Best evidence summary of foot offloading management for high-risk diabetic foot patients
10.3760/cma.j.cn211501-20240513-01203
- VernacularTitle:糖尿病高危足患者足部减压管理的最佳证据总结
- Author:
Jing LIU
1
;
Ning ZHANG
;
Yujiao SUN
;
Hongmei ZHANG
;
Yi LU
;
Lili SHEN
;
Mingzhi FENG
Author Information
1. 南京大学医学院附属鼓楼医院伤口护理室，南京 210008
- Publication Type:Journal Article
- Keywords:
Diabetic foot;
High-risk;
Off loading;
Evidence summary;
Evidence-based nursing
- From:
Chinese Journal of Practical Nursing
2025;41(11):832-840
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve and integrate the best evidence on foot offloading management for diabetic high-risk foot patients, and to provide evidence-based basis for effectively preventing the occurrence and development of diabetic foot ulcers.Methods:Clinical practice guidelines, evidence summaries, systematic reviews and expert consensus on the management of foot offloading at high risk of diabetes were searched in Chinese and English databases, domestic and foreign diabetes association websites, clinical decision websites and guideline websites, retrieval time for libraries to March 31, 2024, respectively, by the 2 researchers quality evaluation, evidence extraction, the final summary.Results:A total of 16 articles were included, including 6 guidesline, 5 expert consensuses, 1 evidence summary and 4 systematic reviews. According to the existing evidence, the best evidence of foot offloading management in patients with diabetic high-risk foot was summarized from 6 aspects: evaluation, monitoring, referral, offloading brace, exercise advice and risk factor intervention, 14 subcategories, 32 best evidences for foot offloading management in patients with high-risk diabetic foot.Conclusions:This study summarized the best evidence for foot offloading management in patients with high-risk of diabetic foot, which is convenient for the further development of clinical practice of foot offloading management in patients with high-risk of diabetes, and provides evidence-based basis for clinical medical staff to expand related research.
