Peters J
University of Sheffield, UK.
J Clin Nurs. 1998 Jan;7(1):3-9. doi: 10.1046/j.1365-2702.1998.00106.x.
The literature on external prevention strategies for recurrence of venous leg ulcers is reviewed to assess the extent of existing knowledge and the effectiveness of preventive practices currently employed. Although there is some evidence that the use of compression hosiery is effective in reducing the incidence of recurrence, other strategies cited for ulcer prevention are not supported by documented research. It is also evident that patient compliance with wearing compression hosiery could be improved and that an evaluation of the effectiveness of hosiery currently available is overdue. With district nurses spending up to 50% of their time treating venous leg ulcers, not only are they in a key position to disseminate information on effective prevention to patients, but in so doing they should contribute to a reduction in their leg ulcer treatment caseload. To do this, nurses need to be more informed on aspects of venous leg ulceration and prevention strategies.
对有关下肢静脉性溃疡复发的外部预防策略的文献进行综述，以评估现有知识的范围以及当前采用的预防措施的有效性。尽管有一些证据表明使用加压弹力袜可有效降低复发率，但文献研究并不支持其他提及的溃疡预防策略。同样明显的是，患者穿戴加压弹力袜的依从性有待提高，而且早就应该对现有弹力袜的有效性进行评估。由于社区护士高达50%的时间用于治疗下肢静脉性溃疡，他们不仅处于向患者传播有效预防信息的关键位置，而且这样做应该有助于减少他们的腿部溃疡治疗工作量。要做到这一点，护士需要更多地了解下肢静脉性溃疡的各个方面以及预防策略。
