糖尿病足患者运动干预的最佳证据总结

doi:10.3761/j.issn.1672-9234.2022.07.012

Abstract

Abstract:

Objective To search and obtain the evidence on exercise therapy of diabetic foot,and to summarize the best available evidence. Methods The databases of JBI,UpToDate,BMJ Best Practice,the Cochrane Library,International Working Group on the Diabetic Foot,International Diabetes Federation,NICE,PubMed,Embase,China Guide Network,CNKI,Wanfang Date,and SinoMed were searched from their inception to July 2021. Two researchers independently assessed the quality of the literature and extracted data. Results A total of 10 papers were selected,including 4 guidelines,2 expert consensus statements,2 systematic reviews and 2 randomized controlled trails. Totally 21 pieces of best evidence were summarized from 6 aspects：necessity and effectiveness,points for attention,quality control,contraindication,exercise mode and exercise time. Conclusion This study summarized best evidence on exercise therapy in patients with diabetic foot and provide decision-makers and visitors with evidence-based management of patients with diabetic foot movement. Medical workers should combine the practice process with clinical situation,fully evaluate the promotors and obstacles to ensure the evidence can be applied to clinical settings.

Key words: Diabetic Foot, Exercise Therapy, Evidence summary

GENG Yi-dan,TIAN Jian-li,HU Jia-qi,ZHANG Xi,WANG Nai. Evidence summary of exercise therapy in patients with diabetic foot[J].Chinese Journal of Nursing Education, 2022, 19(7): 640-645.

