延续护理在糖尿病足患者中应用的范围综述

doi:10.3969/j.issn.1674-490X.2023.04.011

摘要/Abstract

摘要： 目的归纳整理延续护理在糖尿病足出院患者的应用情况。方法根据范围综述方法学框架,在PubMed、Cochrane Library、CINAHL、Web of Science、Embase、中国知网、万方、维普、中国生物医学文献数据库进行文献检索,检索时限为建库至2022年12月5日。对纳入文献进行汇总和分析。结果初筛1 934篇文献,最终纳入21篇文献。延续护理形式主要包括电话随访、家庭随访、门诊随访、远程随访。内容涵盖自我管理指导、疾病知识和技能指导、心理支持、同伴支持、与医护人员联系。结局类型主要为健康临床结局、健康经济结局、患者满意度及心理状态等指标。结论延续护理对糖尿病足出院患者起到了积极的作用,未来研究还需要基于患者需求和理论框架构建干预方案、组建多学科团队时要明确团队成员的分工权限、提倡采取医院-社区-家庭联动式延续护理模式,并加大糖尿病足伤口护士的培养力度,为糖尿病足患者院外健康管理提供支持。

关键词: 糖尿病足, 延续护理, 范围综述

Abstract: Objective To summarize and analyze the application of transitional caring in discharged patients with diabetic foot. Methods According to methodology framework. PubMed, Cochrane Library, CINAHL, Web of Science, Embase, CNKI, Wanfang, VIP, and CBM databases were searched until December 5, 2022. To sum up and analyze the included literature. Results A total of 1934 articles were screened, and 21 articles were finally included. The main forms of transitional nursing include telephone follow-up, home follow-up, outpatient follow-up and Internet-based follow-up. The content covers self-management guidance, disease knowledge and skills guidance, psychological support, peer support, contact with medical staff. The main outcome types were health clinical outcome, health economic outcome, patient satisfaction and psychological status. Conclusion Transitional nursing plays an active role in the discharge of patients with diabetic foot. In future studies, intervention programs should be constructed based on patient needs and theoretical framework, the division of labor and authority of team members should be clarified when multidisciplinary teams would be established, the hospital-community-family linkage nursing mode should be advocated, and the training of nurses specialized in diabetic foot wound should be increased to provide support for the out-of-hospital health management of Chinese diabetic foot patients.

Key words: diabetic foot, transitional care, scoping review

中图分类号:

R587.2

庞琳,尹园园,井坤娟,刘冬雪,张程婕. 延续护理在糖尿病足患者中应用的范围综述[J]. 医学研究与教育, 2023, 40(4): 67-74.

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