下肢静脉溃疡患者肢体功能锻炼的最佳证据总结

目的总结下肢静脉溃疡患者肢体功能锻炼的最佳证据,为临床实践提供参考。方法计算机检索国内外循证资源及文献数据库中关于下肢静脉溃疡功能锻炼的指南、证据总结、系统评价等证据。结果共纳入4篇指南、1篇系统评价,获取13条最佳证据并归纳为5个方面的推荐意见,分别为功能锻炼、步态评估、患肢抬高、健康教育、多学科合作。结论医护人员可结合下肢静脉溃疡患者的意愿及实际情况,针对性地选择适合证据,规范功能锻炼,提高治疗效果。

A summary of the best evidence of exercise for venous leg ulcers

Objective To summarize the best evidence of functional exercise for patients with venous leg ulcer,and to provide reference for clinical practice.Methods We searched databases and resources of evidence-based medicine,e.g.BMJ best practice, Registered Nurses' Association of Ontano(RNAO),National Guideline Clearinghouse(NGC),Scottish Intercollegiate Guideline (SIGN),JBI Evidence Summary,Cochrane Library,PubMed,SinoMed and Wound,Ostomy and Continence Nurses Society (WOCN)to collect guidelines,summaries and systematic reviews concerning functional exercise for venous leg ulcers.Results Four guidelines and one systematic review were included.Then we extracted 13 best evidence and categorized into 5 dimensions of recommendations,including functional exercise,gait assessment,affected limb elevation,health education,and multi-disciplinary collaboration.Conclusion Healthcare workers should consider patient preference and clinical situation to select reasonable evidence, thus to standardize functional exercise for patients with venous leg ulcers and enhance therapeutic effect.