Figures/Tables 4

References 22

[1]	Apelqvist J. Diagnostics and treatment of the diabetic foot[J]. Endocrine, 2012, 41(3):384-397. doi: 10.1007/s12020-012-9619-x pmid: 22367583
[2]	Zhang PZ, Lu J, Jing YL,et al. Global epidemiology of diabetic foot ulceration:a systematic review and meta-analysis?[J]. Ann Med, 2017, 49(2):106-116. doi: 10.1080/07853890.2016.1231932
[3]	Khunkaew S, Fernandez R, Sim J,et al. Health-related quality of life among adults living with diabetic foot ulcers:a meta-analysis[J]. Qual Life Res, 2019, 28(6):1413-1427. doi: 10.1007/s11136-018-2082-2 pmid: 30565072
[4]	孙献坤, 袁丽. 糖尿病足溃疡患者非负重运动的研究进展[J]. 中华护理杂志, 2019, 54(8):1161-1164. doi: 10.3761/j.issn.0254-1769.2019.08.008
	Sun XK, Yuan L. Research progress on non-weight-bearing exercise for patients with diabetic foot ulcer[J]. Chin J Nurs, 2019, 54(8):1161-1164. doi: 10.3761/j.issn.0254-1769.2019.08.008
[5]	Brouwers MC, Kho ME, Browman GP,et al. AGREE II:advancing guideline development,reporting,and evaluation in health care[J]. Prev Med, 2010, 51(5):421-424. doi: 10.1016/j.ypmed.2010.08.005 pmid: 20728466
[6]	Aromataris E, Fernandez R, Godfrey CM,et al. Summarizing systematic reviews:methodological development,conduct and reporting of an umbrella review approach[J]. Int J Evid Based Healthc, 2015, 13(3):132-140. doi: 10.1097/XEB.0000000000000055
[7]	McArthur A, Klugárová J, Yan H,et al. Innovations in the systematic review of text and opinion[J]. Int J Evid Based Healthc, 2015, 13(3):188-195. doi: 10.1097/XEB.0000000000000060
[8]	The Cochrane Collaboration. Cochrane handbook for systematic reviews of interventions[2020-04-08]. http://handbook-5-1.cochrane.org/ .
[9]	王春青, 胡雁. JBI证据预分级及证据推荐级别系统(2014版)[J]. 护士进修杂志, 2015, 30(11):964-967.
	Wang CQ, Hu Y. JBI evidence pre-classification and evidence rank system(2014 Edition)[J]. J Nurses Train, 2015, 30(11):964-967.
[10]	Bus SA, Lavery LA, Monteiro-Soares M,et al. Guidelines on the prevention of foot ulcers in persons with diabetes(IWGDF 2019 update)[J]. Diabetes Metab Res Rev,2020, 36(Suppl 1):e3269.
[11]	中国医疗保健国际交流促进会糖尿病足病分会, 国际血管联盟中国分部糖尿病足病专家委员会. 中国糖尿病足诊治指南[J]. 中国临床医生杂志, 2020, 48(1):19-27.
[12]	中国糖尿病足细胞与介入治疗技术联盟, 中国介入医师分会介入医学与生物工程技术委员会, 国家放射与治疗临床医学研究中心. 糖尿病足介入综合诊治临床指南(第六版)[J]. 介入放射学杂志, 2020, 29(9):853-866.
	China Alliance of Cellular and Interventional Therapy Techniques for Diabetic Foot, Technical Committee on Interventional Medicine and Bioengineering of Chinese Intervention Physicians Branch, National Centre for Clinical Medical Research on Radiation and Treatment. Clinical guidelines for integrated diagnosis and treatment of diabetic foot(sixth edition)[J]. J Interv Radiol, 2020, 29(9):853-866.
[13]	中国医师协会中西医结合医师分会内分泌与代谢病学专业委员会. 糖尿病足病中医病证结合诊疗指南[J]. 中医杂志, 2021, 62(12):1099-1104.
[14]	中国中西医结合学会周围血管病专业委员会. 中西医结合防治糖尿病足中国专家共识(第1版)[J]. 血管与腔内血管外科杂志, 2019, 5(5):379-402.
	Peripheral Vascular Disease Professional Committee of Chinese Association of Integrative Medicine. Chinese expert consensus on the prevention and management of diabetic foot with integrative medicine(1st edition)[J]. J Vasc Endovascular Surg, 2019, 5(5):379-402.
[15]	中国微循环学会糖尿病与微循环专业委员会, 中国研究型医院学会创面防治与损伤组织修复专业委员会. 糖尿病足基层筛查与防治专家共识[J]. 中国糖尿病杂志, 2019, 27(6):401-407.
[16]	Matos M, Mendes R, Silva AB,et al. Physical activity and exercise on diabetic foot related outcomes:a systematic review[J]. Diabetes Res Clin Pract, 2018,139:81-90.
[17]	Liao FY, An RP, Pu F,et al. Effect of exercise on risk factors of diabetic foot ulcers:a systematic review and meta-analysis[J]. Am J Phys Med Rehabil, 2019, 98(2):103-116. doi: 10.1097/PHM.0000000000001002
[18]	Silva EQ, Suda EY, Santos DP,et al. Effect of an educational booklet for prevention and treatment of foot musculoskeletal dysfunctions in people with diabetic neuropathy:the FOotCAre(FOCA) trial II,a study protocol of a randomized controlled trial[J]. Trials, 2020, 21(1):180.
[19]	Win MMTM, Fukai K, Nyunt HH,et al. Hand and foot exercises for diabetic peripheral neuropathy:a randomized controlled trial[J]. Nurs Health Sci, 2020, 22(2):416-426. doi: 10.1111/nhs.12676
[20]	郑丛丛, 王鹏华, 褚月颉,等. 糖尿病足溃疡合并外周动脉病变患者运动处方的有效性及安全性研究[J]. 中华内分泌代谢杂志, 2013, 29(1):18-23.
	Zheng CC, Wang PH, Chu YJ,et al. Study on the safety and effectiveness of an exercise prescription for patients with dia-betic foot ulcer and peripheral arterial disease[J]. Chin J Endocrinol Metab, 2013, 29(1):18-23.
[21]	Kruse RL, Lemaster JW, Madsen RW. Fall and balance outcomes after an intervention to promote leg strength,balance,and walking in people with diabetic peripheral neuropathy:“feet first” randomized controlled trial[J]. Phys Ther, 2010, 90(11):1568-1579. doi: 10.2522/ptj.20090362
[22]	李伟云, 田桂芹, 胡亚丽,等. 非负重运动处方在糖尿病足溃疡治疗中的有效性探讨[J]. 山西医药杂志, 2021, 50(11):1848-1850.
	Li WY, Tian GQ, Hu YL,et al. Effectiveness of non-weight-bearing exercise prescription in the treatment of diabetic foot ulcer[J]. Shanxi Med J, 2021, 50(11):1848-1850.

