通过特殊诊所进行多学科管理对糖尿病足病治疗效果的影响:前瞻性观察研究

IF 1.1 Q4 PRIMARY HEALTH CARE Journal of Family Medicine and Primary Care Pub Date : 2024-07-26 DOI:10.4103/jfmpc.jfmpc_292_24
S. Meena, M. Badkur, M. Lodha, M. S. Rodha, Ramkaran Chaudhary, Naveen Sharma, Prakash C. Kala, Ravi Gaur, Sumit Bishnoi
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引用次数: 0

摘要

摘要 糖尿病足是糖尿病的一种常见并发症,约有 15-20% 的糖尿病患者会受到影响。它是一种并发症,严重影响患者的日常生活。本研究旨在评估多学科管理策略及其对糖尿病足患者治疗效果的影响。 研究对 56 名糖尿病足患者进行了前瞻性观察研究。结果测量包括手术类型、手术频率、发病率、死亡率、患者满意度、重返工作岗位以及使用假肢的患者人数。最常见的手术类型是清创(55%),其次是小截肢(脚趾截肢/前足截肢)(28%)和大截肢(膝下(B/K)或膝上(A/K))(15%)。70%以上的患者接受过多次手术。死亡率很低(7%),71%的存活患者对治疗感到满意。67%的患者可以尽早重返工作岗位。使用假肢的患者人数也很高(占大截肢病例的73%)。 对糖尿病足患者来说,多学科管理是最有效的方法。这些患者的发病率较低,并可早日重返工作岗位。糖尿病足患者专科护理诊所对于防止治疗失败、随访记录丢失、永久性肢体缺失以及社会经济负担至关重要。
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Impact of multidisciplinary management via special clinic for the outcome of diabetic foot disease: A prospective observational study
ABSTRACT Diabetic foot is a common complication of diabetes mellitus, affecting approximately 15–20% of individuals with diabetes. It is a comorbid condition that significantly impacts the routine life of patients. This study aimed to assess multidisciplinary management strategies and their impact on the outcomes of patients with diabetic foot. A prospective observational study was conducted on 56 patients with diabetic foot. Outcome measures included the type of surgery, frequency of surgery, morbidity, mortality, patient satisfaction, return to work, and the number of patients using prostheses The majority of the patients (87%) received surgical treatment. The most common type of surgery performed was debridement (55%), followed by minor amputations (toes amputation/forefoot amputation) (28%) and major amputations (below-knee (B/K) or above-knee (A/K)) (15%). More than 70% of patients had multiple surgeries. The mortality rate was low (7%), and 71% of surviving patients were satisfied with their treatment. Sixty-seven percent of patients had an early return to work. The number of patients using prostheses was also high (73% of major amputation cases). Multidisciplinary management is the most effective approach for diabetic foot patients. These patients may experience less morbidity and an early return to work. A specialized care clinic for diabetic foot patients is essential to prevent treatment failure, loss of follow-up records, permanent limb loss, and economic burdens on society.
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自引率
7.10%
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884
审稿时长
40 weeks
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