Yuan Haobin

Journal Information.

循證護理，2017，3(5)：436-440.

Abstract

Objective：To describe the evidence -based practice for wound assessment，management and evaluation in diabetic foot ulcers.

Method：A review of the published clinical practice guidelines，systematic reviews and other evidence-based research resources between 2007 to 2017 was undertaken using the following databases：Cochrane evidence-based medicine database，Australian Joanna Briggs Institute evidence-based healthcare databases，National guideline clearinghouse，Evidence-based nursing guide network in Registered Nurses Association of Ontario， Best practice，Nursing reference center，Website of wounds international and Chinese academic journals，ScienceDirect and Journals@Ovid Full Text.

Results：The retrieved evidence-based resources included six clinical guidelines for the International Diabetes Foot Working Group，one International Wound Practice Guide，two Registered Nurses Association of Ontario Best Practices Guide，and one JBI systematic review，three Cochrane systematic reviews，and seven systematic reviews of diabetic foot ulcer therapy. The recommendations from evidence-based practice include removal of necrotic tissue，local decompression，topical treatment，hyperbaric oxygen therapy，negative pressure wound treatment，systemic anti-infective therapy，control of blood glucose and health education，and the effects should be continuously evaluated.

Conclusion：Attention should be paid to the foot assessment of diabetic patients，including the location of the wound，skin color，temperature and infection grading. Recommendation：It needs to further analyze the systematic reviews on the wound assessment and management on diabetic foot ulcers. Combined with clinical treatment and nursing characteristics，the best clinical practice guidelines on diabetic foot ulcers should be explored.

Keywords 

diabetic foot ulcer；wound assessment；treatment；evidence-based practice