糖尿病高危足患者自我管理临床实践指南和专家共识的质量评价及内容分析  

Quality evaluation and content analysis of clinical practice guidelines and expert consensus on self-management of patients with high-risk foot diabetes

作　　者：庄惠人[1] 王文静[2] 俞海萍 尤永梅 顾英杰[1] 姚佳丽 Zhuang Huiren;Wang Wenjing;Yu Haiping;You Yongmei;Gu Yingjie;Yao Jiali(Department of Wound Clinic,Oriental Hospital Affiliated to Tongji University,Shanghai 201123,China)

机构地区：[1]同济大学附属东方医院伤口门诊,上海201123 [2]同济大学附属东方医院护理部,上海201123

出　　处：《中国实用护理杂志》2023年第21期1648-1656,共9页Chinese Journal of Practical Nursing

基　　金：上海市护理学会2021年度学会级立项课题(2021MS-B08);上海市浦东新区卫生健康委员会卫生科技项目(PW2021A-17);同济大学医学院"护理学院(筹)学科建设三年行动计划"项目(JS2210328)。

摘　　要：目的检索糖尿病高危足患者自我管理临床实践的相关指南和专家共识,并对高质量指南和专家共识推荐意见的内容进行分析,为构建糖尿病高危足患者自我管理的指导方案提供借鉴。方法计算机检索数据库、指南网和相关专业网站中的糖尿病高危足患者自我管理临床实践指南和专家共识,检索时限为2012至1月1日至2022年6月5日。由2名研究者对纳入文献进行质量评价,证据提取与整合,邀请专家对总结的证据进行评价。结果根据文献质量评价情况,共纳入12篇指南(A级10篇、B级2篇)和3篇专家共识(专家讨论决定),确定8个主题,分别为定期随访、自我评估、足部及减压管理、运动管理、营养管理、指标管理、心理管理、健康教育,共计28条推荐意见,其中A级推荐23条,B级推荐5条。结论本研究纳入指南和专家共识的质量较高,总结所得证据推荐等级亦较高,可为临床医护人员构建及指导糖尿病高危足患者自我管理临床实践提供参考及依据。ObjectiveTo retrieve the relevant guidelines and expert consensus on self-management of patients with high-risk foot diabetes,and analyze the content of high-quality guidelines and expert consensus recommendations,so as to provide a reference for the construction of a guidance program for self-management of patients with high-risk foot diabetes.MethodsComputer-retrieved clinical practice guidelines and expert consensus for self-management of patients with high-risk foot for diabetes from databases,guideline networks,and related professional websites.The search period was from January 1,2012 to June 5,2022.The quality of the included literature was evaluated and the evidence was extracted and integrated by 2 researchers.Experts were invited to evaluate the summarized evidence.ResultsAccording to the quality of literature,a total of 12 guidelines(10 at level A and 2 at level B)and 3 expert consensus(expert discussion and decision)were included,and 8 themes were defined as regular follow-up,self-assessment,foot and decompression management,exercise management,nutrition management,indicator management,psychological management,and health education,a total of 28 recommendations.Among them,there were 23 A-level recommendations and 5 B-level recommendations.ConclusionsThe quality of the guidelines and expert consensus included in this study is high,the recommended level of the summarized evidence is high.This study provides the reference and basis for the clinical staff to construct and guide the clinical practice of self-management of high-risk diabetic foot patients.

关 键 词：糖尿病足 自我管理 临床实践 质量评价 循证护理 

分 类 号：R473.5[医药卫生—护理学]