Department of Medicine, University of Dundee, Ninewells Hospital, Dundee, UK.
Scott Med J. 2011 Aug;56(3):151-5. doi: 10.1258/smj.2011.011113.
The Scottish Diabetes Foot Action Group (SDG) has developed and introduced a national strategy plan for diabetic foot care across Scotland. This has involved the implementation of an evidence-based national foot screening and risk stratification programme that has already covered 61% of the population in just the first two years. Nationally agreed patient information foot leaflets and professional education material have been introduced, and a consensus for antibiotic use in the diabetic foot has been published. Information on multidisciplinary specialist foot services has been collected, indicating that 58% of Health Board areas have consultants with dedicated sessions in their job plan to a foot clinic, and 42% had integrated orthotic involvement. The SDG aims to increase these figures. Work has been undertaken to support local podiatry networks and improve communication between the specialist centre and the community. At a national level the SDG is working with Foot in Diabetes UK (FDUK) to recognize key podiatry skills by developing core competencies and a competency framework for the diabetes podiatrist and diabetes orthotist. The annual Scottish Diabetes Survey indicates some improvement in amputation rates with prevalence decreasing from 0.8% to 0.5%, and improved recording of foot ulceration at a national level. This national strategy has helped highlight the importance and difficulties facing diabetes foot care and should help to continue to improve the quality of care of people with diabetes who have foot-related problems.
苏格兰糖尿病足行动小组（SDG）已经制定并推出了一项全苏格兰糖尿病足护理的国家战略计划。该计划包括实施基于证据的全国性足部筛查和风险分层计划，仅在头两年就已经覆盖了 61%的人口。国家已经发布了同意的患者足部信息传单和专业教育材料，并公布了糖尿病足抗生素使用的共识。还收集了有关多学科专科足部服务的信息，显示 58%的卫生局地区的顾问在其工作计划中有专门的足部诊所会议，42%有整合矫形器的参与。SDG 的目标是增加这些数字。已经开展了工作来支持当地足部治疗网络，并改善专科中心与社区之间的沟通。在国家层面，SDG 与英国糖尿病足部组织（FDUK）合作，通过制定糖尿病足病学家和糖尿病矫形器师的核心能力和能力框架，来认可关键的足部治疗技能。年度苏格兰糖尿病调查显示，截肢率有所改善，患病率从 0.8%下降到 0.5%，全国范围内足部溃疡的记录也有所改善。这项国家战略有助于突出糖尿病足护理所面临的重要性和困难，并应有助于继续提高有足部相关问题的糖尿病患者的护理质量。
