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基层医疗中的手部皮炎:执业护士在管理中的作用。

Hand dermatitis in primary care: A nurse practitioner's role in management.

作者信息

Yang Ying, Zirwas Matthew

机构信息

OSU Dermatology, Gahanna, Ohio, USA.

出版信息

J Am Acad Nurse Pract. 2009 Dec;21(12):671-6. doi: 10.1111/j.1745-7599.2009.00462.x.

Abstract

PURPOSE

Discuss chronic hand contact dermatitis (CD) and its management by nurse practitioners (NPs) in primary care.

DATA SOURCES

Clinical studies, practice guideline, and clinic case.

CONCLUSION

Hand CD is a common form of dermatitis in primary care. Recognition and avoidance of irritants and allergens, proper hand protection, and topical treatments can alleviate this chronic problem, significantly relieve symptoms, and promote skin health.

IMPLICATIONS FOR PRACTICE

A national shortage of dermatologists has caused more patients to seek treatment for skin disorders in primary care. NPs need to be prepared to diagnose and manage common skin problems in primary care.

摘要

目的

探讨慢性手部接触性皮炎(CD)及其在初级保健中由执业护士(NP)进行的管理。

数据来源

临床研究、实践指南和临床病例。

结论

手部CD是初级保健中常见的皮炎形式。识别并避免刺激物和过敏原、适当的手部保护以及局部治疗可以缓解这一慢性问题,显著减轻症状并促进皮肤健康。

对实践的启示

皮肤科医生的全国性短缺导致更多患者在初级保健中寻求皮肤疾病的治疗。NP需要做好准备,以诊断和管理初级保健中的常见皮肤问题。

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