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跨专业协作教育项目(IPCEP)对2型糖尿病患者糖尿病足护理知识、态度和实践的影响:一项叙述性综述

Impact of the Interprofessional Collaborative Education Program (IPCEP) on the knowledge, attitudes, and practices of diabetic foot care among individuals with type 2 diabetes mellitus: a narrative review.

作者信息

Naik Bhukya Nom Kumar, Prabhath Sushma, Devi Elsa Sanatombi, Maiya Arun G, Prasad S S, Hebbar Suvarna, Karkada Gagana, Shetty Sahana, Karanth Shubhada

机构信息

Department of Anatomy, Kasturba Medical College Manipal, Manipal Academy of Higher Education (MAHE), Manipal, Udupi, Karnataka, 576104, India.

Department of Anatomy and Medical Education, Kasturba Medical College Manipal, MAHE-FAIMER International Institute for Leadership in Interprofessional Education (M-FIILIPE)- FAIMER Regional Institute (FRI), Manipal Academy of Higher Education (MAHE), Manipal, Udupi, Karnataka, 576104, India.

出版信息

BMC Health Serv Res. 2025 Aug 25;25(1):1125. doi: 10.1186/s12913-025-13244-0.

DOI:10.1186/s12913-025-13244-0
PMID:
40855488
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12376752/
Abstract

BACKGROUND

Individuals with diabetes are at high risk of foot complications such as ulcers and amputations, leading to morbidity and economic burden. Effective foot care management reduces complications, highlighting the need for patient education and self-management practices. Interprofessional care (IPC) enhances patient care by integrating expertise from multiple disciplines. While education programs improve self-care and knowledge, their impact on self-efficacy remains unclear. Furthermore, the role of the Interprofessional Collaborative Education Program (IPCEP) in enhancing foot care practices also needs exploration.

OBJECTIVE

This narrative review evaluated the usefulness of the interprofessional approach (IPA) to patient-centered education in improving foot care knowledge, attitudes, and practices (KAPs) among individuals with type 2 diabetes mellitus (T2DM).

METHODS

A systematic search of PubMed, Scopus, and Cochrane was carried out to explore the importance of IPCEP in improving foot care practices among individuals with T2DM. A narrative review was conducted, as there was a paucity of literature related to studies meeting the criteria by September 23, 2024. Studies assessing patient outcomes (behaviour, attitudes, knowledge) were considered.

RESULTS

Extensive research is needed to highlight the importance of IPCEP in improving foot care knowledge and promoting proactive self-management. This is because the IPA positively influences patients’ attitudes toward health management post-education.

CONCLUSION

This review highlights the need for IPCEP to improve foot care practices; thus, it can foster a holistic approach to diabetes and diabetic foot care, improve quality of life, and reduce complications.

摘要

背景

糖尿病患者面临足部并发症(如溃疡和截肢)的高风险,这会导致发病和经济负担。有效的足部护理管理可减少并发症,凸显了患者教育和自我管理实践的必要性。跨专业护理(IPC)通过整合多学科专业知识来提升患者护理水平。虽然教育项目能改善自我护理和知识,但它们对自我效能的影响仍不明确。此外,跨专业协作教育项目(IPCEP)在加强足部护理实践中的作用也有待探索。

目的

本叙述性综述评估了以患者为中心的跨专业方法(IPA)在改善2型糖尿病(T2DM)患者足部护理知识、态度和实践(KAPs)方面的有用性。

方法

对PubMed、Scopus和Cochrane进行系统检索,以探讨IPCEP在改善T2DM患者足部护理实践中的重要性。由于截至2024年9月23日,符合标准的相关研究文献较少,因此进行了叙述性综述。纳入评估患者结局(行为、态度、知识)的研究。

结果

需要进行广泛研究以突出IPCEP在改善足部护理知识和促进积极自我管理方面的重要性。这是因为IPA对患者教育后对健康管理的态度有积极影响。

结论

本综述强调了IPCEP改善足部护理实践的必要性;因此,它可以促进对糖尿病和糖尿病足护理采取整体方法,提高生活质量并减少并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c23/12376752/16c5b7fe8f13/12913_2025_13244_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c23/12376752/16c5b7fe8f13/12913_2025_13244_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c23/12376752/16c5b7fe8f13/12913_2025_13244_Fig1_HTML.jpg

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本文引用的文献

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2
Importance of interprofessional collaboration in teaching diabetic foot self-management: Perceptions of health care professionals.跨专业协作在糖尿病足自我管理教学中的重要性:医疗保健专业人员的看法。
Med J Armed Forces India. 2024 Dec;80(Suppl 1):S135-S143. doi: 10.1016/j.mjafi.2023.01.003. Epub 2023 Apr 3.
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Knowledge and Practice of Foot Care among Patients with Diabetes Attending Diabetes Center, Saudi Arabia.
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Healthcare (Basel). 2024 Jun 22;12(13):1244. doi: 10.3390/healthcare12131244.
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Health literacy and cognitive function in people with diabetic foot ulcer with focus on knowledge, attitude, and practice in relation to foot self-care.糖尿病足溃疡患者的健康素养与认知功能:聚焦足部自我护理的知识、态度和实践
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