Todd Marie
Specialist Lymphoedema Service, Glasgow.
Br J Nurs. 2013;22(11):623-7. doi: 10.12968/bjon.2013.22.11.623.
Chronic oedema of all causes is thought to be more prevalent than studies have shown. The impact of this chronic condition encompasses many physical, psychological and social domains, many of which are not acknowledged nor addressed. Successful management relies on three factors. The first is early detection and commencement of treatment to prevent complications occurring. The second is an holistic multidimensional approach to address all the associated physical, psychological and social sequellae. Finally, collaboration between specialist and generalist health professionals is essential to ensure the best treatment is delivered in the best healthcare location. To achieve these there needs to be a network of suitably qualified practitioners who are upskilled by robust awareness and education systems, all of which should be supported by stable financial and human resources.
各种原因导致的慢性水肿被认为比研究显示的更为普遍。这种慢性病的影响涉及许多身体、心理和社会领域,其中许多并未得到认识和解决。成功的管理依赖于三个因素。首先是早期发现并开始治疗以预防并发症的发生。其次是采用整体多维方法来应对所有相关的身体、心理和社会后遗症。最后,专科和全科医疗专业人员之间的合作对于确保在最佳医疗环境中提供最佳治疗至关重要。要实现这些目标,需要有一个由资质合格的从业者组成的网络,他们通过健全的认知和教育系统提升技能,而所有这些都应得到稳定的资金和人力资源支持。