足科医生在测试糖尿病多神经病症和实施足部护理方面的现行实践 (PROTECT研究调查2)
Dan Ziegler1, Sindy Burow2, Rüdiger Landgraf3
1Institute for Clinical Diabetology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine University, Düsseldorf, Germany.
概括
足科医生经常检测出糖尿病感觉运动性多神经病变 (DSPN) 和足部. 提高他们的服务利用率对于糖尿病足的护理和管理至关重要.
科学领域:
- 足部医学是一门专业.
- 糖尿病学 糖尿病学
- 神经学 神经学
背景情况:
- 足科医生在多学科糖尿病足部护理团队中至关重要.
- 目前用于糖尿病足并发症的足疗服务的利用率仍然低于最佳水平.
研究的目的:
- 调查足科医生关于糖尿病感觉运动多神经病变 (DSPN) 的查和监测的日常实践.
- 了解足科医生在糖尿病足管理中的作用,并确定改善服务的领域.
主要方法:
- 在12个德国联邦州的125名足科医生中进行了一项横截面在线调查.
- 调查问卷收集了关于DSPN查频率,使用的诊断工具和患者管理策略的数据.
主要成果:
- 36%的足科医生每年进行DSPN查;10%在每次访问时进行查.
- 报告说,感官评估工具的使用率很高 (81-94%).
- 足科医生经常检测到未诊断的DSPN (24%) 和足部 (18.4%).
- 几乎所有人都提供了日常自我监测建议,超过50%的人提供了医疗治疗指导.
结论:
- 足科医生在识别和管理DSPN和糖尿病足方面发挥着重要作用.
- 建议更多地利用足科医疗服务,以改善糖尿病患者足部护理的患者结果.
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