Jones Katherine R
Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio 44106, USA.
J Nurs Care Qual. 2009 Apr-Jun;24(2):116-24; quiz 125-6. doi: 10.1097/01.NCQ.0000347447.05924.db.
Chronic venous leg ulcers account for the majority of lower extremity ulcers and represent a serious health and financial burden. Although several clinical practice guidelines and systematic reviews are available to guide treatment decisions, healing rates have not improved over the last decade. This research study illustrates some of the limitations of relying on existing databases to guide wound management as well as the importance of considering patient preferences, staff knowledge and skill, and available resources.
下肢慢性静脉溃疡占下肢溃疡的大多数，是一项严重的健康和经济负担。尽管有多项临床实践指南和系统评价可用于指导治疗决策，但在过去十年中，愈合率并未提高。这项研究说明了依赖现有数据库指导伤口管理的一些局限性，以及考虑患者偏好、工作人员知识和技能以及可用资源的重要性。
