影响糖尿病足溃疡护理和管理的因素：一项范围综述。

IF 3.7 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Endocrine Practice Pub Date : 2025-03-01 DOI:10.1016/j.eprac.2024.11.010

Omorogieva Ojo BSc, MSc, PhD , Joshua Boateng BPharm, MSc, PhD , Rosana Pacella BSc, PhD , Ann Hanrahan BSocSci, MSocSci, PhD , Ryan Essex BSocSc, MPH, PhD , Lesley Dibley BSc, MPhil, PhD

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引用次数: 0

摘要

目的：本综述的目的是探讨影响糖尿病相关足溃疡（DFUs）的护理和管理因素的患者和医疗保健从业人员的经验。方法：Levac等提出的六阶段框架，以及系统评价的首选报告项目和范围评价的元分析扩展，对综述进行指导。使用SPIDER工具定义审查问题的关键要素。在电子数据库（PUBMED、CINAHL、AMED、Embase、Cochrane Database of Systematic Reviews、PsycINFO）、谷歌Scholar和参考文献手工检索中检索相关文章。结果：8篇文章符合纳入标准，被纳入综述。确定了三个主题：关于dfu的交流和教育；管理dfu的挑战；治疗和管理方面的障碍。这些主题是作为一种叙事综合来呈现的。结论：患者对糖尿病足部护理知识的缺乏和医护人员沟通的不一致是影响糖尿病足部溃疡有效管理的主要因素。在知识渊博的卫生保健专业人员的支持下，一致的、以患者为中心的教育应该成为有效的糖尿病足溃疡护理的基础。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Factors Influencing the Care and Management of Diabetic Foot Ulcers: A Scoping Review

Objective

The objective of this scoping review is to explore the experiences of patients’ and healthcare practitioners on the factors that influence the care and management of diabetes-related foot ulcers (DFUs).

Methods

Levac et al’s 6-stage framework and the Preferred Reporting Items for Systematic Review and Meta-analysis extension for scoping reviews, guided the review. The SPIDER tool was used to define key elements of the review question. Searches for relevant articles were conducted in electronic databases (PUBMED, CINAHL, AMED, Embase, Cochrane Database of Systematic Reviews, and PsycINFO), Google Scholar, and hand searches of reference lists.

Results

Eight articles met the inclusion criteria and were included in the review. Three themes were identified: Communication and Education about DFUs; Challenges of managing DFUs; and Barriers to treatment and management. The themes are presented as a narrative synthesis.

Conclusion

Inadequate knowledge of diabetic foot care by patients and inconsistent communication by healthcare professionals were primary factors affecting the effective management of diabetes-related foot ulcers. Consistent, patient-focused education that is supported by knowledgeable health care professionals should form the foundation of effective diabetic foot ulcer care.

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来源期刊

Endocrine Practice ENDOCRINOLOGY & METABOLISM-

CiteScore

7.60

自引率

2.40%

发文量

546

审稿时长

41 days

期刊介绍： Endocrine Practice (ISSN: 1530-891X), a peer-reviewed journal published twelve times a year, is the official journal of the American Association of Clinical Endocrinologists (AACE). The primary mission of Endocrine Practice is to enhance the health care of patients with endocrine diseases through continuing education of practicing endocrinologists.