Evidence summary of exercise therapy in patients with diabetic foot

HTML

PDF(PC)

Like

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 4

References 22

Related Articles 15

Metrics

Comments

Recommended 10

[1]	ZHANG Peiying, LU Qian, PANG Dong, GUAN Hui, LI Huijuan, LIU Jin, DING Yanming. Evidence-based nursing practice for diabetic foot assessment [J]. Chinese Journal of Nursing Education, 2024, 21(8): 1000-1005.
[2]	ZHANG Fangyuan, JIAO Jie, LIU Lifeng. Evidence summary of preoperative rehabilitation in lung cancer patients [J]. Chinese Journal of Nursing Education, 2024, 21(7): 881-886.
[3]	ZHU Songying, TAN Ran, GAO Wei. The best evidence summary on management of primary malposition in adult patients with peripherally inserted central catheter/arm port [J]. Chinese Journal of Nursing Education, 2024, 21(5): 613-619.
[4]	ZHANG Jie, LI Xiuchuan, LIU Chunfang, TANG Qi, JIANG Jie, HUO Rui, JI Hongmin. Evidence summary for prevention and nursing of mucocutaneous separation in patients with enterostomy [J]. Chinese Journal of Nursing Education, 2024, 21(4): 486-491.
[5]	JIN Ziheng, SONG Jie, ZHANG Shuxiang, JIANG Shumin, YU Wanhui, LI Ruzhao, LIU Yue. Evidence summary for cardiopulmonary resuscitation in the prone position with invasive mechanical ventilation [J]. Chinese Journal of Nursing Education, 2024, 21(3): 358-364.
[6]	DING Lina, YAO Zhuoya, GENG Junhui, ZHAN Meng, LI Manchun, WANG Junfeng. Summary of the best evidence for cleaning quality management of phacoemulsification handles in ophthalmology [J]. Chinese Journal of Nursing Education, 2024, 21(1): 110-118.
[7]	ZHANG Yayun, GUAN Lina, JIN Jie, ZHANG Enman. Best evidence summary for prevention and management of malignant hyperthermia in perioperative patients [J]. Chinese Journal of Nursing Education, 2023, 20(7): 864-869.
[8]	XING Yayun,GUAN Ningxiao,KONG Han,WANG Yunxia,LIANG Hongxia,ZHANG Yuelan. Summary of the best evidence of unilateral spatial neglect screening and early rehabilitation nursing in stroke patients [J]. Chinese Journal of Nursing Education, 2023, 20(6): 734-739.
[9]	CAI Mingjin,HOU Chaoming,GAO Jing,BAI Dingxi,LIU Ruirui,LU Xianying,WANG Wei,GONG Xiaoyan. Intervention effect of aerobic exercise on knee osteoarthritis patients：a network meta-analysis [J]. Chinese Journal of Nursing Education, 2023, 20(6): 745-751.
[10]	CHENG Ting, TU Hui, GUO Ting, LI Xin, XU Wenjun, PENG Ying, ZHANG Na. Summary of the best evidence for medication management in elderly patients with polypharmacy [J]. Chinese Journal of Nursing Education, 2023, 20(2): 217-222.
[11]	TIAN Ganlu, HE Wenying, CHEN Zeyang. Best evidence summary of exercise intervention in patients with liver cirrhosis and sarcopenia [J]. Chinese Journal of Nursing Education, 2023, 20(12): 1493-1499.
[12]	XIA Xuan, GONG Xiangyi, LIAN Dongmei, LI Yang. Evidence summary of exercise programs for children with juvenile idiopathic arthritis [J]. Chinese Journal of Nursing Education, 2023, 20(12): 1500-1506.
[13]	LI Yue, HOU Chaoming, GAO Jing, BAI Dingxi, CAI Mingjin, XIE Xuemei. Summary of the best evidence for the management of insomnia in patients with Parkinsonism [J]. Chinese Journal of Nursing Education, 2023, 20(10): 1223-1228.
[14]	MENG Shujing,ZHANG Qiang,CHENG Shuai,GENG Xiaoting,HU Zelin,WU Meixuan,QIN Dianju. Evidence summary of exercise training for adult patients with obstructive sleep apnea [J]. Chinese Journal of Nursing Education, 2023, 20(1): 87-92.
[15]	CAI Mingjin,GAO Jing,BAI Dingxi,CHEN Huan,ZHU Lin,WANG Wei,LU Xianying. Evidence summary for prevention and nursing of enterostomy necrosis [J]. Chinese Journal of Nursing Education, 2023, 20(1): 93-97.