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.
OBJECTIVE
To study the prevalence, aetiology and treatment of chronic leg and foot ulcers, and to estimate the nurse's time in wound management.


METHODS
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.


METHODS
Primary and community care in the county of Blekinge, Sweden, with a population of 1,51,610.


METHODS
287 patients with chronic leg and foot ulcers were identified during the week studied.


METHODS
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.


CONCLUSIONS
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.
Oien
R F
RF
Lyckeby Health Centre, Sweden.
Håkansson
A
A
Ovhed
I
I
Hansen
B U
BU
D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D005260:Female; D006801:Humans; D007871:Leg Ulcer / Q000453:epidemiology* / Q000209:etiology / Q000451:nursing* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010561:Personnel Staffing and Scheduling; D015995:Prevalence; D017678:Sex Distribution; D013548:Sweden / Q000453:epidemiology; D013647:Task Performance and Analysis; D016526:Workload