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糖尿病足溃疡患者如何自我治疗伤口护理:一项综合文献综述。

How Diabetic Foot Ulcer Patients Can Self-Treat Wound Care: An Integrative Literature Review.

作者信息

Manalu Novita Verayanti, Yunitasari Esti, Kotijah Siti, Yusuf Ah, Malinti Evelin

机构信息

Faculty of Nursing, Airlangga University, Surabaya, Indonesia.

Faculty of Nursing, Adventist University of Indonesia, Bandung, Indonesia.

出版信息

SAGE Open Nurs. 2024 Aug 21;10:23779608241274219. doi: 10.1177/23779608241274219. eCollection 2024 Jan-Dec.

Abstract

INTRODUCTION

To improve the capacity of diabetic foot ulcer (DFU) patients for self-management of wound care, there is a renewed need for self-care on their part, as well as an increase in their readiness to deal with issues and heal their wounds. Therefore, this review empirically assessed contemporary evidence on how patients with DFU can perform self-treat wound care.

METHODS

This integrative literature review assessed how patients with DFU could perform self-treat wound care. Whittemore and Knafl integrative information literature review involved searching four databases (Scopus, PubMed, Web of Science, and Google Scholar), which resulted in 2,595 published articles, between 2010 and 2023. Nineteen articles satisfied the requirements for inclusion and quality assessment, and the PRISMA review checklist was followed.

RESULTS

No research has addressed DFU patients' self-treatment of wound care. The integration of evidence from quantitative and qualitative studies was achieved in three categories: (1) motivation, (2) self-wound care strategy, and (3) self-wound care performance by DFU patients.

CONCLUSION

To equip themselves to perform wound care independently, patients with DFU must receive training to clean wounds, apply wound medication, and perform dressings. There is a need for research that develops a self-treat wound care intervention model in patients with DFU.

摘要

引言

为提高糖尿病足溃疡(DFU)患者伤口护理的自我管理能力,他们自身对自我护理有了新的需求,并且处理问题和愈合伤口的意愿也有所增强。因此,本综述实证评估了关于DFU患者如何进行自我伤口护理的当代证据。

方法

本整合文献综述评估了DFU患者如何进行自我伤口护理。惠特莫尔和克纳夫的整合信息文献综述涉及检索四个数据库(Scopus、PubMed、科学网和谷歌学术),在2010年至2023年期间共检索到2595篇已发表文章。19篇文章满足纳入和质量评估要求,并遵循了PRISMA综述清单。

结果

尚无研究探讨DFU患者伤口护理的自我治疗。通过定量和定性研究的证据整合在三个类别中得以实现:(1)动机,(2)自我伤口护理策略,以及(3)DFU患者的自我伤口护理表现。

结论

为了使自己能够独立进行伤口护理,DFU患者必须接受清洁伤口、涂抹伤口药物和进行包扎的培训。需要开展研究来开发DFU患者自我伤口护理干预模型。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/881d/11375663/953f7dd74ddb/10.1177_23779608241274219-fig1.jpg

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