糖尿病足发病风险筛查和评估的最佳证据总结
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女,硕士在读,学生

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华中科技大学同济医学院附属同济医院青年基金项目(2017C003)


Summary of best evidence on risk screening and assessment of diabetic foot
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    摘要:

    目的 总结糖尿病足发病风险筛查和评估的最佳证据。方法 检索国内外相关数据库和专业团体网站中有关糖尿病足发病风险筛查和评估的证据,包括指南、证据总结、推荐实践和系统评价。检索时限为建库至2020年1月5日。应用临床指南研究与评价系统、系统评价评估工具、JBI证据预分级及证据推荐级别系统对文献进行质量评价和证据等级评定。结果 共纳入9篇文献,包括5篇指南、1篇证据总结、1篇推荐实践和2篇系统评价。从全面采集健康史,周围神经病变的风险筛查和评估,末梢血管病变的风险筛查和评估,足部皮肤检查,足部压力的测量、足部畸形和鞋类的检查,风险分层系统的应用,风险筛查和评估的频率7个方面总结21条最佳证据。结论 最佳证据总结为临床开展规范化的糖尿病足发病风险筛查和评估提供了循证依据,医护人员应结合临床环境与患者特点,合理地应用证据。

    Abstract:

    Objective To summarize the best evidence on risk screening and assessment of diabetic foot. Methods We searched the related electronic databases and professional group′s websites from inception to January 5, 2020, to collect guidelines, evidence summaries, best practice recommendation reports and systematic reviews on risk screening and assessment of diabetic foot. Then we used the such tools as Appraisal of Guidelines for Research and EvaluationⅡ (AGREE Ⅱ), Assessment of Multiple Systematic Reviews (AMSTAR), JBI evidence pre-classification and evidence grading system to evaluate the quality of literatures and identify the level of evidence. Results A total of 9 publications were enrolled, including 5guidelines, 1 evidence summary report, 1 best practice recommendation report, and 2 systematic reviews. Totally 21 pieces of best evidence were summarized from 7 aspects: obtaining a comprehensive health history, risk screening and assessment of peripheral neuropathy, risk screening and assessment of peripheral vascular disease, foot skin inspection, foot pressure measuring, examination of foot deformities and footwear, the use of risk stratification systems, frequency of risk screening and assessment. Conclusion The summary of best evidence provides an evidence-based reference for medical staff to carry out standardized risk screening and assessment of diabetic foot. The evidence should be applied reasonably according to clinical environment and patients′ characteristics.

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谢晓冉,徐蓉.糖尿病足发病风险筛查和评估的最佳证据总结[J].护理学杂志,2020,35(24):90-93

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  • 收稿日期:2020-07-16
  • 最后修改日期:2020-09-15
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  • 在线发布日期: 2022-09-06