強化糖尿病教育與常規糖尿病教育比較預防糖尿病足潰瘍的系統評價_《中國循證醫學雜志》

作者：

 何繼東 , 張蘭 , 劉莉 , 朱毓江

雅安市第二人民醫院內分泌科（雅安 625000）;

關鍵詞：

強化糖尿病教育糖尿病足潰瘍系統評價 Meta分析隨機對照試驗

DOI：

10.7507/1672-2531.20130251

視頻：

導出 下載 收藏 掃碼 引用

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

目的　系統評價強化糖尿病教育與常規糖尿病教育比較預防糖尿病足潰瘍的有效性。
方法　計算機檢索CENTRAL（2013年第1期）、PubMed（1978～2013）、EMbase（1978～2013）、VIP（1989～2013）和WanFang Data（1980～2013），同時手工檢索相關會議論文集并追溯納入文獻的參考文獻，全面收集全世界關于強化糖尿病教育與常規糖尿病教育比較預防糖尿病足潰瘍的隨機對照試驗。由2位研究者獨立按照納入與排除標準篩選文獻、提取資料和評價質量后，采用RevMan 5.2進行Meta分析。
結果　最終納入12個研究，1 841例患者。Meta分析結果顯示：強化糖尿病教育組糖尿病足潰瘍發生率低于常規糖尿病教育組，其差異有統計學意義［RR=0.51，95%CI（0.30，0.84），P=0.008］；但兩組糖尿病足截肢率差異無統計學意義［OR=0.54，95%CI（0.17，1.67），P=0.28］；強化糖尿病教育組糖尿病知識積分高于常規糖尿病教育組，其差異有統計學意義［MD=7.32，95%CI （3.57，11.06），P=0.000 1］。
結論　現有證據表明：強化糖尿病教育較常規糖尿病教育能更有效地減少糖尿病足潰瘍的發生率，但上述結論尚需開展更多高質量的研究加以驗證。

引用本文： 何繼東,張蘭,劉莉,朱毓江. 強化糖尿病教育與常規糖尿病教育比較預防糖尿病足潰瘍的系統評價. 中國循證醫學雜志, 2013, 13(12): 1470-1474. doi: 10.7507/1672-2531.20130251 復制

1.	Boulton AJ, Vileikyte L, Ragnarson-Tennvall, et al. The global burden of diabetic foot disease. Lancet, 2005, 366(9498): 1719-1724.
2.	Bouhon AJ. The diabetic foot: a global view. Diabetes Metab Res Rev, 2000, 16(s1): s2-s5．.
3.	Boulton AJ. The diabetic foot: from art to science. Diabetologia, 2004, 47(8): 1343-1353.
4.	Lavery LA, Armstrong DG, Wunderlich RP, et al. Risk factors for foot infections in individuals with diabetes. Diabetes Care, 2006, 29(6): 1288-1293.
5.	Brownrigg JR, Davey J, Holt PJ, et al. The association of ulceration of the foot with cardiovascular and all-cause mortality in patients with diabetes: a meta-analysis. Diabetologia, 2012, 55(11): 2906-2912.
6.	Rena R, James E, Michael G, et al. Behavioral science research in diabetes lifestyle change related to obesity,eating behavior,and physical activity. Diabete Care, 2001, 24(1): 117-123.
7.	Cgnthia F. Preventive care of the diabetic foot. Nurs Clin North Am, 2001, 36(2): 303-306.
8.	Reiber GE, Pecoraro RE, Koepsell TD. Risk factors for amputation in patients with diabetes mellitus. A case-control reprot. Ann lntern Med, 1992, 117(2): 97-105.
9.	朱禧星. 糖尿病. 見: 陳灝珠, 主編. 實用內科學. 第12版. 北京: 人民衛生出版社, 2002: 958.
10.	The Cochrane Collaboration. Cochrane Handbook for Systematic Reviews of Interventions. Version 5.1.0 [updated March 2011].Available from: http://www.cochrane.org/.htm.
11.	范麗鳳, 李崢, 陸菊明, 等. 強化教育干預對糖尿病足預防的中遠期效果. 中華老年多器官疾病雜志, 2006, 5(1): 24-29.
12.	劉正廣, 笱曉葵, 劉顏, 等. 強化家庭預防性健康教育對老年糖尿病足潰瘍的預防效果評價. 中國實用內科雜志, 2008, 28(2): 68-69.
13.	黃萍, 黃佳敏, 李桂蓉, 等. 糖尿病知識強化教育對預防糖尿病足的效果觀察. 現代預防醫學, 2009, 36(15): 2879-2881.
14.	黃雪花. 糖尿病教育對預防糖尿病足發生的影響. 中外健康文摘, 2010, 33(7): 362.
15.	林小敏, 衛建寧. 個體化教育干預措施對預防糖尿病足的意義. 醫學新知雜志, 2010, 20(3): 212-213.
16.	Malone JM, Snyder M, Anderson G, et al. Prevention of amputation by diabetic education. The American Journal of Surgery, 1989, 158(6): 520-524.
17.	Barth R, Campbell LV, Allen S, et al. Intensive education improves knowledge, compliance and foot problems in type 2 diabetes. Diabetic Medicine, 1991, 8(2): 111-117.
18.	Kruger S, Guthrie D. Foot care: knowledge retention and self-care practices. The Diabetes Educator, 1992, 18(6): 487-490.
19.	Rönnemaa T, Hämäläinen H, Toikka T, et al. Evaluation of the impact of podiatrist care in the primary prevention of foot problems in diabetic subjects. Diabetes Care, 1997, 20(12): 1833-1837.
20.	Frank KI, Martin J, Bennett SJ. Self-management of foot care for patients 65 years of age or older with diabetes. Journal of The American Geriatrics Society, 2005, 53(4): S215-S215.
21.	Lincoln NB, Radford KA, Game FL, et al. Education for secondary prevention of foot ulcers in people with diabetes: a randomised controlled trial. Diabetologia, 2008, 51(11): 1954-1961.
22.	Cisneros LL. Evaluation of a neuropathic ulcers prevention program for patients with diabetes. Revista brasileira de fisioterapia, 2010, 14(1): 31-37.
23.	Assal JA, Albeanu A, Peter-Riesch B, et al. Cost of training a diabetes mellitus patient. Effects on the prevention of amputation. Diabete metab, 1993, 19(5 Suppl): 491.
24.	Reiber GE, Pecoraro RE, Koepsell TD. Risk factors for amputation in patients with diabetes mellitus. A case-control report. Ann lntern Med, 1992, 117(2): 97-105.

