关于腿部溃疡护理的知识与态度。家庭医生调查。
Knowledge and attitudes regarding care of leg ulcers. Survey of family physicians.
作者信息
Graham Ian D, Harrison Margaret B, Shafey Mona, Keast David
机构信息
Clinical Epidemiology Program, Ottawa Health Research Institute, Ottawa Hospital, Ont.
出版信息
Can Fam Physician. 2003 Jul;49:896-902.
OBJECTIVE
To determine family physicians' perceptions of and attitudes toward leg ulcer care and awareness of effective treatments for venous leg ulcers.
DESIGN
Self-administered, cross-sectional faxed and mailed survey.
SETTING
Ottawa-Carleton, Ont.
PARTICIPANTS
All physicians in the region who were members of the College of Family Physicians of Canada.
RESULTS
Response rate was 62%. During 1 month, 107 physicians reported having 226 patients with leg ulcers; only a few patients had had ultrasound assessment. Few physicians (16%) were confident about managing leg ulcers; 61% reported not knowing enough about wound-care products. More than 50% were unaware that compression is effective treatment for venous ulcers. Problems reported were lack of evidence-based clinical practice guidelines for leg ulcer care (82%); absence of evidence-based protocols in home-care agencies (72%); lack of access to wound-care products (69%) and wound-care centres (66%); and poor communication among health care workers (60%).
CONCLUSION
Better access to diagnostic assessments and use of compression therapy for venous leg ulcers would improve care.
目的
确定家庭医生对腿部溃疡护理的看法和态度，以及对下肢静脉溃疡有效治疗方法的认知。
设计
自行填写的横断面传真及邮寄调查。
地点
安大略省渥太华-卡尔顿地区。
参与者
该地区所有加拿大皇家内科医师和外科医师学院的成员。
结果
回复率为62%。在1个月内，107名医生报告有226名腿部溃疡患者；只有少数患者接受了超声评估。很少有医生（16%）对处理腿部溃疡有信心；61%的医生报告对伤口护理产品了解不足。超过50%的医生不知道压迫疗法是治疗静脉溃疡的有效方法。报告的问题包括缺乏关于腿部溃疡护理的循证临床实践指南（82%）；家庭护理机构缺乏循证方案（72%）；难以获得伤口护理产品（69%）和伤口护理中心（66%）；以及医护人员之间沟通不畅（60%）。
结论
更好地获得诊断评估并使用压迫疗法治疗下肢静脉溃疡将改善护理。
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