下肢静脉溃疡(VLU)是慢性静脉疾病最严重的表现,其特点是愈合缓慢,复发率高。这种典型的顽固性和反复发作的情况会严重损害生活质量,预防VLU复发对于帮助减轻患者和卫生资源的巨大负担至关重要,这次范围审查的目的是分析和确定预防当前报告的复发的干预措施,更好地告知医疗保健专业人员和患者。PubMed,Embase,WebofScience,Cochrane图书馆数据库,中国国家知识基础设施(CNKI),中国生物医学文献数据库(CBM),截至2023年6月17日,万方数据和重庆贵宾信息(CQVIP)已访问。此范围审查遵循Arksey和O\'Malley描述的五个步骤框架,并使用PRISMA扩展来报告审查。共纳入11篇文章,共1503名患者,并采取了四项有效措施:加压治疗,身体活动,健康教育,和自我照顾。最后,使用高压加压治疗终身,补充运动疗法,加强健康教育,促进自我护理是VLU预防和复发的建议策略。此外,多学科团队参与VLU护理的重要性至关重要。
Venous leg ulcer (VLU) is the most severe manifestations of chronic venous disease, which has characterized by slow healing and high recurrence rates. This typically recalcitrant and recurring condition significantly impairs quality of life, prevention of VLU recurrence is essential for helping to reduce the huge burden of patients and health resources, the purpose of this scoping
review is to analyse and determine the intervention measures for preventing recurrence of the current reported, to better inform healthcare professionals and patients. The PubMed, Embase, Web of Science, Cochrane Library databases, Chinese National Knowledge Infrastructure (CNKI), Chinese Biomedical Literature Database (CBM), Wan Fang Data and Chongqing VIP Information (CQVIP) were accessed up to June 17, 2023. This scoping
review followed the five-steps framework described by Arksey and O\'Malley and the PRISMA extension was used to report the
review. Eleven articles were included with a total of 1503 patients, and adopted the four effective measures: compression therapy, physical activity, health education, and self-care. To conclude, the use of high pressure compression treatment for life, supplementary exercise therapy, and strengthen health education to promote self-care are recommended strategies of VLU prevention and recurrence. In addition, the importance of multi-disciplinary teams to participate in the care of VLU in crucial.