糖尿病足溃疡的临床决策支持系统:范围界定综述。

Revista da Escola de Enfermagem da U S P Pub Date : 2024-02-09 eCollection Date: 2024-01-01 DOI:10.1590/1980-220X-REEUSP-2023-0218en
Thiago Santos Garces, Açucena Leal de Araújo, George Jó Bezerra Sousa, Virna Ribeiro Feitosa Cestari, Raquel Sampaio Florêncio, Samuel Miranda Mattos, Lara Lídia Ventura Damasceno, Jênifa Cavalcante Dos Santos Santiago, Vera Lucia Mendes de Paula Pessoa, Maria Lúcia Duarte Pereira, Thereza Maria Magalhães Moreira
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引用次数: 0

摘要

目标:绘制糖尿病足护理中使用临床决策支持系统的科学证据图:绘制糖尿病足护理中使用临床决策支持系统的科学证据图:方法:根据《JBI 证据综合手册》进行范围综述,并在开放科学框架平台上注册。在 11 个数据库和灰色文献中,以任何语言或时期发表的旨在帮助糖尿病足患者或有患病风险的患者的原型和计算机化工具为主要和次要资料来源进行了检索:结果:共发现了 710 项研究,按照资格标准,选出了 23 项研究,这些研究通过处理与临床和社会人口信息相关的数据,描述了决策支持系统在糖尿病足筛查、预测溃疡和截肢风险、划分严重程度、决定治疗方案和评估干预效果方面的应用:专家系统的效果令人满意,在糖尿病足预防和护理的决策过程中具有高精确度和高灵敏度。
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Clinical decision support systems for diabetic foot ulcers: a scoping review.

Objective: Map the scientific evidence on the use of clinical decision support systems in diabetic foot care.

Method: A scoping review based on the JBI Manual for Evidence Synthesis and registered on the Open Science Framework platform. Searches were carried out in primary and secondary sources on prototypes and computerized tools aimed at assisting patients with diabetic foot or at risk of having it, published in any language or period, in eleven databases and grey literature.

Results: A total of 710 studies were identified and, following the eligibility criteria, 23 were selected, which portrayed the use of decision support systems in diabetic foot screening, predicting the risk of ulcers and amputations, classifying the stage of severity, deciding on the treatment plan, and evaluating the effectiveness of interventions, by processing data relating to clinical and sociodemographic information.

Conclusion: Expert systems stand out for their satisfactory results, with high precision and sensitivity when it comes to guiding and qualifying the decision-making process in diabetic foot prevention and care.

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