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预防静脉性腿部溃疡复发的策略:范围综述。

Prevention strategies for the recurrence of venous leg ulcers: A scoping review.

机构信息

School of Nursing, Lanzhou University, Lanzhou, China.

Department of Nursing, Lanzhou University Second Hospital, Lanzhou, China.

出版信息

Int Wound J. 2024 Mar;21(3):e14759. doi: 10.1111/iwj.14759.

DOI:10.1111/iwj.14759
PMID:38415952
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10900918/
Abstract

Venous leg ulcer (VLU) is the most severe manifestations of chronic venous disease, which has characterized by slow healing and high recurrence rates. This typically recalcitrant and recurring condition significantly impairs quality of life, prevention of VLU recurrence is essential for helping to reduce the huge burden of patients and health resources, the purpose of this scoping review is to analyse and determine the intervention measures for preventing recurrence of the current reported, to better inform healthcare professionals and patients. The PubMed, Embase, Web of Science, Cochrane Library databases, Chinese National Knowledge Infrastructure (CNKI), Chinese Biomedical Literature Database (CBM), Wan Fang Data and Chongqing VIP Information (CQVIP) were accessed up to June 17, 2023. This scoping review followed the five-steps framework described by Arksey and O'Malley and the PRISMA extension was used to report the review. Eleven articles were included with a total of 1503 patients, and adopted the four effective measures: compression therapy, physical activity, health education, and self-care. To conclude, the use of high pressure compression treatment for life, supplementary exercise therapy, and strengthen health education to promote self-care are recommended strategies of VLU prevention and recurrence. In addition, the importance of multi-disciplinary teams to participate in the care of VLU in crucial.

摘要

静脉性腿部溃疡(VLU)是慢性静脉疾病最严重的表现,其特点是愈合缓慢且复发率高。这种典型的难治性和复发性疾病严重影响生活质量,预防 VLU 复发对于减轻患者和医疗资源的巨大负担至关重要,本次范围综述的目的是分析和确定当前报道的预防复发的干预措施,以便为医疗保健专业人员和患者提供更好的信息。本研究检索了 PubMed、Embase、Web of Science、Cochrane Library 数据库、中国知网(CNKI)、中国生物医学文献数据库(CBM)、万方数据和重庆维普资讯(CQVIP),检索时间截至 2023 年 6 月 17 日。本范围综述遵循 Arksey 和 O'Malley 描述的五个步骤框架,并使用 PRISMA 扩展来报告综述。共纳入 11 篇文章,总计 1503 例患者,采用了四种有效措施:压迫治疗、体育活动、健康教育和自我护理。结论:建议采用高压压迫治疗终生、补充运动疗法和加强健康教育以促进自我护理来预防和减少 VLU 的复发。此外,多学科团队参与 VLU 护理至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d61/10900918/2b3c4828ee31/IWJ-21-e14759-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d61/10900918/2b3c4828ee31/IWJ-21-e14759-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d61/10900918/2b3c4828ee31/IWJ-21-e14759-g001.jpg

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2
The influence of different sub-bandage pressure values in the prevention of recurrence of venous ulceration-A ten year follow-up.不同加压包扎压力值对预防静脉溃疡复发的影响——十年随访研究。
Phlebology. 2023 Aug;38(7):458-465. doi: 10.1177/02683555231184776. Epub 2023 Jun 21.
3
Barriers and enablers to physical activity in people with venous leg ulcers: A systematic review of qualitative studies.
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Wound Repair Regen. 2025 Sep-Oct;33(5):e70084. doi: 10.1111/wrr.70084.
4
Understanding CEAP Classification: Insights from an Italian Survey on Corona Phlebectatica and Recurrent Active Venous Ulcers by Vascular Specialists.了解CEAP分类:来自意大利血管专家关于静脉曲张性静脉炎和复发性活动性静脉溃疡调查的见解。
Medicina (Kaunas). 2024 Apr 10;60(4):618. doi: 10.3390/medicina60040618.
静脉溃疡患者身体活动的障碍和促进因素:定性研究的系统评价。
Int J Nurs Stud. 2022 Nov;135:104329. doi: 10.1016/j.ijnurstu.2022.104329. Epub 2022 Jul 22.
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