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测量体温对预防糖尿病足溃疡的影响:系统评价与荟萃分析。

Effect of thermometry on the prevention of diabetic foot ulcers: a systematic review with meta-analysis.

机构信息

Universidade Estadual do Ceará, Fortaleza, CE, Brasil.

Bolsista da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brasil.

出版信息

Rev Lat Am Enfermagem. 2022;30:e3567. doi: 10.1590/1518-8345.5663.3567.

Abstract

OBJECTIVE

to analyze the effect of cutaneous foot thermometry in people with Diabetes Mellitus, compared with the standard prevention of foot ulcers adopted in these patients.

METHOD

a systematic review with meta-analysis. Protocol registered with PROSPERO (CRD42020202686). The recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) were followed. The search was performed in the following data sources: SCOPUS, Web of Science, MEDLINE via PubMed, MEDLINE via EBSCO, MEDLINE via Biblioteca Virtual em Saúde, Embase, CINAHL, Cochrane Library, LILACS via Biblioteca Virtual em Saúde, Google Scholar, Biblioteca Digital Brasileira de Teses e Dissertações, Catálogo de Teses & Dissertações-Capes, Open Grey and ProQuest Dissertations and Theses. The risk of bias was assessed by the Cochrane Collaboration Risk of Bias Tool (RoB 2), the meta-analysis was performed in the Review Manager 5.4 software and the Certainty of evidence in the Grading of Recommendations Assessment, Development and Evaluation system.

RESULTS

of the 670 records, five articles were eligible. The meta-analysis was calculated for the prevention of the incidence of diabetic foot ulcers outcome, with effect summarization (RR 0.53; 95%CI 0.29-0.96; p=0.02), with certainty of moderate evidence.

CONCLUSION

thermometry showed a protective effect on the incidence of diabetic foot ulcers when compared to standard foot care.

摘要

目的

分析糖尿病患者足部皮肤测温与标准预防足溃疡措施的效果比较。

方法

系统评价和荟萃分析。方案在 PROSPERO(CRD42020202686)注册。遵循系统评价和荟萃分析的首选报告项目(PRISMA)建议。在以下数据源中进行了检索:SCOPUS、Web of Science、PubMed 中的 MEDLINE、EBSCO 中的 MEDLINE、巴西虚拟健康图书馆中的 MEDLINE、Embase、CINAHL、Cochrane 图书馆、LILACS 中的巴西虚拟健康图书馆、Google Scholar、巴西学位论文数据库、Capes 学位论文目录、Open Grey 和 ProQuest 学位论文和论文。使用 Cochrane 协作风险偏倚工具(RoB 2)评估偏倚风险,使用 Review Manager 5.4 软件进行荟萃分析,使用 Grading of Recommendations Assessment, Development and Evaluation 系统评估证据确定性。

结果

在 670 条记录中,有 5 篇文章符合条件。对预防糖尿病足溃疡发生的结局进行了荟萃分析,汇总效应(RR 0.53;95%CI 0.29-0.96;p=0.02),证据确定性为中等。

结论

与标准足部护理相比,测温对预防糖尿病足溃疡有保护作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae1f/9109465/33085a8c8795/1518-8345-rlae-30-e3567-gf4.jpg

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