Chinese General Practice ›› 2022, Vol. 25 ›› Issue (32): 3984-3990.DOI: 10.12114/j.issn.1007-9572.2022.0362
• Guideline·Evidence • Previous Articles Next Articles
Received:
2022-03-18
Revised:
2022-05-30
Published:
2022-11-15
Online:
2022-08-25
Contact:
HOU Chaoming
About author:
通讯作者:
侯朝铭
作者简介:
基金资助:
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URL: https://www.chinagp.net/EN/10.12114/j.issn.1007-9572.2022.0362
作者 | 文献来源 | 文献类型 | 文献主题 | 发表时间(年) |
---|---|---|---|---|
DEBORAH[ | UpToDate | 临床决策 | 糖尿病足的评估 | 2021 |
中华护理学会糖尿病护理专业委员会[ | 医脉通 | 专家共识 | 糖尿病患者甲病护理的专家共识 | 2020 |
《多学科合作下糖尿病足防治专家共识(2020版)》编写组[ | 医脉通 | 专家共识 | 多学科合作下糖尿病足防治专家共识(2020版) | 2020 |
中国中西医结合学会周围血管病专业委员会[ | 医脉通 | 专家共识 | 中西医结合防治糖尿病足中国专家共识(第1版) | 2019 |
BUS等[ | IWGDF | 指南 | 糖尿病患者足溃疡预防指南 | 2020 |
中华医学会糖尿病学分会等[ | 中国知网 | 指南 | 中国糖尿病足防治指南(2019版)(Ⅰ) | 2019 |
Malaysian Health Technology Assessment Section[ | NGC | 指南 | 糖尿病足的管理(第2版) | 2018 |
NICE[ | NICE | 指南 | 糖尿病足部问题:预防与处理 | 2015 |
Table 1 General characteristics of included literature
作者 | 文献来源 | 文献类型 | 文献主题 | 发表时间(年) |
---|---|---|---|---|
DEBORAH[ | UpToDate | 临床决策 | 糖尿病足的评估 | 2021 |
中华护理学会糖尿病护理专业委员会[ | 医脉通 | 专家共识 | 糖尿病患者甲病护理的专家共识 | 2020 |
《多学科合作下糖尿病足防治专家共识(2020版)》编写组[ | 医脉通 | 专家共识 | 多学科合作下糖尿病足防治专家共识(2020版) | 2020 |
中国中西医结合学会周围血管病专业委员会[ | 医脉通 | 专家共识 | 中西医结合防治糖尿病足中国专家共识(第1版) | 2019 |
BUS等[ | IWGDF | 指南 | 糖尿病患者足溃疡预防指南 | 2020 |
中华医学会糖尿病学分会等[ | 中国知网 | 指南 | 中国糖尿病足防治指南(2019版)(Ⅰ) | 2019 |
Malaysian Health Technology Assessment Section[ | NGC | 指南 | 糖尿病足的管理(第2版) | 2018 |
NICE[ | NICE | 指南 | 糖尿病足部问题:预防与处理 | 2015 |
纳入文献 | 各领域标准化百分比(%) | ≥50%的领域数(个) | 推荐级别(级) | ICC | |||||
---|---|---|---|---|---|---|---|---|---|
范围和目标 | 牵涉人员 | 开发的严谨性 | 呈现的清晰性 | 指南的应用性 | 编撰的独立性 | ||||
[ | 85 | 50 | 51 | 82 | 0 | 100 | 5 | A | 0.993 |
[ | 94 | 60 | 16 | 35 | 0 | 100 | 3 | B | 0.965 |
[ | 86 | 61 | 90 | 89 | 95 | 94 | 6 | A | 0.998 |
