Lubeek Satish F K, van der Geer Eric R, van Gelder Marleen M H J, Koopmans Raymond T C M, van de Kerkhof Peter C M, Gerritsen Marie-Jeanne P
Department of Dermatology, Radboud university medical center, Nijmegen, The Netherlands.
Department of Primary and Community Care, Radboud University Medical Center, Nijmegen, The Netherlands.
J Am Med Dir Assoc. 2015 Aug 1;16(8):714.e1-6. doi: 10.1016/j.jamda.2015.04.015. Epub 2015 Jun 6.
To assess the provision and need of dermatologic care among Dutch nursing home patients and to obtain recommendations for improvement.
Cross-sectional nationwide survey.
All 173 nursing home organizations in the Netherlands.
Physicians working in nursing homes.
Web-based questionnaire concerning the burden of skin diseases in nursing home patients, diagnostic procedures and therapy, collaboration with dermatologists, physicians' level of education, and suggestions for improvement.
A total of 126 (72.8%) nursing home organizations, with 1133 associated physicians participated in our study and received the questionnaire. A total of 347 physicians (30.6%) completed the questionnaire. Almost all respondents (99.4%) were recently confronted with skin diseases, mostly (pressure) ulcers, eczema, and fungal infections. Diagnostic and treatment options were limited because of a lack of availability and experience of the physicians. More live consultation of dermatologists was suggested as being important to improve dermatologic care. Other suggestions were better education, more usage of telemedicine applications, and better availability of diagnostic and/or treatment procedures like cryotherapy.
Physicians in nursing homes are frequently confronted with skin diseases. Several changes in organization of care and education are expected to improve dermatologic care in nursing home patients.
评估荷兰养老院患者的皮肤科护理服务提供情况与需求，并获取改进建议。
全国性横断面调查。
荷兰所有173家养老院机构。
在养老院工作的医生。
基于网络的问卷，内容涉及养老院患者皮肤病负担、诊断程序与治疗、与皮肤科医生的协作、医生教育水平以及改进建议。
共有126家（72.8%）养老院机构以及1133名相关医生参与了我们的研究并收到问卷。共有347名医生（30.6%）完成了问卷。几乎所有受访者（99.4%）近期都遇到过皮肤病问题，主要是（压）疮、湿疹和真菌感染。由于医生缺乏可利用资源和经验，诊断和治疗选择有限。更多皮肤科医生的现场会诊被认为对改善皮肤科护理很重要。其他建议包括更好的教育、更多使用远程医疗应用以及更好地提供冷冻疗法等诊断和/或治疗程序。
养老院医生经常遇到皮肤病问题。预计护理和教育组织方面的若干改变将改善养老院患者的皮肤科护理。
