Guo Q J, Gu Y, Ouyang J, Yu L L, Zhang Y Z, Rao J Q, Luo S S, Xu W Y
School of Nursing, Guizhou Medical University, Guiyang 550004, China.
Nursing Department, Affiliated Hospital of Guizhou Medical University, Guiyang 550004, China.
Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2023 Jul 20;39(7):671-678. doi: 10.3760/cma.j.cn501225-20220822-00354.
To summarize the best evidence on exercise for the prevention and treatment of diabetic foot. A bibliometric approach was used. Systematic searches were carried out to retrieve all the publicly published evidences till July 2022 on exercise for the prevention and treatment of diabetic foot, including guidelines, evidence summary, recommended practices, expert consensus, systematic review, and original research, from foreign language databases including BMJ Best Practice, UpToDate, Joanna Briggs Institute Evidence-Based Practice Database, Cochrane Library, Embase, PubMed, Guideline International Network, National Guideline Clearinghouse, Chinese databases including China National Knowledge Infrastructure, Wanfang Database, VIP Database, China Biology Medicine disc, China Clinical Guidelines Library, and the official websites of relevant academic organizations including National Institute for Health and Care Excellence of the United Kingdom, Registered Nurses' Association of Ontario of Canada, the International Working Group on the Diabetic Foot, International Diabetes Federation, American College of Sports Medicine, American Diabetes Association, and Chinese Diabetes Society. The literature was screened and evaluated for the quality, from which the evidences were extracted and evaluated to summarize the best evidences. Nine guidelines, three expert consensuses, one evidence summary (with two systematic reviews being traced), two systematic reviews, 6 randomized controlled trials were retrieved and included, with good quality of literature. Totally 33 pieces of best evidences on exercise for the prevention and treatment of diabetic foot were summarized from the aspects of appropriate exercise prevention of diabetic foot, exercise therapy of diabetic foot, precautions for exercise, health education, and establishment of a multidisciplinary limb salvage team. Totally 33 pieces of best evidences on exercise for the prevention and treatment of diabetic foot were summarized from 5 aspects, providing decision-making basis for clinical guidance on exercise practice for patients with diabetic foot.
总结关于运动预防和治疗糖尿病足的最佳证据。采用文献计量学方法。进行系统检索，以获取截至2022年7月所有公开发表的关于运动预防和治疗糖尿病足的证据，包括指南、证据总结、推荐做法、专家共识、系统评价和原始研究，检索的外语数据库包括BMJ最佳实践、UpToDate、乔安娜·布里格斯循证实践数据库、考克兰图书馆、Embase、PubMed、指南国际网络、国家指南库，中文数据库包括中国知网、万方数据库、维普数据库、中国生物医学光盘数据库、中国临床指南文库，以及相关学术组织的官方网站，包括英国国家卫生与临床优化研究所、加拿大安大略省注册护士协会、糖尿病足国际工作组、国际糖尿病联合会、美国运动医学学院、美国糖尿病协会和中华医学会糖尿病学分会。对文献进行筛选和质量评估，从中提取并评估证据以总结最佳证据。共检索并纳入9项指南、3项专家共识、1篇证据总结（追溯到2篇系统评价）、2篇系统评价、6项随机对照试验，文献质量良好。从糖尿病足的适宜运动预防、糖尿病足的运动治疗、运动注意事项、健康教育以及建立多学科肢体挽救团队等方面，总结出33条关于运动预防和治疗糖尿病足的最佳证据。从5个方面总结出33条关于运动预防和治疗糖尿病足的最佳证据，为糖尿病足患者运动实践的临床指导提供决策依据。