[ | 78 | 25 | 12 | 54 | 51 | 29 | 3 | B | 0.950 |
Table 2 Results of quality evaluation of included guidelines
纳入文献 | 各领域标准化百分比(%) | ≥50%的领域数(个) | 推荐级别(级) | ICC | |||||
---|---|---|---|---|---|---|---|---|---|
范围和目标 | 牵涉人员 | 开发的严谨性 | 呈现的清晰性 | 指南的应用性 | 编撰的独立性 | ||||
[ | 85 | 50 | 51 | 82 | 0 | 100 | 5 | A | 0.993 |
[ | 94 | 60 | 16 | 35 | 0 | 100 | 3 | B | 0.965 |
[ | 86 | 61 | 90 | 89 | 95 | 94 | 6 | A | 0.998 |
[ | 78 | 25 | 12 | 54 | 51 | 29 | 3 | B | 0.950 |
纳入文献 | 清楚标注观点的来源 | 观点来自有影响力的专家 | 观点以人群利益为中心 | 基于分析得出结论,观点的表达具有逻辑性 | 参考现有文献并清楚标引 | 观点与以往文献有不同 |
---|---|---|---|---|---|---|
[ | 是 | 不清楚 | 是 | 是 | 是 | 是 |
[ | 是 | 不清楚 | 是 | 是 | 是 | 否 |
[ | 是 | 是 | 是 | 是 | 否 | 否 |
Table 3 Results of quality evaluation of included expert consensuses
纳入文献 | 清楚标注观点的来源 | 观点来自有影响力的专家 | 观点以人群利益为中心 | 基于分析得出结论,观点的表达具有逻辑性 | 参考现有文献并清楚标引 | 观点与以往文献有不同 |
---|---|---|---|---|---|---|
[ | 是 | 不清楚 | 是 | 是 | 是 | 是 |
[ | 是 | 不清楚 | 是 | 是 | 是 | 否 |
[ | 是 | 是 | 是 | 是 | 否 | 否 |
证据内容 | 证据级别(级) | 推荐级别(级) | |
---|---|---|---|
评估内容 | 1.糖尿病足的危险因素:脚趾甲变厚[ | 1 | A |
2.在检查糖尿病患者的双脚时,先脱掉鞋子、袜子、绷带和敷料再检查双脚,并寻找危险因素:老茧[ | 3 | A | |
3.每日检查趾甲是否正常[ | 5 | B | |
4.评估趾甲清洁情况、压迫部位及皮肤颜色[ | 5 | B | |
处理方式 | 5.修剪趾甲时建议进行平直的修剪( | 2 | A |
6.用指甲锉剪掉任何尖锐的边缘,以防脚趾甲扎进皮肤[ | 2 | A | |
7.预防性处理嵌甲,防治甲沟炎的发生[ | 5 | B | |
8.如果需要治疗嵌甲或老茧,应找足部护理专业人员(如足科医生)[ | 2 | A | |
健康教育 | 9.医务人员应每年为患者提供甲病管理相关内容的健康宣教[ | 3 | B |
Table 4 Summary of the best available evidence for management of nail diseases in diabetes
证据内容 | 证据级别(级) | 推荐级别(级) | |
---|---|---|---|
评估内容 | 1.糖尿病足的危险因素:脚趾甲变厚[ | 1 | A |
2.在检查糖尿病患者的双脚时,先脱掉鞋子、袜子、绷带和敷料再检查双脚,并寻找危险因素:老茧[ | 3 | A | |
3.每日检查趾甲是否正常[ | 5 | B | |
4.评估趾甲清洁情况、压迫部位及皮肤颜色[ | 5 | B | |
处理方式 | 5.修剪趾甲时建议进行平直的修剪( | 2 | A |
6.用指甲锉剪掉任何尖锐的边缘,以防脚趾甲扎进皮肤[ | 2 | A | |
7.预防性处理嵌甲,防治甲沟炎的发生[ | 5 | B | |
8.如果需要治疗嵌甲或老茧,应找足部护理专业人员(如足科医生)[ | 2 | A | |
健康教育 | 9.医务人员应每年为患者提供甲病管理相关内容的健康宣教[ | 3 | B |
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