1. Boulton AJ, Vileikyte L, Ragnarson-Tennvall, et al. The global burden of diabetic foot disease. Lancet, 2005, 366(9498): 1719-1724.
2. Bouhon AJ. The diabetic foot: a global view. Diabetes Metab Res Rev, 2000, 16(s1): s2-s5．.
3. Boulton AJ. The diabetic foot: from art to science. Diabetologia, 2004, 47(8): 1343-1353.
4. Lavery LA, Armstrong DG, Wunderlich RP, et al. Risk factors for foot infections in individuals with diabetes. Diabetes Care, 2006, 29(6): 1288-1293.
5. Brownrigg JR, Davey J, Holt PJ, et al. The association of ulceration of the foot with cardiovascular and all-cause mortality in patients with diabetes: a meta-analysis. Diabetologia, 2012, 55(11): 2906-2912.
6. Rena R, James E, Michael G, et al. Behavioral science research in diabetes lifestyle change related to obesity,eating behavior,and physical activity. Diabete Care, 2001, 24(1): 117-123.
7. Cgnthia F. Preventive care of the diabetic foot. Nurs Clin North Am, 2001, 36(2): 303-306.
8. Reiber GE, Pecoraro RE, Koepsell TD. Risk factors for amputation in patients with diabetes mellitus. A case-control reprot. Ann lntern Med, 1992, 117(2): 97-105.
9. 朱禧星. 糖尿病. 見: 陳灝珠, 主編. 實用內科學. 第12版. 北京: 人民衛生出版社, 2002: 958.
10. The Cochrane Collaboration. Cochrane Handbook for Systematic Reviews of Interventions. Version 5.1.0 [updated March 2011].Available from: http://www.cochrane.org/.htm.
11. 范麗鳳, 李崢, 陸菊明, 等. 強化教育干預對糖尿病足預防的中遠期效果. 中華老年多器官疾病雜志, 2006, 5(1): 24-29.
12. 劉正廣, 笱曉葵, 劉顏, 等. 強化家庭預防性健康教育對老年糖尿病足潰瘍的預防效果評價. 中國實用內科雜志, 2008, 28(2): 68-69.
13. 黃萍, 黃佳敏, 李桂蓉, 等. 糖尿病知識強化教育對預防糖尿病足的效果觀察. 現代預防醫學, 2009, 36(15): 2879-2881.
14. 黃雪花. 糖尿病教育對預防糖尿病足發生的影響. 中外健康文摘, 2010, 33(7): 362.
15. 林小敏, 衛建寧. 個體化教育干預措施對預防糖尿病足的意義. 醫學新知雜志, 2010, 20(3): 212-213.
16. Malone JM, Snyder M, Anderson G, et al. Prevention of amputation by diabetic education. The American Journal of Surgery, 1989, 158(6): 520-524.
17. Barth R, Campbell LV, Allen S, et al. Intensive education improves knowledge, compliance and foot problems in type 2 diabetes. Diabetic Medicine, 1991, 8(2): 111-117.
18. Kruger S, Guthrie D. Foot care: knowledge retention and self-care practices. The Diabetes Educator, 1992, 18(6): 487-490.
19. Rönnemaa T, Hämäläinen H, Toikka T, et al. Evaluation of the impact of podiatrist care in the primary prevention of foot problems in diabetic subjects. Diabetes Care, 1997, 20(12): 1833-1837.
20. Frank KI, Martin J, Bennett SJ. Self-management of foot care for patients 65 years of age or older with diabetes. Journal of The American Geriatrics Society, 2005, 53(4): S215-S215.
21. Lincoln NB, Radford KA, Game FL, et al. Education for secondary prevention of foot ulcers in people with diabetes: a randomised controlled trial. Diabetologia, 2008, 51(11): 1954-1961.
22. Cisneros LL. Evaluation of a neuropathic ulcers prevention program for patients with diabetes. Revista brasileira de fisioterapia, 2010, 14(1): 31-37.
23. Assal JA, Albeanu A, Peter-Riesch B, et al. Cost of training a diabetes mellitus patient. Effects on the prevention of amputation. Diabete metab, 1993, 19(5 Suppl): 491.
24. Reiber GE, Pecoraro RE, Koepsell TD. Risk factors for amputation in patients with diabetes mellitus. A case-control report. Ann lntern Med, 1992, 117(2): 97-105.

上一篇
2型糖尿病患者授權教育效果的系統評價
下一篇
鼻內鏡鼻腔淚囊吻合術聯合絲裂霉素C療效的Meta分析

《中國循證醫學雜志》

強化糖尿病教育與常規糖尿病教育比較預防糖尿病足潰瘍的系統評價

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

上一篇

下一篇

Format

Content

《中國循證醫學雜志》

強化糖尿病教育與常規糖尿病教育比較預防糖尿病足潰瘍的系統評價

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

上一篇

下一篇

Format

Content

摘要全文圖表視頻參考文獻施引文獻補充材料