摘要
目的:检索、获取并总结糖尿病足患者复发预防的最佳证据,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JBI循证卫生保健中心数据库、UpToDate、BMJ最佳临床实践、Cochrane Library、国际糖尿病足工作组、国际糖尿病联盟、英国国家医疗保健优化研究所、PubMed、荷兰医学文摘数据库、中国知网、万方知识数据服务平台和中国生物医学数据库中糖尿病足患者复发预防的相关文献,检索时限为建库至2022年4月。由2名研究员对纳入的文献进行独立评价,提取符合质量标准的文献。结果:本研究最终纳入12篇文献,其中指南5篇,专家共识3篇,Meta分析4篇。从糖尿病足患者复发预防的必要性和危险因素、减压支具预防、手术及创面管理预防、营养治疗预防、健康教育及生活方式预防、监测和分析6个维度汇总18条最佳证据。结论:总结了糖尿病足患者复发预防的最佳证据,为管理决策者及决策施行者提供预防糖尿病足复发的循证依据。医务工作者在实践过程中还应结合临床具体情况,充分评估其促进因素和阻碍因素,以保证证据能更好的应用于临床,服务于患者。
Objective To retrieve,obtain and summarize the best evidence for the prevention of recurrence in patients with diabetic foot,and to provide reference for clinical practice.MethodsAccording to the"6S"model of evidence-based resources,JBI,UpToDate,BMJ Best Practice,Cochrane Library,International Working Group on the Diabetic Foot,International Diabetes Federation,National Istitute for Health and Clinical Excellence,PubMed,EmBase,China National Knowledge Internet,Wanfang and China Biology Medicine disc were searched by computer for the prevention of recurrence of diabetic foot patients.The retrieval time limit was from the establishment of the database to April 2022.Two researchers independently evaluated the included literature and extracted the literature that met the quality standards.ResultsTotally 12 articles were included at last,including 5 guidelines,3 expert consensus and 4 Meta-analysis.From the six dimensions of the necessity and risk factors of recurrence prevention in diabetic foot patients,decompression brace prevention,surgery and wound management prevention,nutritional therapy prevention,health education and lifestyle prevention,monitoring and analysis,18 pieces of best evidence were summarized.ConclusionsThe best evidence for the prevention of recurrence of diabetic foot patients was summarized to provide evidence-based basis for management decision makers and decision implementers to prevent recurrence of diabetic foot.In the process of practice,medical workers should also fully evaluate the promoting factors and hindering factors in order to ensure that evidence can be better applied to clinical practice and serve patients.
作者
耿怡丹
胡佳琪
董雪凡
马静宜
田建丽
Geng Yidan;Hu Jiaqi;Dong Xuefan;Ma Jingyi;Tian Jianli(School of Nursing,Chengde Medical University,Chengde 067000,China)
出处
《中国实用护理杂志》
2023年第18期1436-1440,F0003,共6页
Chinese Journal of Practical Nursing
关键词
糖尿病足
复发
预防
证据总结
Diabetic foot
Recurrence
Prevention
Evidence summary
