Adherence to a 2-layer compression system for chronic venous ulceration.

Adherence to compression therapy is fundamental for healing venous leg ulcers (Moffatt, 2004). The aim of this study was to investigate adherence and comfort associated with using a 2-layer compression system over a 6-week period for the management of chronic venous leg ulceration in patients with a history of non-adherence to other compression systems. Self-report rating scales were completed each week by the patients to record adherence and comfort of the compression system, while condition and ease of use of the system were recorded each week by the nurses involved in their care. The majority of the patients reported wearing the compression system for 75% of the time and were considered by the nurses to be 'fully adherent' for 80% of the time. Comfort and ease of use were rated highly by the majority of patients and nurses respectively.