Department of respiratory and critical care medicine, West China Hospital, No.37 Guoxue Alley, Chengdu city, Sichuan Province, 610041, China.
Faculty of Nursing and Midwifery, Jiangsu College of Nursing, No.9 Technology Avenue, Huaian City, Jiangsu Province, 223300, China.
J Tissue Viability. 2022 May;31(2):302-308. doi: 10.1016/j.jtv.2021.11.004. Epub 2021 Nov 24.
A diabetic foot ulcer is a preventable complication of diabetes, which could lead to lower extremity amputation and increased mortality and morbidity. Self-care behaviors play a key role in the prevention of diabetic foot ulcers. This study aimed to estimate the total score of diabetic foot self-care behaviors. We searched databases such as Web of Science, Medline (PubMed), and Scopus using various keywords, including diabetic foot, diabetic feet, diabetic problem, diabetic foot ulcer, and self-care, for relevant articles with no time limit. The heterogeneity of the studies was assessed using Cochran's Q test and I statistic. Data were analyzed using STATA software version 12 using the meta-analysis method and a random effects model. In total, eight studies were analyzed with a sample size of 2,493. The pooled score of diabetes foot self-care was 62.84% and this score was higher in the studies conducted on two groups of patients with type I and type II diabetes compared to those performed only on patients with type II diabetes. The results also indicated correlation between the self-care score and year of publication (P < 0.001), and the self-care scores significantly declined during 2015-2021 (P < 0.001). Overall, the diabetic foot self-care score was moderate, which highlights the need to provide self-care education to diabetic patients.
糖尿病足溃疡是糖尿病可预防的并发症，可导致下肢截肢和死亡率及发病率增加。自我护理行为在预防糖尿病足溃疡中起着关键作用。本研究旨在评估糖尿病足自我护理行为的总分。我们使用各种关键词，如糖尿病足、糖尿病足部、糖尿病问题、糖尿病足溃疡和自我护理，在没有时间限制的情况下在 Web of Science、Medline（PubMed）和 Scopus 等数据库中搜索相关文章。使用 Cochran's Q 检验和 I 统计评估研究的异质性。使用 STATA 软件版本 12 使用荟萃分析方法和随机效应模型对数据进行分析。总共分析了 8 项研究，样本量为 2493 例。糖尿病足自我护理的综合得分为 62.84%，在对 I 型和 II 型糖尿病患者进行的两组研究中，这一得分高于仅对 II 型糖尿病患者进行的研究。结果还表明，自我护理评分与发表年份之间存在相关性（P<0.001），并且在 2015-2021 年期间，自我护理评分显著下降（P<0.001）。总体而言，糖尿病足自我护理评分中等，这突出表明需要向糖尿病患者提供自我护理教育。
