Maydick Diane R, Acee Anna M
Diane R. Maydick, EdD, RN, ACNS-BC, CWOCN, is an Assistant Professor, Long Island University, Harriet Rothkopf Heilbrunn School of Nursing, Brooklyn, New York. Anna M. Acee, EdD, ANP-BC, PMHNP-BC, is an Associate Professor, Long Island University, Harriet Rothkopf Heilbrunn School of Nursing, Brooklyn, New York.
Home Healthc Now. 2016 Feb;34(2):62-7. doi: 10.1097/NHH.0000000000000340.
In the United States, 9.3% of the population, or 29.1 million people have diabetes, and depression affects 20% to 40% of these individuals. Diabetic foot ulcers are a common and serious complication of diabetes and one of the most costly. It is estimated that 2% to 3% of persons with diabetes will develop diabetic foot ulcers each year. There is an association between depression and the development of diabetic foot ulcers. The estimated costs associated with managing diabetes, depression, and diabetic foot ulcers place a substantial burden on the U.S. healthcare system and society. Patients should be screened and evaluated by professionals qualified in the diagnosis and management of depression and diabetic foot ulcers. To be effective, an interprofessional approach that includes the patient and significant others should be used.
在美国，9.3%的人口，即2910万人患有糖尿病，抑郁症影响着其中20%至40%的人。糖尿病足溃疡是糖尿病常见且严重的并发症，也是成本最高的并发症之一。据估计，每年有2%至3%的糖尿病患者会发生糖尿病足溃疡。抑郁症与糖尿病足溃疡的发生之间存在关联。与糖尿病、抑郁症和糖尿病足溃疡管理相关的估计成本给美国医疗保健系统和社会带来了沉重负担。患者应由具备抑郁症和糖尿病足溃疡诊断与管理资质的专业人员进行筛查和评估。为了取得成效，应采用包括患者及其重要他人在内的跨专业方法。
