Foot care education in patients with diabetes at low risk of complications: a consensus statement

被引:55
作者
McInnes, A. [1 ]
Jeffcoate, W. [2 ]
Vileikyte, L. [3 ]
Game, F. [2 ]
Lucas, K. [1 ]
Higson, N. [4 ]
Stuart, L. [5 ]
Church, A. [1 ]
Scanlan, J. [6 ]
Anders, J. [7 ]
机构
[1] Univ Brighton, Sch Hlth Profess, Brighton, E Sussex, England
[2] Nottingham Univ Hosp Trust, Foot Ulcer Trials Unit, Nottingham, England
[3] Univ Manchester, Sch Clin & Lab Sci, Manchester, Lancs, England
[4] Goodwood Court Med Ctr, Hove, England
[5] Manchester Community Hlth, NHS Manchester, Macclesfield, Cheshire, England
[6] E Cheshire NHS Trust, Macclesfield, Cheshire, England
[7] SSL Int, Manchester, Lancs, England
关键词
diabetes; education; foot self-care; neuropathy; peripheral vascular disease; SELF-CARE; PSYCHOLOGICAL-ASPECTS; PEOPLE; PREVENTION; MANAGEMENT; KNOWLEDGE; PERSPECTIVES; NEUROPATHY; AMPUTATION; PHYSICIAN;
D O I
10.1111/j.1464-5491.2010.03206.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
P>Aims To define and agree a practical educational framework for delivery by all healthcare professionals managing patients with diabetes, particularly those at low risk of developing foot complications. Methods A consensus meeting of a multidisciplinary expert panel. Prior to the meeting, relevant clinical papers were disseminated to the panel for review. The consensus was largely based upon the experts' clinical experience and judgement. Results Four main health behaviours were identified for those at low risk of developing foot complications, namely:, control of blood glucose levels; attendance at annual foot screening examination; reporting of any changes in foot health immediately; and the engagement in a simple daily foot care routine. Conclusion There is currently little evidence-based literature to support specific foot care practices. Patients with diabetes at low risk of developing complications should be encouraged to undertake a basic foot care regimen to reduce their likelihood of developing complications.
引用
收藏
页码:162 / 167
页数:6
相关论文
共 41 条
[1]   Standards of Medical Care in Diabetes-2009 [J].
不详 .
DIABETES CARE, 2009, 32 :S13-S61
[2]  
[Anonymous], PRACT GUID MAN PREV
[3]  
[Anonymous], CLIN GUID
[4]  
Balamurugan Appathurai, 2006, Prev Chronic Dis, V3, pA15
[5]   INTENSIVE EDUCATION IMPROVES KNOWLEDGE, COMPLIANCE, AND FOOT PROBLEMS IN TYPE-2 DIABETES [J].
BARTH, R ;
CAMPBELL, LV ;
ALLEN, S ;
JUPP, JJ ;
CHISHOLM, DJ .
DIABETIC MEDICINE, 1991, 8 (02) :111-117
[6]   Diabetes foot self-care practices in a rural, triethnic population [J].
Bell, RA ;
Arcury, TA ;
Snively, BM ;
Smith, SL ;
Stafford, JM ;
Dohanish, R ;
Quandt, SA .
DIABETES EDUCATOR, 2005, 31 (01) :75-83
[7]   Prediction of diabetic foot ulcer occurrence using commonly available clinical information - The Seattle diabetic foot study [J].
Boyko, EJ ;
Ahroni, JH ;
Cohen, V ;
Nelson, KM ;
Heagerty, PJ .
DIABETES CARE, 2006, 29 (06) :1202-1207
[8]   A preventative foot care programme for people with diabetes with different stages of neuropathy [J].
Calle-Pascual, AL ;
Durán, A ;
Benedí, A ;
Calvo, MI ;
Charro, A ;
Diaz, JA ;
Calle, JR ;
Gil, E ;
Marañes, JP ;
Cabezas-Cerrato, J .
DIABETES RESEARCH AND CLINICAL PRACTICE, 2002, 57 (02) :111-117
[9]  
Choe HM, 2005, AM J MANAG CARE, V11, P253
[10]  
Connor H, 1999, DIABETIC MED, V16, P799