Williams C
Wrexham Maelor Hospital, North East Wales NHS Trust.
Br J Nurs. 1999;8(8):489, 492, 494-5 passim. doi: 10.12968/bjon.1999.8.8.6639.
The RCN Institute, the Centre for Evidence-based Nursing, and the University of York have recently produced guidelines on the management of patients with venous leg ulcers. These guidelines make recommendations with regard to assessment, compression therapy, cleansing, debridement, dressings, contact sensitivity, training/education and quality assurance (Cullum et al, 1998). They are evidence-based (Effective Health Care Bulletin, 1997), have been informed by expert opinion and are reflective of current good clinical practice. It is envisaged that they will be updated every 2 years. This article provides an outline of these guidelines. However, healthcare professionals must note that guidelines can simplify clinical decision making and this must be acknowledged when the guidelines' recommendations for practice are being implemented.
英国皇家护理学院（RCN）研究所、循证护理中心和约克大学最近制定了下肢静脉溃疡患者管理指南。这些指南就评估、压迫治疗、清洁、清创、敷料、接触性过敏、培训/教育和质量保证等方面提出了建议（卡勒姆等人，1998年）。它们以证据为基础（《有效医疗保健简报》，1997年），参考了专家意见，反映了当前良好的临床实践。预计每两年更新一次。本文概述了这些指南。然而，医疗保健专业人员必须注意，指南可以简化临床决策，在实施指南的实践建议时必须认识到这一点。
