Sobhy Teresa
McMaster University, Hamilton, ON, Canada L8S 4L8.
Pain Res Manag. 2016;2016:1974863. doi: 10.1155/2016/1974863. Epub 2016 Mar 2.
The provision of care for patients with type II diabetes in primary care must involve assessing patients for peripheral neuropathy of the feet. Objectives. This paper will demonstrate that painful diabetic neuropathy (PDN) is poorly assessed for and treated in primary care. Methods. A critical analysis of research will be conducted to identify the prevalence and impact of PDN among individuals with type II diabetes. Results. Research evidence and best practice guidelines are widely available in supporting primary care practitioners to better assess for and treat PDN. However, the lack of knowledge, awareness, and implementation of such research and guidelines prevents patients with PDN from receiving appropriate care. Discussion. Much international research exists on the prevalence and impact of PDN in primary care; however, Canadian research is lacking. Furthermore, the quantity and quality of research on treatment modalities for PDN are inadequate. Finally, current research and guidelines on PDN management are inadequately implemented in the clinical setting. Conclusion. The undertreatment of PDN has significant implications on the individual, family, and society. Healthcare practitioners must be more aware of and better implement current research and guidelines into practice to resolve this clinical issue.
在初级保健中为II型糖尿病患者提供护理必须包括对患者足部周围神经病变进行评估。目标。本文将证明，在初级保健中，疼痛性糖尿病神经病变（PDN）的评估和治疗情况不佳。方法。将对研究进行批判性分析，以确定II型糖尿病患者中PDN的患病率及其影响。结果。研究证据和最佳实践指南广泛存在，可支持初级保健从业者更好地评估和治疗PDN。然而，对这类研究和指南的知识缺乏、认识不足以及未予实施，导致PDN患者无法获得适当的护理。讨论。关于初级保健中PDN的患病率及其影响，有大量国际研究；然而，加拿大的研究却很缺乏。此外，关于PDN治疗方式的研究在数量和质量上都不足。最后，目前关于PDN管理的研究和指南在临床环境中未得到充分实施。结论。PDN治疗不足对个人、家庭和社会都有重大影响。医疗保健从业者必须更加了解并更好地将当前研究和指南应用于实践，以解决这一临床问题。
