腿患者的NHS住院患者的压缩疗法:文献综述
Yaping Lian1, Irene Anderson2, Leanne Atkin3,4
1Tissue Viability Team, Box 243 Cambridge University Hospitals NHS Foundation Trust, Cambridge Biomedical Campus, Cambridge, UK.
Journal of wound care
|October 13, 2023
概括
这项研究发现,英国医院对腿部的患病率和压缩治疗的使用缺乏研究. 需要更多的审计和专用服务来改善住院病人腿部的护理.
科学领域:
- 血管外科 血管外科
- 皮肤病学 皮肤病学
- 医疗保健管理的管理
背景情况:
- 腿部是一种普遍且昂贵的疾病,压缩疗法是静脉腿部的标准治疗方法.
- 虽然基于社区的管理得到了充分的研究,但在急性医院环境中,关于腿部和压缩治疗的数据有限.
- 了解住院患者腿部的护理对于优化患者的治疗结果和医疗资源分配至关重要.
研究的目的:
- 探索现有的关于在英国国家卫生服务 (NHS) 医院住院治疗腿部的患者使用压缩疗法的文献.
- 识别有关腿部的流行情况和急性护理环境中压缩治疗的应用知识上的差距.
主要方法:
- 在包括CINAHL,MEDLINE Complete,Embase和PubMed在内的主要数据库中进行了全面的文献搜索.
- 搜索的重点是找出已发表的关于住院患者腿部的研究报告,以及在医院环境中使用压缩疗法的研究.
- 适用资格标准来过检索的文章,重点关注与英国NHS医院相关的研究.
主要成果:
- 文献搜索发现了364篇文章,但只有3篇符合审查的纳入标准.
- 这些精选的研究提供了有限的关于住院患者中腿部的流行率,多普勒评估的频率和压缩治疗的应用数据.
- 显而易见的是,有关住院患者的腿部管理的已发表研究中有显著的缺陷.
结论:
- 该审查强调了关于医院住院患者腿部的患病率和相关使用压缩治疗的信息严重缺乏.
- 显然需要进行流行率审计,以量化急性护理机构中的问题.
- 建议建立专门的腿部服务,并实施员工/患者教育计划,以加强住院患者的腿部护理.
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