eISSN 2097-6054 ISSN 1672-9234 CN 11-5289/R
Responsible Institution:China Association for Science and Technology
Publishing:Chinese Nursing Journals Publishing House Co.,Ltd.
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Scopus
Health Education and Health Promotion

Construction and application of a knowledge graph for diabetic foot

  • Lingyan LI ,
  • Liwei XU ,
  • Junfang SHI ,
  • Han ZHAO ,
  • Zeyu LI ,
  • Peifen MA
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Received date: 2025-01-01

  Online published: 2025-06-17

Abstract

Objective To construct a knowledge graph for diabetic foot(DF) and assess its usability and acceptability. Methods Evidence was extracted from DF-related guidelines retrieved from guideline networks,professional association websites,and domestic/international databases to establish the initial content framework and foundational knowledge of the DF knowledge graph. Following two rounds of expert panel discussions,the final version was developed;and a web-based DF knowledge graph was developed. From November 2023 to December 2023,15 clinical nurses specializing in diabetes/DF care at a tertiary grade A hospital in Lanzhou City and 15 DF patients were invited to trial the DF knowledge graph for two weeks. Evaluations were conducted using the System Usability Scale(SUS) and the DF Knowledge Graph Experience Questionnaire,with participants also providing feedback on limitations and suggestions. Results The DF knowledge graph comprised 539 nodes,49 relationship types,and 523 inter-node links,with functionalities including knowledge query,search,and interactive Q&A. The usability scores of the DF knowledge graph were(86.00±8.33) points for nurses and(80.83±7.42) points for DF patients. In terms of user experience,nurses and DF patients scored[9(8,10)] points for usage intention,while their recommendation intention scores were 4(3,5) points and 4(4,5) points respectively. A total of six nurses and two patients provided feedback on limitations and suggestions. Conclusion The DF knowledge graph demonstrated good usability and high acceptability,serving as an effective auxiliary tool for nurses in health educationand a reliable health information platform for DF patients.

Cite this article

Lingyan LI , Liwei XU , Junfang SHI , Han ZHAO , Zeyu LI , Peifen MA . Construction and application of a knowledge graph for diabetic foot[J]. Chinese Journal of Nursing Education, 2025 , 22(6) : 725 -731 . DOI: 10.3761/j.issn.1672-9234.2025.06.014

