Summary of the best evidence for management of chronic venous disease in the lower extremities
10.3760/cma.j.cn115682-20250427-02202
- VernacularTitle:下肢慢性静脉疾病管理的最佳证据总结
- Author:
Zhide MAI
1
;
Ke LI
1
;
Jianxia ZHANG
1
Author Information
1. 北京大学第一医院急诊科，北京 100034
- Publication Type:Journal Article
- Keywords:
Evidence-based nursing;
Lower extremity chronic venous diseases;
Management;
Prevention;
Nursing
- From:
Chinese Journal of Modern Nursing
2025;31(32):4384-4390
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve, evaluate, and summarize the evidence on prevention and management of chronic venous disease of the lower extremities, so as to provide reference for clinical practice.Methods:Clinical decisions, guidelines, evidence summaries, and expert consensus on chronic venous diseases of the lower extremities were systematically retrieved from UpToDate, Joanna Briggs Institute Evidence-Based Health Care Center Database, National Institute for Health and Clinical Excellence, Registered Nurses' Association of Ontario, New Zealand Guidelines Group, National Health and Medical Research Council, Guidelines International Network, Medlive, PubMed, Embase, China Biology Medicine disc, China National Knowledge Infrastructure, Wanfang Data, and specialized collaborative websites including the Society for Vascular Surgery, American Vein and Lymphatic Society, American Venous Forum, and European Society for Vascular Surgery. The search period was from the establishment of the database to March 31, 2025.Results:A total of 18 articles were included, including three guidelines, five clinical decisions, four evidence summaries, and six expert consensus. Ultimately, 19 pieces of evidence were integrated from six aspects of diagnosis, clinical-etiology-anatomy-pathophysiology (CEAP) classification and severity assessment, risk factor assessment, prevention, lifestyle modification, stress management, and patient education and follow-up.Conclusions:Evidence included in this study indicates that the diagnosis of chronic venous disease of the lower extremities, along with CEAP classification and severity assessment, has been widely adopted. In clinical practice, emphasis should be placed on assessing risk factors, implementing preventive management and health education for high-risk patients, and conducting long-term follow-up to alleviate symptoms and thereby improve quality of life. It is recommended that clinical nursing staff conduct targeted evidence transformation based on specific clinical contexts to enhance the quality of clinical nursing.
