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基于健康信念模型的糖尿病周围神经病变早期检测:系统评价。

Early detection of diabetic neuropathy based on health belief model: a scoping review.

机构信息

Department of Advanced Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia.

Department of Nursing, Faculty of Health Science, Universitas Muhammadiyah Surakarta, Surakarta, Indonesia.

出版信息

Front Endocrinol (Lausanne). 2024 Apr 24;15:1369699. doi: 10.3389/fendo.2024.1369699. eCollection 2024.

Abstract

INTRODUCTION

Uncontrolled blood sugar levels may result in complications, namely diabetic neuropathy. Diabetic neuropathy is a nerve disorder that causes symptoms of numbness, foot deformity, dry skin, and thickening of the feet. The severity of diabetic neuropathy carries the risk of developing diabetic ulcers and amputation. Early detection of diabetic neuropathy can prevent the risk of diabetic ulcers. The purpose: to identify early detection of diabetic neuropathy based on the health belief model.

METHOD

This research searched for articles in 6 databases via Scopus, Ebsco, Pubmed, Sage journal, Science Direct, and SpringerLink with the keywords "screening Neuropathy" AND "Detection Neuropathy" AND "Scoring Neuropathy" AND "Diabetic" published in 2019-2023. In this study, articles were identified based on PICO analysis. Researchers used rayyan.AI in the literature selection process and PRISMA Flow-Chart 2020 to record the article filtering process. To identify the risk of bias, researchers used the JBI checklist for diagnostic test accuracy.

RESULTS

This research identified articles through PRISMA Flow-Chart 2020, obtaining 20 articles that discussed early detection of diabetic neuropathy.

CONCLUSION

This review reports on the importance of early detection of neuropathy for diagnosing neuropathy and determining appropriate management. Neuropathy patients who receive appropriate treatment can prevent the occurrence of diabetic ulcers. The most frequently used neuropathy instruments are the vibration perception threshold (VPT) and questionnaire Michigan Neuropathy Screening Instrument (MNSI). Health workers can combine neuropathy instruments to accurately diagnose neuropathy.

摘要

简介

血糖控制不佳可能导致并发症,即糖尿病神经病变。糖尿病神经病变是一种神经紊乱,会导致麻木、足部畸形、皮肤干燥和足部增厚等症状。糖尿病神经病变的严重程度会增加发生糖尿病溃疡和截肢的风险。早期发现糖尿病神经病变可以预防糖尿病溃疡的风险。目的:根据健康信念模型确定糖尿病神经病变的早期检测。

方法

本研究通过 Scopus、Ebsco、Pubmed、Sage 期刊、Science Direct 和 SpringerLink 这 6 个数据库搜索了 2019 年至 2023 年发表的与“筛查神经病变”和“检测神经病变”和“神经病变评分”和“糖尿病”相关的文章。在本研究中,文章是根据 PICO 分析确定的。研究人员在文献选择过程中使用 rayyan.AI,并使用 PRISMA Flow-Chart 2020 记录文章筛选过程。为了确定偏倚风险,研究人员使用 JBI 诊断测试准确性检查表。

结果

本研究通过 PRISMA Flow-Chart 2020 确定了文章,共获得了 20 篇讨论糖尿病神经病变早期检测的文章。

结论

本综述报告了早期检测神经病变对诊断神经病变和确定适当治疗的重要性。接受适当治疗的神经病变患者可以预防糖尿病溃疡的发生。最常使用的神经病变仪器是振动感觉阈值(VPT)和问卷密歇根神经病变筛查工具(MNSI)。卫生工作者可以结合神经病变仪器准确诊断神经病变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2038/11076868/c20d9df89768/fendo-15-1369699-g001.jpg

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