Wound management for 287 patients with chronic leg ulcers demands 12 full-time nurses. Leg ulcer epidemiology and care in a well-defined population in southern Sweden.

Abstract:

OBJECTIVE:To study the prevalence, aetiology and treatment of chronic leg and foot ulcers, and to estimate the nurse's time in wound management. DESIGN:A structured questionnaire with 19 questions about chronic ulcers and wound management was sent to all district and community nurses in the county during 1 week in March 1998. A similar questionnaire has been administered regularly since 1986. SETTING:Primary and community care in the county of Blekinge, Sweden, with a population of 1,51,610. PATIENTS:287 patients with chronic leg and foot ulcers were identified during the week studied. MAIN OUTCOME MEASURES:Prevalence of leg and foot ulcers, ulcer aetiology, treatment of ulcers and wound management time. RESULTS:The estimated prevalence of chronic leg and foot ulcers was 0.19%. Venous ulcers were the most common (38%), of which 87% were treated with some form of compression therapy. Seven percent of the nurse's workload was devoted to ulcer care. During the period 1986 to 1998, ulcers with missing or unknown aetiology decreased from 31% to 6% and ulcers with a duration of more than 2 years from 44% to 27%, while treatment time per ulcer decreased from 2.1 to 1.7 hours/week. CONCLUSION:Monitoring standards for ulcer aetiology through repeated questionnaires seems to ensure more accurate diagnoses. Thorough and detailed information about treatment time documents the workload for wound management.

authors

Oien RF,Håkansson A,Ovhed I,Hansen BU

doi

10.1080/028134300448788

subject

Has Abstract

pub_date

2000-12-01 00:00:00

pages

220-5

issue

4

eissn

0281-3432

issn

1502-7724

journal_volume

18

pub_type

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