Quality evaluation and content analysis of clinical practice guidelines and expert consensus on self-management of patients with high-risk foot diabetes
10.3760/cma.j.cn211501-20220822-02663
- VernacularTitle:糖尿病高危足患者自我管理临床实践指南和专家共识的质量评价及内容分析
- Author:
Huiren ZHUANG
1
;
Wenjing WANG
;
Haiping YU
;
Yongmei YOU
;
Yingjie GU
;
Jiali YAO
Author Information
1. 同济大学附属东方医院伤口门诊，上海 201123
- Keywords:
Diabetic foot;
Self management;
Clinical practice;
Quality evaluation;
Evidence-based nursing
- From:
Chinese Journal of Practical Nursing
2023;39(21):1648-1656
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve the relevant guidelines and expert consensus on self-management of patients with high-risk foot diabetes, and analyze the content of high-quality guidelines and expert consensus recommendations, so as to provide a reference for the construction of a guidance program for self-management of patients with high-risk foot diabetes.Methods:Computer-retrieved clinical practice guidelines and expert consensus for self-management of patients with high-risk foot for diabetes from databases, guideline networks, and related professional websites. The search period was from January 1, 2012 to June 5, 2022. The quality of the included literature was evaluated and the evidence was extracted and integrated by 2 researchers. Experts were invited to evaluate the summarized evidence.Results:According to the quality of literature, a total of 12 guidelines (10 at level A and 2 at level B) and 3 expert consensus (expert discussion and decision) were included, and 8 themes were defined as regular follow-up, self-assessment, foot and decompression management, exercise management, nutrition management, indicator management, psychological management, and health education, a total of 28 recommendations. Among them, there were 23 A-level recommendations and 5 B-level recommendations.Conclusions:The quality of the guidelines and expert consensus included in this study is high,the recommended level of the summarized evidence is high. This study provides the reference and basis for the clinical staff to construct and guide the clinical practice of self-management of high-risk diabetic foot patients.