References

[1] van Netten JJ, Bus SA, Apelqvist J, et al. Definitions and criteria for diabetes-related foot disease(IWGDF 2023 update)[J]. Diabetes Metab Res Rev, 2024, 40(3):e3654.
[2] Zheng Y, Ley SH, Hu FB. Global aetiology and epidemiology of type 2 diabetes mellitus and its complications[J]. Nat Rev Endocrinol, 2018, 14(2):88-98.
[3] Chen HF, Cai C, Xie J. The effect of an intensive patients’ education program on anxiety,depression and patient global assessment in diabetic foot ulcer patients with Wagner grade 1/2:a randomized,controlled study[J]. Medicine (Baltimore), 2020, 99(6):e18480.
[4] 熊燕, 徐静, 赵益, 等. 临床非内分泌科护士糖尿病知识的认知现状及培训需求调查[J]. 解放军护理杂志, 2013, 30(9):5-8,28.
[5] Li LY, Xu LW, Jia GP, et al. Diabetes specialist nurses’ know-ledge,skills,and personal attributes for providing competent health education practice,and its influencing factors:a cross-sectional survey[J]. Nurse Educ Today, 2024, 141:106298.
[6] 齐梦影, 龙飞艳, 肖倩, 等. 糖尿病足患者居家自我管理认知及体验的质性研究[J]. 解放军护理杂志, 2019, 36(7):24-27.
[7] 王彩云, 郑增亮, 蔡晓琼, 等. 知识图谱在医学领域的应用综述[J]. 生物医学工程学杂志, 2023, 40(5):1040-1044.
[8] 王丽敏, 陈泓伯, 王琦, 等. 以公众健康教育与非药物干预为主的膝关节骨性关节炎疾病知识图谱的构建[J]. 中华护理杂志, 2022, 57(10):1172-1177.
[9] 王永博, 高旷, 李绪辉, 等. 临床实践指南实施性促进研究之二:基于非肌层浸润性膀胱癌指南的知识图谱框架设计[J]. 医学新知, 2021, 31(6):419-432.
[10] 胡雁. 循证护理学[M]. 北京: 人民卫生出版社, 2012.
[11] Registered Nurses’ Association of Ontario. Assessment and ma-nagement of foot ulcers for people with diabetes,second edition[EB/OL].[2024-10-15]. https://www.waterloowellingtondia-betes.ca/userContent/documents/Professional-Resources/Assess-ment_and_Management_of_Foot_Ulcers_for_People_with_Diabe-tes_Second_Edition11.pdf.
[12] Wounds International. Best practice guidelines:wound manage-ment in diabetic foot ulcers[EB/OL].(2013-05-09). https://woundsinternational.com/best-practice-statements/best-practice-guidelines-wound-management-diabetic-foot-ulcers/.
[13] Lavery LA, Davis KE, Berriman SJ, et al. WHS guidelines up-date:diabetic foot ulcer treatment guidelines[J]. Wound Repair Regen, 2016, 24(1):112-126.
[14] Huang ET, Mansouri J, Murad MH, et al. A clinical practice guideline for the use of hyperbaric oxygen therapy in the treatment of diabetic foot ulcers[J]. Undersea Hyperb Med, 2015, 42(3):205-247.
[15] Isei T, Abe M, Nakanishi T, et al. The wound/burn guidelines-3:guidelines for the diagnosis and treatment for diabetic ulcer/gangrene[J]. J Dermatol, 2016, 43(6):591-619.
[16] Hingorani A, LaMuraglia GM, Henke P, et al. The management of diabetic foot:a clinical practice guideline by the Society for Vascular Surgery in collaboration with the American Podiatric Medical Association and the Society for Vascular Medicine[J]. J Vasc Surg, 2016, 63(2 Suppl):3S-21S.
[17] Scottish Intercollegiate Guidelines Network. Management of diabetes[EB/OL].[2024-10-15]. https://www.sign.ac.uk/assets/sign116.pdf.
[18] Ibrahim A. IDF clinical practice recommendation on the diabetic foot:a guide for healthcare professionals[J]. Diabetes Res Clin Pract, 2017, 127:285-287.
[19] van Netten JJ, Lazzarini PA, Armstrong DG, et al. Diabetic Foot Australia guideline on footwear for people with diabetes[J]. J Foot Ankle Res, 2018, 11:2.
[20] Diabetes Canada Clinical Practice Guidelines Expert Commit-tee. Foot care[J]. Can J Diabetes, 2018, 42(Suppl 1):S222-S227.
[21] Ministary of Health Malaysia. Management of diabetic foot (Second Edition)[EB/OL].[2024-10-15]. .
[22] 中华医学会糖尿病学分会, 中华医学会感染病学分会,中华医学会组织修复与再生分会. 中国糖尿病足防治指南(2019版)[J]. 中华糖尿病杂志, 2019, 11(2):92-108.
[23] Wounds Canada. Prevention and management of diabetic foot ulcers[EB/OL].(2021-02-26). https://www.woundscanada.ca/doc-man/public/health-care-professional/bpr-workshop/895-wc-bpr-pre-vention-and-management-of-diabetic-foot-ulcers-1573r1e-final/file.
[24] National Institute for Health and Care Excellence (NICE). Diabetic foot problems:prevention and management[EB/OL].(2023-01-18). https://www.nice.org.uk/guidance/ng19.
[25] Schaper NC, van Netten JJ, Apelqvist J, et al. Practical guide-lines on the prevention and management of diabetes-related foot disease(IWGDF 2023 update)[J]. Diabetes Metab Res Rev, 2024, 40(3):e3657.
[26] ElSayed NA, Aleppo G, Aroda VR, et al. 13. Older adults:stan-dards of care in diabetes-2023[J]. Diabetes Care, 2023, 46(Suppl 1):S216-S229.
[27] Bartko JJ. The intraclass correlation coefficient as a measure of reliability[J]. Psychol Rep, 1966, 19(1):3-11.
[28] Wang YH, Lei T, Liu XX. Chinese System Usability Scale:translation,revision,psychological measurement[J]. Int J Hum, 2020, 36(10):953-963.
[29] 张洪辉, 王婷婷, 王爱梅, 等. 国内糖尿病手机应用程序的可用性评价和用户评论分析[J]. 解放军护理杂志, 2020, 37(10):26-30.
[30] 赵蕊, 胡雁, 张林, 等. HIV阳性患者症状支持手机应用软件的适用性评价[J]. 护理学杂志, 2018, 33(10):45-47,51.
[31] Liu SH, Ding HX, Li DD, et al. Foot screening and customized health education program for patients with diabetic peripheral neuropathy:a nurse-led,real-world observational study[J]. Int J Nurs Stud Adv, 2025, 8:100291.
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