由社区卫生工作者 (CHWs) 提供的足部护理干预:范围审查
Okatiranti Okatiranti1,2, Desy Nuryunarsih3, Richard Windle1
1School of Health Sciences, Queen Medical Centre, University of Nottingham, Nottingham, UK.
Global public health
|May 16, 2024
概括
社区卫生工作者 (CHW) 提供宝贵的糖尿病自我管理教育,包括足部护理干预 (FCI). 然而,这些特定的FCI的详细组成部分往往缺失,阻碍了社区一级的糖尿病脚问题预防.
科学领域:
- 公共卫生 公共卫生
- 糖尿病 护理 糖尿病 护理
- 社区健康 社区健康
背景情况:
- 社区卫生工作者 (CHWs) 在糖尿病自我管理教育 (DSME) 中的干预得到了广泛的研究.
- 医疗保健工作者对糖尿病脚护理 (FCI) 的具体干预措施较少被探索.
- 糖尿病足部问题是一个重要的社区健康问题.
研究的目的:
- 识别和报告CHWs提供的足部护理干预措施 (FCI) 的性质.
- 确定CHWs为糖尿病管理提供的FCI的核心组成部分.
- 为了解决CHW主导的FCI研究的稀缺性.
主要方法:
- 使用PRISMA-ScR指南进行了范围审查.
- 在多个电子数据库 (CINAHL,EMBASE,Cochrane,Scopus,Web of Science,ProQuest,PubMed,Google Scholar) 进行了搜索,截至2022年12月.
- 使用描述性合成来分析包含的研究数据.
主要成果:
- 从最初识别的1644篇文章中,包括了9项研究.
- 所有包括的研究都证实了CHW提供了一般的DSME,包括一定程度的足部护理教育.
- 具体的金融投资机构的核心组成部分的详细描述在审查文献中基本上不存在.
结论:
- 医疗保健干预对于促进足部护理和预防糖尿病足部问题至关重要,特别是在服务不足的社区.
- 需要进一步的研究来详细介绍CHW提供的FCI的核心组件,以便有效实施.
- 在CHW计划中标准化FCI组件可以增强它们对预防糖尿病脚部并发症的影响.
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