Hickie S, Ross S, Bond C
National Board for Nursing, Midwifery and Health Visiting, Edinburgh, UK.
J Clin Nurs. 1998 Jan;7(1):45-50. doi: 10.1046/j.1365-2702.1998.00124.x.
A postal survey was undertaken to describe the management of leg ulcers in a sample of primary care settings in Scotland. The management of leg ulcers caused a considerable workload for all three groups of professionals, although general practitioners (GPs) reported seeing fewer patients. Initial assessment of leg ulcers was often carried out by nurses in collaboration with GPs; however, 48% of district nurses reported assessing patients alone. Choice of treatment depended on clinical criteria and frequency of visits to change dressings. Compression bandages were used routinely by 64% of nurses. Practice protocols were unusual, with only 12% of nurses reporting their use. The management of leg ulcers was not always optimum, and the findings indicate that evidence-based guidelines should be more widely adopted for the management of leg ulcers in general practice.
开展了一项邮政调查，以描述苏格兰部分基层医疗环境中腿部溃疡的管理情况。腿部溃疡的管理给所有三组专业人员都带来了相当大的工作量，尽管全科医生（GPs）报告称看诊的患者较少。腿部溃疡的初步评估通常由护士与全科医生合作进行；然而，48%的社区护士报告称是独自评估患者。治疗方法的选择取决于临床标准和更换敷料的就诊频率。64%的护士常规使用加压绷带。实践方案并不常见，只有12%的护士报告使用过。腿部溃疡的管理并不总是最佳的，研究结果表明，在全科医疗中，基于证据的指南应更广泛地应用于腿部溃疡的管理。
