Hjelm K, Rolfe M, Bryar R M, Andersson B-L, Fletcher M
Department of Health Science and Social Work, University of Växjö and Department of Community Health Sciences Malmö, University of Lund, Sweden.
Br J Community Nurs. 2003 Aug;8(8):353-63. doi: 10.12968/bjcn.2003.8.8.11565.
Collaboration between Kronoberg County Council and Växjö University, Sweden, and Hull and East Riding Community NHS Trust and the University of Hull, UK, enabled an international comparison of care of patients with chronic leg ulcers in the two countries. An aim of the survey study was to compare what "holistic care" meant to nurses working in primary health care (PHC) and nursing home settings in Kronoberg County (KC) and the East Riding of Yorkshire and Hull (ER). A questionnaire, which obtained quantitative and qualitative data, was returned by 311 (222 completed) nurses in KC and 124 in ER (response rates of 54 and 50% respectively). Assessment and planning of wound management focused on the wound. Swedish nurses paid more attention to patients' experience of the wound, lifestyle factors and environment than UK nurses, but in both countries holistic care appeared to be lacking. Issues for nurse education concerning holistic care were identified. Revision of guidelines and consensus documents to facilitate holistic care is also suggested.
瑞典克鲁努贝里郡议会与韦克舍大学，以及英国赫尔和东里丁社区国民保健服务信托基金与赫尔大学之间的合作，促成了两国慢性腿部溃疡患者护理情况的国际比较。这项调查研究的一个目的是比较“整体护理”对在瑞典克鲁努贝里郡（KC）以及英国约克郡东区和赫尔（ER）的初级卫生保健（PHC）及养老院工作的护士而言意味着什么。一份收集定量和定性数据的问卷，由KC的311名护士（222份完整作答）和ER的124名护士返回（回复率分别为54%和50%）。伤口处理的评估和规划聚焦于伤口。瑞典护士比英国护士更关注患者对伤口的感受、生活方式因素和环境，但在两国整体护理似乎都有所欠缺。确定了有关整体护理的护士教育问题。还建议修订指南和共识文件以促进整体护理。
