PhD, MHSc, BSc, RN, Senior Lecturer, School of Nursing, Faculty of Medical and Health Sciences, University of Auckland.
PhD, MBChB, FRNZCGP, Professor of General Practice & Primary Health Care, School of Population Health, University of Auckland.
N Z Med J. 2020 Dec 18;133(1527):39-50.
Evaluate trends in foot examinations for people with diabetes by primary healthcare nurses between 2006-2008 and 2016 in Auckland, New Zealand.
All primary care nurses in 2006-2008 and 2016 were identified and 26% and 24% were randomly sampled and surveyed, respectively. Nurse participants completed a self-administered questionnaire and telephone interview about the care provided for people with diabetes.
Significantly more patients consulted by practice nurses received foot examinations in 2016 (58%) compared with 2006-2008 (36%), and foot-care education (66% versus 26%). Of the 43% of patients who had no foot examination in 2016, 23% had no previous examination documented. Significantly more nurses in 2016 than in 2006-2008 self-reported routinely examining patients' feet (45% versus 31%) and giving foot-care education (28% versus 13%). These practices were associated with nurses undertaking >5 hours of diabetes education within the past five years.
Practice nurses have significantly expanded their role in managing people with diabetes over the last decade by increasing the number of foot examinations and providing recommended foot-care education. Improved management was associated with nurses attending diabetes education in the past five years. Gaps were identified in conducting the recommended number of foot examinations, categorising patients' risk of foot disease and recording previous examinations.
评估 2006-2008 年和 2016 年新西兰奥克兰地区初级保健护士对糖尿病患者足部检查的趋势。
确定 2006-2008 年和 2016 年所有初级保健护士，并分别对 26%和 24%的护士进行随机抽样调查。护士参与者通过自我管理的问卷和电话访谈，报告他们为糖尿病患者提供的护理情况。
与 2006-2008 年（36%）相比，2016 年接受执业护士咨询的患者中有更多的患者接受了足部检查（58%），并且接受了足部保健教育（66%比 26%）。在 2016 年没有接受足部检查的 43%的患者中，有 23%的患者没有记录以前的检查。与 2006-2008 年相比，2016 年有更多的护士报告常规检查患者的足部（45%比 31%）和提供足部保健教育（28%比 13%）。这些做法与护士在过去五年内接受超过 5 小时的糖尿病教育有关。
在过去十年中，执业护士通过增加足部检查次数和提供推荐的足部保健教育，显著扩大了他们在管理糖尿病患者方面的作用。改进的管理与护士在过去五年内参加糖尿病教育有关。在进行推荐的足部检查次数、对患者足部疾病风险进行分类和记录以前的检查方面存在差距。
