社区糖尿病高危足足部管理最佳证据总结及证据可用性评价
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Summaryofbestevidenceandevaluationofevidenceavailabilityformanagementofhighriskdiabeticfootpatientsincommunities
WEITing,WANGJing,HUYan,LIULiminSchoolofMedicine,TongjiUniversity,Shanghai200092ChinaCorrespondingAuthorWANGJing,Email:840518242@qq.com
AbstractObjective:Toretrieve,evaluate,andsummarizethebestevidenceonfootmanagementforhighriskdiabeticfootpatientsinthecommunityandevaluatetheevidenceavailability,soastoprovideanevidencebasedbasisforfootmanagementofhighriskdiabeticfootpatientsinthecommunity.Methods:Basedonthe"6S"model,evidenceonfootmanagementforhighriskdiabeticfootpatients,includingclinicaldecisionmaking,guidelines,recommendedpractices,systematicreviews,expertconsensus,andevidencesummaries,wereretrievedsystematicallyfromdatabasesinChinaandforeigncountries.ThesearchtimelimitwasfromtheestablishmentofthedatabasetoOctober31,2022.AccordingtotheevaluationstandardsestablishedbytheClinicalResearchandEvaluationSystem(AGREEⅡ)andtheAustralianJoannaBriggsInstitute(JBI)EvidenceBasedHealthCareCenter(2016),tworesearchersindependentlyassessedthequalityoftheliterature,extractedevidencefromtheliteraturethatmetthequalitystandards,completedtheevidencegradingusingthe2014versionoftheJBIevidencepregradingsystem,andscreenedouttheevidenceavailableinthecommunityusingtheevidenceavailabilityassessment.Results:Atotalof16articleswereincluded,including7guidelines,2expertconsensusarticles,5systematicreviews,1clinicaldecisionmakingarticle,and1evidencesummary.Atotalof40bestpiecesofevidencein11aspectsweresummarized,includingfootscreening,multidisciplinarymanagement,exerciseassessment,exercisepurpose,exercisemethodsandeffects,exercisetimeandfrequency,exerciseintensity,footcare,wearingshoesandsocks,foothealtheducation,andfollowupmonitoring.Finally,37piecesofevidencesuitableforcommunitytransformationwereselected.Conclusions:Thisstudysummarizesthebestevidenceonmanaginghighriskdiabeticfeetandfullyconsideredthecommunitycontexttoevaluatetheavailabilityofevidence.Itcanprovideareferenceformanaginghighriskdiabeticfootinthecommunityandlaythefoundationforevidencetransformation.
Keywordshighriskdiabeticfoot;diabeticperipheralneuropathy;diabeticperipheralarterialdisease;management;exercise;evidencesummary;evidencebasednursing;evidenceavailabilityevaluation
摘要目的:檢索、汇总、评价社区糖尿病高危足足部管理最佳证据并进行证据可用性评价,为社区糖尿病高危足人群足部管理提供循证依据。(剩余11601字)
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