医学
足病医师
入射(几何)
截肢
糖尿病
糖尿病足
脚(韵律)
物理疗法
累积发病率
足病学
骨科手术
干预(咨询)
前瞻性队列研究
内科学
外科
并发症
队列
替代医学
病理
哲学
物理
精神科
语言学
光学
内分泌学
作者
Qian Shen,Binghui Li,Huating Chen,Suwen Gao,Yingyue Hu,Yi Sun,Gongchi Li
出处
期刊:Journal of Wound Care
[Mark Allen Group]
日期:2024-04-01
卷期号:33 (Sup4): S25-S32
标识
DOI:10.12968/jowc.2024.33.sup4.s25
摘要
Objective: This study aimed to evaluate the effectiveness of podiatrists in preventing diabetic foot ulcers (DFUs) in China. Method: The study was a prospective investigation. A total of 300 patients were enrolled from May 2016 to May 2018 in Handan Central Hospital, China. All patients who participated in this study had been diagnosed with type 2 diabetes, according to the International Classification of Diseases (ICD-10). All participants underwent our survey, which included basic patient data and information about DFUs. The patients were followed for one year, during which time they received appropriate intervention from podiatrists, including lifestyle guidance, callus resection, tinea grinding and ingrown nail correction. At the end of the year all the patients were surveyed again. The data before and after the year were statistically compared. Results: The results showed that the incidence of DFUs in patients with diabetes was significantly decreased after one year of intervention from podiatrists (20.7% versus 6.7%, p<0.001). Additionally, there was a negative correlation between the number of intervention visits and the number of DFU occurrences (Spearman correlation coefficient: –0.496, p<0.001). Furthermore, we found that 68 patients with a history of DFUs or amputation had an obviously reduced incidence of DFUs after intervention by a podiatrist (89.7% versus 27.9%, p<0.001). We also investigated other foot risk factors in all participants, such as limb neuropathy (76.3%), lower extremity vascular disease (65.7%) and foot paralysis (43.7%). Conclusion: The results of this study help in understanding the situation of patients with diabetes in China and to prove that standardised podiatrist intervention has an important role in inhibiting the occurrence and development of DFUs.
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