identified by SHI medical device codes. The overall estimated incident rate of active VLU of all insured persons was 0·34% from 2010 to 2012. Adapted to the overall German population, n = 229 369 persons nationwide had an incident VLU in 2010-2012. Among all VLU patients, only 40·6% received CT within 1 year, including 83·3% stockings, 31·8% bandages and 3·1% multi-component compression systems. Compression rates showed significant differences by gender and age. Large regional variations were observed. Validity of data is suggested by high concordance with a primary cohort study. Although recommended by guidelines, there is still a marked under-provision of care, with CT in incident VLUs in Germany requiring active measures. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
9. Epidemiology of chronic wounds in Germany: Analysis of statutory health insurance data.
- Author
-
Heyer, Kristina, Herberger, Katharina, Protz, Kerstin, Glaeske, Gerd, and Augustin, Matthias
- Subjects
HEALTH insurance ,AGE distribution ,CONFIDENCE intervals ,EPIDEMIOLOGICAL research ,LEG ulcers ,MAPS ,POPULATION geography ,SEX distribution ,SECONDARY analysis ,DIABETIC foot ,DISEASE incidence ,DISEASE prevalence ,CHRONIC wounds & injuries ,DATA analysis software - Abstract
Epidemiologic analyses in routine care of chronic wounds are scarce, and published studies show wide variations. This study analyzes the population-based prevalence and incidence of chronic wounds in Germany. Secondary analyses of data from a German statutory health insurance with about 9 million insured persons were examined (2010 to 2012). Internal diagnostic validations were used to control for different inclusion criteria. In 2012, 1.04% (95% CI 1.03-1.05) of insured patients had a wound diagnosis, including 0.70% with leg ulcers and 0.27% with diabetic ulcers. Wound treatment was received by 0.43% (0.43-0.44) of patients. Prevalence and incidence increased over 3 years. Extrapolated to the German population, there were 786,407 prevalent and 196,602 incident chronic wounds, including 326,334/172,026 patients who underwent wound-relevant treatment in 2012. There is an annually increasing frequency of chronic wounds in Germany. Chronic wound epidemiology is sensitive to wound treatment as a filter criterion. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.