{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T05:30:57Z","timestamp":1780551057596,"version":"3.54.1"},"reference-count":28,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T00:00:00Z","timestamp":1756166400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Phlebology"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the current status and determinants of compression therapy adherence among postoperative patients with lower limb varicose veins.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A consecutive cohort of patients undergoing operation for lower limb varicose veins at a single center between September 2022 and September 2024 were included in this study. Demographic data including sex, age, comorbidities and type of surgical treatment were retrieved. A cross-sectional survey using a questionnaire incorporating self-management capacity scale, venous clinical severity score, and use of Graduate Compression Stocking (GCS) Wearing Compliance Scale to evaluate the adherence of compression therapy. Univariate and multiple linear regression analyses were performed to identify the factors affecting adherence to compression therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 456 patients (173 males, 37.9%) with a mean age of 55.37 \u00b1 12.70\u00a0years were included during the study period. The distribution of clinical symptoms according to clinical, etiological, anatomic, pathophysiological (CEAP) classification was as follows: C2 in 48 patients (10.5%), C3 in 95 (20.8%), C4 in 291 (63.8%), C5 in 14 (3.1%), and C6 in 8 (1.8%). Traditional high ligation and stripping (HL\/S) procedure was performed in 80 patients (17.5%), radiofrequency ablation (RFA) in 225 (49.3%), and mixed procedures in 151 patients (33.2%). The average adherence questionnaire score for GCS wearing among the patients after surgery was 26.51 \u00b1 6.64 points, corresponding to a mean adherence rate of 60.25%. Multivariate regression analysis identified that male gender (\n                      <jats:italic toggle=\"yes\">p &lt;<\/jats:italic>\n                      .001), advanced age (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      =.002), lower educational level (\n                      <jats:italic toggle=\"yes\">p &lt;<\/jats:italic>\n                      .001), occupation of physical work (\n                      <jats:italic toggle=\"yes\">p &lt;<\/jats:italic>\n                      .001), and poor self-management ability (\n                      <jats:italic toggle=\"yes\">p &lt;<\/jats:italic>\n                      .001) were associated with a lower adherence to compression therapy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In our study, the adherence rate of compression therapy was only 60.25% at 1\u00a0month after operation in patients with lower limb varicose veins. And gender, age, educational attainment, occupational type, and self-management capacity were the main factors affecting compression adherence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02683555251372216","type":"journal-article","created":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T10:03:26Z","timestamp":1756202606000},"page":"373-383","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Factors affecting adherence to compression therapy in postoperative patients with lower limb varicose veins"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-2747-9422","authenticated-orcid":false,"given":"Xue","family":"Xiong","sequence":"first","affiliation":[{"name":"The University of Hong Kong-Shenzhen Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Huang","sequence":"additional","affiliation":[{"name":"The Third Affiliated Hospital of Sun Yat-sen University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ailing","family":"Hu","sequence":"additional","affiliation":[{"name":"The Third Affiliated Hospital of Sun Yat-sen University Zhaoqing Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lijuan","family":"Liu","sequence":"additional","affiliation":[{"name":"The University of Hong Kong-Shenzhen Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaoyao","family":"Gong","sequence":"additional","affiliation":[{"name":"The University of Hong Kong-Shenzhen Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dongzhe","family":"Cui","sequence":"additional","affiliation":[{"name":"The University of Hong Kong-Shenzhen Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2455-1782","authenticated-orcid":false,"given":"Hai-Lei","family":"Li","sequence":"additional","affiliation":[{"name":"The University of Hong Kong, Queen Mary Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,8,26]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1080\/07315724.2021.1909510"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00105-020-04706-z"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2018.10.002"},{"issue":"2","key":"e_1_3_5_5_2","first-page":"53","article-title":"European Society for Vascular Surgery (ESVS) 2022 clinical practice guidelines on the management of chronic venous disease of the lower limbs","volume":"47","author":"Nyamekye IK","year":"2022","unstructured":"Nyamekye IK. European Society for Vascular Surgery (ESVS) 2022 clinical practice guidelines on the management of chronic venous disease of the lower limbs. J Med Vasc 2022; 47(2): 53\u201355.","journal-title":"J Med Vasc"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2024.07.083"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2018.01.021"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9788"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmv.2013.05.006"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1805186"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/0268355518776127"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2023.08.011"},{"issue":"1","key":"e_1_3_5_13_2","first-page":"128","article-title":"Kendall's advanced theory of statistics","volume":"31","author":"Kendall MG","year":"1994","unstructured":"Kendall MG, Stuart A, Ord JK. Kendall's advanced theory of statistics. J Technometrics 1994; 31(1): 128.","journal-title":"J Technometrics"},{"issue":"4","key":"e_1_3_5_14_2","first-page":"699","article-title":"Research progress in self management of patients after varicose veins operation in lower extremities","volume":"36","author":"Sumin W","year":"2022","unstructured":"Sumin W, Yujin Y, Chunyan Z, et al. Research progress in self management of patients after varicose veins operation in lower extremities. Chin Nurs Res 2022; 36(4): 699\u2013702.","journal-title":"Chin Nurs Res"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.06.161"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2022.07.015"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/1346-8138.13286"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/0268355518781432"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2017.11.025"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2015.02.007"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/0268355518798153"},{"issue":"4","key":"e_1_3_5_22_2","first-page":"221","article-title":"Facteurs de l\u2019observance du port du bas de compression \u00e9lastique dans une population noire africaine [Factors of compliance with the wearing of elastic compression stockings in a Sub-Saharan population]","volume":"42","author":"Soya E","year":"2017","unstructured":"Soya E, N'djessan JJ, Koffi J, et al. Facteurs de l\u2019observance du port du bas de compression \u00e9lastique dans une population noire africaine [Factors of compliance with the wearing of elastic compression stockings in a Sub-Saharan population]. J Med Vasc 2017; 42(4): 221\u2013228.","journal-title":"J Med Vasc"},{"key":"e_1_3_5_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/02683555231222679"},{"key":"e_1_3_5_24_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.12730"},{"key":"e_1_3_5_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2007.07.014"},{"key":"e_1_3_5_26_2","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.14833"},{"key":"e_1_3_5_27_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-019-6755-8"},{"key":"e_1_3_5_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvn.2019.10.001"},{"key":"e_1_3_5_29_2","doi-asserted-by":"publisher","DOI":"10.1111\/wrr.12247"}],"container-title":["Phlebology: The Journal of Venous Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02683555251372216","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02683555251372216","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02683555251372216","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T08:52:41Z","timestamp":1778921561000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02683555251372216"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,26]]},"references-count":28,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1177\/02683555251372216"],"URL":"https:\/\/doi.org\/10.1177\/02683555251372216","relation":{},"ISSN":["0268-3555","1758-1125"],"issn-type":[{"value":"0268-3555","type":"print"},{"value":"1758-1125","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,26]]}}}