Peiró Morant J F, Ramírez Torres J M, Pérez Vázquez E, Lozano Bouzón V M, Parra Valderrama A, Frías Vargas M
Centro de Salud Ponent, Islas Baleares. España.
Centro de Salud Puerta Blanca, Málaga, España.
Semergen. 2023 Nov-Dec;49(8):102063. doi: 10.1016/j.semerg.2023.102063. Epub 2023 Aug 22.
Chronic venous disease (CVD) is classified as the most prevalent vascular disease in humans. It has been associated with an increased incidence of cardiovascular diseases and is a strong predictor of all-cause mortality, representing a public health problem of the first magnitude. The objective of this study was to analyze the actions in the management of CVD in the daily clinical practice of health professionals in Spain.
Observational, descriptive and cross-sectional study with data collection through an opinion survey of 22 questions completed electronically through a Google® form for professionals involved in chronic venous disease care. Three hundred surveys were analyzed. The quantitative variables were represented with means and standard deviation and the qualitative ones with percentages and confidence intervals.
Three hundred surveys analyzed. 65.3% were women. The most participatory age group was over 55 years of age. 85% of those surveyed considered that CVD is an underdiagnosed and undertreated disease, with an added negative impact in terms of follow-up during the Covid-19 pandemic, since 91.7% considered that it had not been adequate. 47% of the participants did not know the CEAP classification and 56.3% did not know the venous clinical severity scale (VCSS). 92.7% of physicians prescribed compression stockings and 74.7% phlebotonic drugs. Hidrosmine was the best known and most prescribed venoactive drug (51.7%). 73% of the doctors recognized that they did not use any algorithm or protocol for the diagnosis, treatment and monitoring of CVD in their usual clinical practice and 91% stated that they were not trained in their workplaces. 54.3% of the physicians believed that one of the main limitations that made follow-up of the disease difficult was the lack of coordination with the vascular surgeons.
Updating and responding to the training needs of professionals regarding CVD is essential to guarantee quality care continuity in the care of our patients.
慢性静脉疾病（CVD）被列为人类中最常见的血管疾病。它与心血管疾病发病率的增加相关，并且是全因死亡率的有力预测指标，代表着一个极其重要的公共卫生问题。本研究的目的是分析西班牙卫生专业人员日常临床实践中对CVD的管理措施。
采用观察性、描述性和横断面研究方法，通过对参与慢性静脉疾病护理的专业人员通过谷歌®表单以电子方式完成的22个问题的意见调查来收集数据。共分析了300份调查问卷。定量变量用均值和标准差表示，定性变量用百分比和置信区间表示。
共分析了300份调查问卷。65.3%为女性。参与度最高的年龄组为55岁以上。85%的受访者认为CVD是一种诊断不足和治疗不足的疾病，在新冠疫情期间的随访方面产生了额外的负面影响，因为91.7%的人认为随访不充分。47%的参与者不知道CEAP分类，56.3%的人不知道静脉临床严重程度量表（VCSS）。92.7%的医生开具了压力袜，74.7%的医生开具了静脉活性药物。羟苯磺酸钙是最知名且处方最多的静脉活性药物（51.7%）。73%的医生承认在其日常临床实践中未使用任何用于CVD诊断、治疗和监测的算法或方案，91%的医生表示在工作场所未接受过相关培训。54.3%的医生认为导致该疾病随访困难的主要限制之一是与血管外科医生缺乏协调。
更新并满足专业人员对CVD的培训需求对于确保我们患者护理中的优质护理连续性至关重要。
