Abu-Qamar Ma'en Zaid
Discipline of Nursing, The University of Adelaide, Adelaide, South Australia, Australia.
Int Wound J. 2006 Sep;3(3):203-13. doi: 10.1111/j.1742-481X.2006.00232.x.
Understanding reasons for the neglect of foot screening during the annual review of people with diabetes enables the development of solutions for this omission. This study explores the reasons within the context of health care delivery systems in terms of the professional, social, political and economic aspects of this screening. Information was obtained through reviewing publications on diabetic foot and health care reform. The omission of annual foot examination for people with diabetes is attributed to the nature of diabetes-related foot problems, people with diabetes, health care professionals and the current structure of health care delivery systems. Increasing the adherence to foot screening for those with diabetes requires short- and long-term strategies. Short- and long-term strategies for reminding patients and staff about foot screening are suggested.
了解在糖尿病患者年度复查期间忽视足部筛查的原因，有助于制定解决这一疏漏的方案。本研究从医疗保健服务体系的专业、社会、政治和经济层面，探讨了这一筛查工作中存在疏漏的原因。通过查阅有关糖尿病足和医疗保健改革的出版物获取了相关信息。糖尿病患者年度足部检查的疏漏可归因于糖尿病相关足部问题的性质、糖尿病患者自身、医护人员以及当前医疗保健服务体系的结构。提高糖尿病患者足部筛查的依从性需要短期和长期策略。文中提出了提醒患者和工作人员进行足部筛查的短期和长期策略。
