下肢静脉溃疡压力治疗的证据总结  

Evidence summary of compression therapy in patients with venous leg ulcers

作　　者：郑宏娟 张佩英 ZHEHG Hong-juan;ZHANG Pei-ying

机构地区：[1]信阳市中心医院肿瘤科,河南省信阳市464000 [2]北京大学第一医院,北京市100034

出　　处：《中华护理教育》2020年第11期1046-1051,共6页Chinese Journal of Nursing Education

摘　　要：目的检索、评价并总结下肢静脉溃疡压力治疗相关的证据。方法系统检索英国国家卫生与临床优化研究所、加拿大安大略注册护士协会、苏格兰校际间指南网、新西兰指南研究组、国际指南网、伤口造口失禁护理学会、世界造口治疗师协会、美国疾病控制和预防中心、the Cochrane Library、Joanna Briggs Institute(JBI)、PubMed、CINAHL、Clinical evidence、Best practice等网站及数据库中的下肢静脉溃疡压力治疗相关临床实践指南、系统评价、实践推荐以及证据总结。筛选、评价相关文献质量,并进行证据提取。结果共纳入10篇文献,其中临床实践指南4篇、证据总结2篇、系统评价4篇。总结出预防、治疗、压迫方式与材料、人员资质4个方面16条下肢静脉溃疡压力治疗的相关证据。结论本研究总结了下肢静脉溃疡压力治疗的最佳证据,为医疗机构规范下肢静脉溃疡的压力治疗提供了循证依据,应用时还需评估特定临床情境、考虑患者意愿。Objective To search,evaluate and summarize the evidence of compression therapy for venous leg ulcers.Methods Research evidence was systematically retrieved from the National Institute for Health and Clinical Excellence(NICE),Registered Nurses'Association of Ontario(RNAO),the Scottish Intercollegiate Guidelines Network(SIGN),New Zealand Guidelines Group(NZGG),International Guidelines Network(GIN),Wound Ostomy Continence Nurses Society(WOCN),World Council of Enterostomal Therapists(WCET),The United States Centers for Disease Control and Prevention(CDC),The Cochrane Library,Joanna Briggs Institute(JBI),PubMed,CINAHL,Clinical evidence,Best practice for clinical practice guidelines,systematic review,practice recommendation and evidence summary of compression therapy on venous leg ulcers.Then these evidence information was screened.Results A total of 10 references were included,containing 4 clinical practice guidelines,2 practice recommendations and 4 systematic reviews.Evidence for compression therapy of venous leg ulcers was summarized including prevention,treatment,compression types and material selection,and personal qualification.Conclusion Compression therapy is effective in the prevention and treatment of venous leg ulcers.Institutions may provide appropriate compression therapy for patients with venous leg ulcers by trained professionals based on the evidence presented.

关 键 词：静脉曲张溃疡 下肢 压力治疗 证据总结 

分 类 号：R473.6[医药卫生—护理学]