糖尿病周围神经病变患者皮肤保护的最佳证据总结  

Summary of Best Evidence for Skin Protection in Patients with Diabetic Peripheral Neuropathy

作　　者：宋品芳 周秋红[2] 白姣姣[1] 水润英[1] SONG Pinfang;ZHOU Qiuhong;BAI Jiaojiao;SHUI Runying(Huadong Hospital Affiliated to Fu-dan University,Shanghai 200040;Xiangya Hospital Central South University,Changsha,Hunan 410008)

机构地区：[1]复旦大学附属华东医院,上海200040 [2]中南大学湘雅医院,湖南长沙410008

出　　处：《上海护理》2021年第12期25-30,共6页Shanghai Nursing

基　　金：国家重点研发计划“主动健康和老龄化科技应对”重点专项项目(2020YFC2008700);2021年度中国社区健康联盟护理中心科研课题(N-PSBH2021-43)。

摘　　要：目的检索、评价并汇总糖尿病周围神经病变患者皮肤保护的最佳证据,为科学管理糖尿病足溃疡前期皮肤症状、有效预防糖尿病足的发生与发展提供循证依据。方法检索UpToDate、BMJ Best Practice、Cochrane Library、乔安娜布里斯格研究所循证卫生保健中心数据库、美国糖尿病学会网站、加拿大安大略注册护士协会网站、苏格兰校际指南网、英国国家卫生保健优化研究所网站、国际糖尿病足工作组网站、PubMed、Embase、中国知网、万方数据、维普、中国生物医学文献数据库等数据库中有关糖尿病周围神经病变患者皮肤保护的临床实践指南、证据总结、系统评价及专家共识,检索时限为建库至2021年7月。由2名研究者进行文献质量评价和资料提取。结果共纳入17篇文献,包括指南11篇、证据总结2篇、系统评价1篇及专家共识3篇。经整合,最终从下肢皮肤检查、皮肤问题处理及足部保护教育3个方面形成27条最佳证据。结论糖尿病周围神经病变患者皮肤保护的最佳证据可为临床开展规范的糖尿病周围神经病变患者皮肤保护干预实践提供循证依据,对临床医护人员有效预防糖尿病足的发生与发展具有较好的指导意义。Objective To retrieve,evaluate and summarize the best evidence for skin protection in patients with diabetic peripheral neuropathy,providing an evidence‑based basis for scientific management of skin symptoms in the early stage of diabetic foot ulcer and for effective prevention of the occurrence and progression of diabetic foot.Methods Following databases were retrieved from the establishment to July 2021 for clinical practice guidelines,evidence summaries,systematic reviews and expert consensuses on skin protection in patients with diabetic peripheral neuropathy:UpToDate,BMJ Best Practice,Cochrane Library,Joanna Briggs Institute Evidence‑Based Practice Database,American Diabetes Association website,Registered Nurses'Association of Ontario website,Scottish Intercollegiate Guidelines Network website,National Institute for Health and Care Excellence website,International Working Group on the Diabetic Foot,PubMed,Embase,CNKI,Wanfang Data,VIP Database,and CBMdisc.A total of 2 investigators evaluated literature quality and extracted the data.Results A total of 17 articles were included,including 11 guidelines,2 evidence summaries,1 systematic review,and 3 expert consensuses.After data integration,27 pieces of best evidence were finally summarized from 3 aspects:lower limb skin examination,skin problem solving and foot protection education.Conclusion The best evidence for skin protection in patients with diabetic peripheral neuropathy can provide an evidence‑based basis for standard clinical skin protection intervention in patients with diabetic peripheral neuropathy,and guide clinical medical staff to effectively prevent the occurrence and progression of diabetic foot.

关 键 词：糖尿病周围神经病变 皮肤护理 糖尿病足 证据总结 循证护理学 

分 类 号：R473.58[医药卫生—护理学]