Efficacy of Biomechanics-based Decompression Therapy in Managing Recurrent Diabetic Plantar Ulcers

IF 1.5 4区医学 Q3 DERMATOLOGY

International Journal of Lower Extremity Wounds Pub Date : 2024-04-04 DOI:10.1177/15347346241245087

Yan Wan, Zheng Wang, Jiao-Jiao Bai, Yun-Min Cai, Yue Ming, Wen Qin

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Abstract

ObjectiveThe objective of this study is to assess the efficacy of decompression nursing based on biomechanical principles in managing recurrent diabetic plantar ulcers.MethodsSixty-seven patients experiencing recurrent diabetic plantar ulcers who sought medical attention at Huadong Hospital Affiliated to Fudan University between January 2021 and December 2022 were selected as participants for this study. The participants underwent biomechanics-based decompression nursing. We compared pre-intervention and post-intervention data to assess the differences in relevant observational indexes.ResultsPost-intervention, patients showed significant improvements in foot comfort scores and adherence to pressure reduction behavior compared with their pre-intervention status, with statistical significance ( P < 0.05). The intervention was effective in 41 cases (61.19%), with 18 cases (26.87%) showing improvement and 8 cases (11.94%) deemed ineffective, culminating in an overall efficacy rate of 88.06%. All 67 patients achieved complete ulcer healing within an average duration of 58.63 ± 18.13 days, without any recorded recurrences.ConclusionBiomechanics-based decompression nursing demonstrates effective facilitation of wound healing, yielding expeditious recovery, enhanced comfort, and a reduced incidence of recurrence.

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基于生物力学的减压疗法在治疗复发性糖尿病足底溃疡中的疗效

方法选取2021年1月至2022年12月期间在复旦大学附属华东医院就诊的67例复发性糖尿病足底溃疡患者作为研究对象。参与者接受了基于生物力学的减压护理。结果干预后，患者足部舒适度评分和减压行为依从性较干预前有明显改善，差异有统计学意义（P <0.05）。41例（61.19%）干预有效，18例（26.87%）有所改善，8例（11.94%）无效，总有效率为88.06%。结论基于生物力学的减压护理能有效促进伤口愈合，使患者快速康复，提高舒适度，并降低复发率。

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来源期刊

International Journal of Lower Extremity Wounds DERMATOLOGY-SURGERY

CiteScore

4.60

自引率

17.60%

发文量

审稿时长

>12 weeks

期刊介绍： The International Journal of Lower Extremity Wounds (IJLEW) is a quarterly, peer-reviewed journal publishing original research, reviews of evidence-based diagnostic techniques and methods, disease and patient management, and surgical and medical therapeutics for lower extremity wounds such as burns, stomas, ulcers, fistulas, and traumatic wounds. IJLEW also offers evaluations of assessment and monitoring tools, dressings, gels, cleansers, pressure management, footwear/orthotics, casting, and bioengineered skin. This journal is a member of the Committee on Publication Ethics (COPE).