Summary of best evidence for non-surgical offloading management of diabetic foot ulcers
10.3760/cma.j.cn211501-20240711-01830
- VernacularTitle:糖尿病足溃疡患者非手术减压管理的最佳证据总结
- Author:
Ruiqin GAO
1
;
Junhong AN
;
Xiaoye WANG
;
Lihong FAN
Author Information
1. 山西医科大学护理学院，太原 030001
- Publication Type:Journal Article
- Keywords:
Diabetic foot;
Non-surgical offloading;
Evidence-based nursing;
Evidence summary
- From:
Chinese Journal of Practical Nursing
2025;41(7):523-530
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To review and synthesize the best evidence for non-surgical offloading management in patients with diabetic foot ulcers, so as to provide reference for clinical medical staff.Methods:A literature retrieval strategy was developed to search the related articles on the management of offloading in patients with diabetic foot ulcer on the websites and databases of various guidelines.The retrieval time limit was from the establishment of the database to June 15, 2024. The quality of the literature was evaluated by two graduate students, and the evidence was extracted and synthesized.Results:A total of 15 articles were included, including 5 guidelines, 8 systematic reviews/Meta-analyses, 1 expert consensus and 1 randomized controlled trial, the best 31 pieces of evidence were obtained from 5 aspects: assessment and screening of foot ulcers, preventive offloading intervention, selection of offloading devices, other offloading techniques, and structured education.Conclusions:The evidence of non-surgical offloading management in patients with diabetic foot ulcers summarized in this study is helpful for medical and nursing professionals to provide optimal nursing and treatment outcomes for patients with diabetic foot ulcers, it also reduces the risk of infection, hospitalization and amputation.
