{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T14:49:29Z","timestamp":1791643769636,"version":"4.3.4"},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,2,18]],"date-time":"2021-02-18T00:00:00Z","timestamp":1613606400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Wound Repair Regeneration"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Compression therapy with short\u2010stretch 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\u2009months 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\u2010significantly 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\u2010off training does not appear to be suitable to improve the ability to apply compression bandagings with a therapy\u2010relevant pressure. Therefor more training especially with pressure measuring devices would be necessary.<\/jats:p>","DOI":"10.1111\/wrr.12899","type":"journal-article","created":{"date-parts":[[2021,2,20]],"date-time":"2021-02-20T18:21:17Z","timestamp":1613845277000},"page":"261-269","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Increasing competence in compression therapy for venous leg ulcers through training and exercise measured by a newly developed score\u2014Results of a randomised controlled intervention study"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1509-7055","authenticated-orcid":false,"given":"Kerstin","family":"Protz","sequence":"first","affiliation":[{"name":"Institute for Health Services Research in Dermatology and Nursing (IVDP), CWC \u2013 Comprehensive Wound Center, University Medical Center Hamburg\u2010Eppendorf (UKE)  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joachim","family":"Dissemond","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Allergology University Hospital Essen  Essen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Karbe","sequence":"additional","affiliation":[{"name":"Agaplesion Diakonieklinikum  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4026-8728","authenticated-orcid":false,"given":"Matthias","family":"Augustin","sequence":"additional","affiliation":[{"name":"Institute for Health Services Research in Dermatology and Nursing (IVDP), CWC \u2013 Comprehensive Wound Center, University Medical Center Hamburg\u2010Eppendorf (UKE)  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9861-9519","authenticated-orcid":false,"given":"Toni Maria","family":"Klein","sequence":"additional","affiliation":[{"name":"Institute for Health Services Research in Dermatology and Nursing (IVDP), CWC \u2013 Comprehensive Wound Center, University Medical Center Hamburg\u2010Eppendorf (UKE)  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,2,18]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"1902","article-title":"Venous leg ulcers","volume":"2016","author":"Nelson EA","year":"2016","journal-title":"BMJ Clin Evid"},{"key":"e_1_2_8_3_1","first-page":"85","volume-title":"Barmer GEK Heil\u2010 und Hilfsmittelreport 2014. Schriftenreihe zur Gesundheitsanalyse Band","author":"Heyer K","year":"2014"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1610-0387.2010.07535_suppl.x"},{"key":"e_1_2_8_5_1","article-title":"Simplifying venous leg ulcer management. Consensus recommendations","author":"Harding K","year":"2015","journal-title":"Wounds International"},{"key":"e_1_2_8_6_1","article-title":"Compression for venous leg ulcers","volume":"11","author":"O'Meara S","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_8_7_1","unstructured":"Deutsche Gesellschaft f\u00fcr Phlebologie(2018).AWMF S2k\u2010Leitlinie: Medizinische Kompressionstherapie der Extremit\u00e4ten mit Medizinischem Kompressionsstrumpf (MKS) Phlebologischem Kompressionsverband (PKV) und Medizinischen adaptiven Kompressionssystemen (MAK). AWMF\u2010Leitlinien\u2010Register Nr. 037\/005.https:\/\/www.awmf.org\/uploads\/tx_szleitlinien\/037-005l_S3k_Medizinische-Kompressionstherapie-MKS-PKV_2019-05.pdf."},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/ddg.13091"},{"issue":"12","key":"e_1_2_8_9_1","doi-asserted-by":"crossref","first-page":"1273","DOI":"10.1111\/ddg.12938","article-title":"Compression therapy \u2010 current practice of care: level of knowledge in patients with venous leg ulcers","volume":"14","author":"Protz K","year":"2016","journal-title":"J Dtsch Dermatol Ges"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12773"},{"issue":"1","key":"e_1_2_8_11_1","first-page":"6","article-title":"Erhebung zur Kompressionstherapie bei \u00c4rzten, Therapeuten und medizinischem sowie pflegerischem Fachpersonal","volume":"29","author":"Reich\u2010Schupke S","year":"2017","journal-title":"Vasomed"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.2007.34116.x"},{"issue":"3","key":"e_1_2_8_13_1","first-page":"202","article-title":"Society for vascular surgery and american venous forum guidelines on the management of venous leg ulcers: the point of view of the International Union of Phlebology","volume":"34","author":"Mosti G","year":"2015","journal-title":"Int Angiol"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-481X.2009.00621.x"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2013.7962"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2017.26.11.625"},{"key":"e_1_2_8_17_1","first-page":"426","article-title":"Comparison of three portable instruments to measure compression pressure","volume":"29","author":"Partsch H","year":"2010","journal-title":"Int Angiol"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00105-010-2114-5"},{"issue":"16","key":"e_1_2_8_19_1","first-page":"94","article-title":"Compression therapy in patients with leg ulcers \u2010 which costs do really occur?","volume":"144","author":"Dissemond J","year":"2019","journal-title":"Dtsch Med Wochenschr"},{"issue":"9","key":"e_1_2_8_20_1","doi-asserted-by":"crossref","first-page":"794","DOI":"10.1111\/ddg.12405","article-title":"Compression therapy: scientific background and practical applications","volume":"12","author":"Protz K","year":"2014","journal-title":"J Dtsch Dermatol Ges"},{"key":"e_1_2_8_21_1","unstructured":"Wundzentrum Hamburg e. 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