Graham Ian D, Harrison Margaret B, Shafey Mona, Keast David
Clinical Epidemiology Program, Ottawa Health Research Institute, Ottawa Hospital, Ont.
Can Fam Physician. 2003 Jul;49:896-902.
To determine family physicians' perceptions of and attitudes toward leg ulcer care and awareness of effective treatments for venous leg ulcers.
Self-administered, cross-sectional faxed and mailed survey.
Ottawa-Carleton, Ont.
All physicians in the region who were members of the College of Family Physicians of Canada.
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%).
Better access to diagnostic assessments and use of compression therapy for venous leg ulcers would improve care.
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。
自行填写的横断面传真及邮寄调查。
安大略省渥太华-卡尔顿地区。
该地区所有加拿大皇家内科医师和外科医师学院的成员。
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%）。
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。
