社區(qū)糖尿病高危足足部管理最佳證據總結及證據可用性評價

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Summaryofbestevidenceandevaluationofevidenceavailabilityformanagementofhighriskdiabeticfootpatientsincommunities

WEITing，WANGJing，HUYan，LIULiminSchoolofMedicine，TongjiUniversity，Shanghai200092ChinaCorrespondingAuthorWANGJing，Email：[email protected]

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、匯總、評價社區(qū)糖尿病高危足足部管理最佳證據并進行證據可用性評價，為社區(qū)糖尿病高危足人群足部管理提供循證依據。（剩余11601字）