Wang W, Keast D H
Western University 1151 Richmond Street London, Ontario N6A 3K7 Canada.
Parkwood, Institute Research Parkwood Institute, Main Building, Suite B3-187A 550 Wellington Road London ON, Canada.
J Wound Care. 2016 Apr;25(4):S11-2, S14-5. doi: 10.12968/jowc.2016.25.Sup4.S11.
Lymphoedema is estimated to affect up to 300,000 Canadians but remains underrecognised and undertreated. A retrospective chart review was conducted to determine the clinical characteristics and treatment practices of lymphoedema in a Canadian wound care clinic.
Data were collected retrospectively from dictated clinic notes of 326 lymphoedema patients at a wound clinic in a regional rehabilitation hospital.
The mean age (±SD) of diagnosis was 66.8 (±15.5). Patients had 7.3 (±3.3) comorbidities and took 8.4 (±4.6) concomitant medications. The most common comorbidities were venous disease (73%), hypertension (60%), and obesity (46%). Clinic patients were less likely to be women, have arm lymphoedema, or have cancer-related aetiology compared with previous studies, reflecting a two-tiered model of care delivery in the area. Treatments prescribed by the clinic were consistent best practice recommendations for conservative treatment.
A significant proportion of the wound clinic's patients had lymphoedema. Lack of resources, lack of awareness among primary care providers, and patient adherence are barriers to lymphoedema care.
据估计，多达30万加拿大人受到淋巴水肿的影响，但该病仍未得到充分认识和治疗。进行了一项回顾性病历审查，以确定加拿大一家伤口护理诊所中淋巴水肿的临床特征和治疗方法。
从一家地区康复医院伤口诊所的326例淋巴水肿患者的口述病历中回顾性收集数据。
诊断时的平均年龄（±标准差）为66.8（±15.5）岁。患者有7.3（±3.3）种合并症，服用8.4（±4.6）种伴随药物。最常见的合并症是静脉疾病（73%）、高血压（60%）和肥胖（46%）。与之前的研究相比，诊所患者中女性、手臂淋巴水肿或癌症相关病因的比例较低，这反映了该地区的两级护理模式。诊所开出的治疗方法符合保守治疗的最佳实践建议。
伤口诊所的很大一部分患者患有淋巴水肿。资源短缺、初级保健提供者缺乏认识以及患者依从性是淋巴水肿护理的障碍。
