Independent Clinical Researcher, Maidenhead, UK.
Br J Community Nurs. 2023 Sep 1;28(Sup9):S24-S30. doi: 10.12968/bjcn.2023.28.Sup9.S24.
Venous leg ulcers and chronic oedema including lymphoedema are lifelong conditions that cause great distress to sufferers due to psychophysical symptoms. Time and resources spent on managing chronic wounds place an economic burden on healthcare providers, particularly with an anticipated increase in an ageing population and diminishing numbers of those providing long-term care. Resources are further challenged if wounds remain unhealed. The human costs are even greater, with patients often facing a lifetime of discomfort due to low awareness of venous disease, despite epidemiological studies. Possible causes of persistent venous disease may be misdiagnosis, mismanagement, or simply, no management if help is not sought. Therefore, it is important that chronic leg ulcers are managed with clinically effective regimes, reassessment, monitoring and appropriate referrals for adjunct management, alongside patient education. This article provides simple timescaled measurements to ensure timely interventions and appropriate care at each stage.
静脉性腿部溃疡和慢性水肿（包括淋巴水肿）是终身性疾病，由于其身心症状，给患者带来极大的痛苦。由于人口老龄化和提供长期护理的人数减少，用于管理慢性伤口的时间和资源给医疗保健提供者带来了经济负担。如果伤口未愈合，资源将进一步受到挑战。由于对静脉疾病的认识不足，即使进行了治疗，患者也常常会面临一生的不适，其代价是巨大的。可能导致静脉疾病持续存在的原因包括误诊、管理不当，或者根本没有管理，如果没有寻求帮助的话。因此，重要的是要对慢性腿部溃疡进行临床有效的治疗方案管理、重新评估、监测以及适当的辅助治疗转诊，同时对患者进行教育。本文提供了简单的时间测量，以确保在每个阶段都能及时进行干预和提供适当的护理。
