糖尿病高危足患者风险分级管理的证据总结

Evidence summary of risk grading management of high-risk diabetic foot patients

目的检索、评价糖尿病高危足患者风险分级管理的相关证据,为糖尿病足的管理提供参考。方法按照循证资源"6S"金字塔模型,检索Web of Science、UpToDate、Cochrane Library、PubMed、中国知网、万方数据库、维普数据库等数据库,指南网站以及专业协会网站中与糖尿病高危足患者风险分级管理相关的证据,检索时限均为建库至2024年1月1日。结果共纳入11篇文献,其中指南8篇、系统评价1篇、专家共识1篇、专家意见1篇,总结出关于糖尿病高危足患者分级管理最佳证据24条,涵盖了关于风险评估、风险分级、建立档案、筛查频率、健康教育、足部处理、运动管理以及转诊8个方面的内容。结论该研究汇总了糖尿病高危足患者风险分级管理的最佳证据,为临床护理人员开展循证实践提供参考依据。

Objective To retrieve and evaluate the evidence on the risk grading management of high-risk diabetic foot patients,so as to provide reference for the management of diabetic foot.Methods According to the"6S"pyramid model of evidence-based resources,evidence on risk grading management of high-risk diabetic foot patients was retrieved in Web of Science,UpToDate,Cochrane Library,PubMed,China National Knowledge Infrastructure,WanFang Data,VIP and other databases,guide websites,and professional association websites.The search period was from the establishment of the database to January 1,2024.Results A total of 11 articles were included,including 8 guidelines,one systematic review,one expert consensus,and one expert opinion.There were 24 pieces of best evidence about the risk grading management of high-risk diabetic foot patients,covering 8 aspects of risk assessment,risk grading,health records establishment,screening frequency,health education,foot management,exercise management and referral.Conclusions The best evidence of risk grading management of high-risk diabetic foot patients summarized can provide reference for clinical nurses to carry out evidence-based practice.