Middleton Heather
South Eastern Health and Social Care Trust, Co Down, N Ireland.
Br J Community Nurs. 2007 Sep;12(9):S16-23. doi: 10.12968/bjcn.2007.12.Sup4.27238.
Many older people living at home or in residential settings in the community suffer from inflammation of the skin of the lower legs, or venous eczema. Management of this condition may depend on the background of the professional who carries out the initial assessment. Those with a tissue viability background may plan their care based on an assessment of the patient for suitability for compression, to reverse the venous hypertension which may be a causative factor of the eczema. On the other hand, professionals with a background in dermatology may base initial care plans on the use of emollients and topical steroids to reduce inflammation. This article examines the evidence base for our understanding of what causes venous eczema, questions whether current management of the condition is truly evidence-based, and argues for a more pro-active approach to both assessment and management of venous eczema.
许多居家或居住在社区护理机构中的老年人患有小腿皮肤炎症，即静脉性湿疹。这种病症的治疗可能取决于进行初步评估的专业人员的背景。具有组织活力专业背景的人员可能会根据对患者是否适合进行压迫治疗的评估来制定护理计划，以逆转可能是湿疹致病因素的静脉高压。另一方面，具有皮肤科专业背景的专业人员可能会将使用润肤剂和外用类固醇来减轻炎症作为初始护理计划的基础。本文探讨了我们对静脉性湿疹病因理解的证据基础，质疑当前对该病症的治疗是否真正基于证据，并主张对静脉性湿疹的评估和治疗采取更积极主动的方法。
