Abstract:

Objective To retrieve,evaluate and summarize the evidence of self-management of patients with venous leg ulcer（VLU）,and to provide evidence-based references for health education and self-management of patients.Methods We systematically searched all relevant literature on the self-management of patients with VLU,including clinical practice guidelines,best practices,expert consensuses,evidence summaries,systematic reviews and original studies,from the guideline websites,databases and professional association websites,with the search period from the database establishment to August 2021. 2 researchers independently evaluated the quality of the included literature,and extracted and integrated evidence based on the judgment of professionals.Results A total of 14 articles were included,including 9 guidelines,2 best practices,2 systematic reviews and 1 expert consensus. Finally,21 pieces of best evidence were summarized,including 5 aspects of patient self-assessment,stress management,diet and nutrition management,exercise management,and skin management around the wound.Conclusion This study summarizes the best evidence of self-management of patients with VLU,and clinical medical staff can use the best evidence to guide the self-behavior management of patients with VLU in a more targeted and scientific way.

Key words: Venous Leg Ulcers, Self-Management, Health Education, Evidence Summary, Evidence-Based Nursing

摘要：

目的 检索、评价和总结下肢静脉溃疡患者自我管理的相关证据,为护理人员健康宣教及患者自我管理提供循证依据。方法 系统检索指南网站、数据库、专业协会网站中所有关于下肢静脉溃疡患者自我管理内容的相关文献,包括指南、最佳实践、专家共识、证据总结、系统评价、原始研究,检索时限为建库至2021年8月1日。由2名研究者独立对纳入文献进行质量评价,并结合专业人士的判断,进行证据的提取与整合。结果 共纳入14篇文献,其中,指南9篇,最佳实践2篇,系统评价2篇,专家共识1篇。最终总结出21条最佳证据,包括患者自我评估、压力治疗管理、饮食营养管理、运动管理、伤口周围皮肤管理5个方面。结论 该研究总结的下肢静脉溃疡患者自我管理的最佳证据具有科学性和实用性,可为临床医护人员提供参考和借鉴,使其更有针对性、科学性地指导下肢静脉溃疡患者的自我管理行为。

关键词: 下肢静脉溃疡, 自我管理, 健康教育, 证据总结, 循证护理学