糖尿病足高危患者溃疡预防的最佳证据总结  

Best evidence summary of ulcer prevention in high-risk patients with diabetic foot

作　　者：李旭霞 王晓云[2] 李丽霞 张燕 Li Xuxia;Wang Xiaoyun;Li Lixia;Zhang Yan(School of Nursing,Shanxi University of Chinese Medicine,Jinzhong 030619,China;Department of Endocrinology,Shanxi Provincial People's Hospital,Taiyuan 030012,China)

机构地区：[1]山西中医药大学护理学院,晋中030619 [2]山西省人民医院内分泌科,太原030012

出　　处：《中华现代护理杂志》2024年第11期1430-1436,共7页Chinese Journal of Modern Nursing

基　　金：山西省科技战略研究专项(202104031402129)。

摘　　要：目的检索、获取并总结糖尿病足高危患者溃疡预防的最佳证据,为临床医护人员实践提供参考。方法按照循证资源"6S"金字塔模型系统检索BMJ Best Practice、UpToDate、澳大利亚乔安娜布里格斯研究所循证卫生保健中心数据库、英国国家卫生与临床优化研究所、苏格兰学院间指南网、加拿大安大略注册护士协会、医脉通、国际指南协作网、国际糖尿病足工作组网站、国际糖尿病联合会网站、美国糖尿病协会、澳大利亚糖尿病足网、Cochrance Library、PubMed、Embase、中国生物医学数据库、中国知网、万方数据库中与糖尿病足高危患者溃疡预防相关的文献,检索时限均为建库至2023年9月30日。由2名研究者独立对纳入的文献进行评价,提取符合质量标准的文献。结果本研究最终纳入15篇文献,包括7篇指南、2篇专家共识、1篇临床实践和5篇系统评价。从糖尿病足高危患者定期筛查、自我监测、足部护理、运动预防、健康教育5个方面进行汇总,总结了21条最佳证据。结论该研究总结了糖尿病足高危患者溃疡预防的最佳证据,为临床护理实践提供循证依据。Objective To retrieve,obtain and summarize the best evidence for ulcer prevention in high-risk patients with diabetic foot,so as to provide reference for clinical medical and nursing staff.Methods According to the"6S"pyramid model of evidence-based resources,the literature on ulcer prevention in high-risk patients with diabetic foot was systematically searched in British Medical Journal(BMJ)Best Practice,UpToDate,Joanna Briggs Institute(JBI)Evidence-Based Health Care Center Database,National Institute for Health and Clinical Excellence,Scottish Intercollegiate Guidelines Network,Registered Nurses'Association of Ontario,Medlive,Guidelines International Network,International Working Group on the Diabetic Foot,International Diabetes Federation,American Diabetes Association,Australian Diabetic Foot Network,Cochrane Library,PubMed,Embase,China Biomedical Database,China National Knowledge Infrastructure and Wanfang Data.The search period is from database establishment to September 30,2023.Two researchers independently evaluated the included literature and extracted literature that met quality standards.Results A total of 15 articles were included,including 7 guidelines,two expert consensus,one clinical practice,and five systematic reviews.This paper summarized 21 best pieces of evidence from five aspects of regular screening,self-monitoring,foot care,exercise prevention and health education for high-risk patients with diabetic foot.Conclusions The best evidence of ulcer prevention in high-risk patients with diabetic foot summarized provides evidence-based basis for clinical nursing practice.

关 键 词：糖尿病足 糖尿病高危足 溃疡预防 最佳证据总结 循证护理学 

分 类 号：R473.5[医药卫生—护理学]