Review of evidence application and obstacle factors of foot nursing education in high-risk diabetic patients
10.3760/cma.j.cn115682-20211108-05021
- VernacularTitle:糖尿病高危足患者足部护理教育证据应用审查及障碍因素分析
- Author:
Xiaochao JIN
1
;
Rong WU
;
Cuidi ZHANG
Author Information
1. 上海交通大学医学院附属精神卫生中心普通精神科，上海 200030
- Keywords:
Diabetic foot;
Foot nursing education;
Evidence;
Clinical application;
Review;
Obstacle factors
- From:
Chinese Journal of Modern Nursing
2022;28(15):2030-2035
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the clinical application status of evidence of foot nursing education in high-risk diabetic patients, analyze the obstacle factors and formulate intervention strategies, so as to provide reference for the transformation of evidence-based evidence into clinical practice.Methods:From April to June 2019, a total of 12 nurses and 49 high-risk diabetic foot patients in Department of Endocrinology in Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine were selected as research objects by the convenient sampling method. A total of 15 pieces of evidence of foot nursing education for high-risk diabetic foot patients were introduced. 10 review indicators were formulated to carry out clinical status review according to the evidence and obstacle factor analysis was carried out according to the review results.Results:The clinical compliance rate of the 10 review indicators was 0-43%, of which the standardized scores of foot care knowledge, belief and behavior in high-risk diabetic foot patients were 68.32%, 61.00% and 59.44%, respectively. The standardized scores of foot nursing knowledge, belief and behavior were 75.97%, 54.17% and 52.78%, respectively. The main obstacle factors included lack of evidence-based nursing practice plan for high-risk diabetic nursing education, lack of introduction of high-risk diabetic foot screening tools, lack of multi-disciplinary foot nursing education, single form of health education, low level of knowledge, faith and practice of nurses' foot nursing education, lack of training and lack of attention by nurses to effect evaluation.Conclusions:Evidence of foot nursing education in high-risk diabetic foot patients has not been effectively translated into clinical practice. Evidence-based practice programs should be constructed according to intervention strategies to shorten the gap between clinical practice and evidence.
