Foot Conditions among Homeless Persons: A Systematic Review.
Foot Conditions among Homeless Persons: A Systematic Review.
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DOI：
10.1371/journal.pone.0167463
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发表时间：
2016
期刊：
影响因子：
3.7
通讯作者：
Van Zoost C
中科院分区：
文献类型：
--
作者：
To MJ;Brothers TD;Van Zoost C
足部问题在无家可归者中很常见，但往往被忽视。本系统综述的目的是总结无家可归者的足部状况和相关干预措施。在MEDLINE（1966-2016）、EMBASE（1947-2016）和CINAHL（1982-2016）上进行了文献检索，并通过手动检索参考文献列表进行了补充。包括描述无家可归者的足部状况或相关干预措施的文章。数据独立提取：一般研究特征;参与者;足部评估方法;足部状况和相关干预措施;研究结果;使用唐斯和布莱克检查表评估的质量评分。在筛选的333篇文章中，17篇文章符合标准并被纳入研究。在研究人群中，任何足部问题的患病率范围为9%至65%。常见的足部相关问题是鸡眼和老茧，指甲病理和感染。确定了与糖尿病等慢性疾病相关的足部病变。与研究中的居住者相比，无家可归者更容易出现足部问题，包括足癣、足部疼痛、行走功能限制和不合适的鞋子。足部疾病在无家可归者中非常普遍，多达三分之二的人报告了足部健康问题，大约四分之一的人去看了卫生专业人员，五分之一的人因病情严重而需要进一步随访。无家可归者往往没有足够的足部卫生习惯和不合脚的鞋子。这些发现具有服务提供和公共卫生意义，强调需要循证干预措施来改善这一人群的足部健康。有效的干预方法可能包括优化足部卫生和鞋类、提供全面的医疗治疗以及解决导致足部问题风险增加的社会因素。有针对性地筛查和治疗足部问题可能会改善无家可归者的健康和社会状况。
Foot problems are common among homeless persons, but are often overlooked. The objectives of this systematic review are to summarize what is known about foot conditions and associated interventions among homeless persons. A literature search was conducted on MEDLINE (1966–2016), EMBASE (1947–2016), and CINAHL (1982–2016) and complemented by manual searches of reference lists. Articles that described foot conditions in homeless persons or associated interventions were included. Data were independently extracted on: general study characteristics; participants; foot assessment methods; foot conditions and associated interventions; study findings; quality score assessed using the Downs and Black checklist. Of 333 articles screened, 17 articles met criteria and were included in the study. Prevalence of any foot problem ranged from 9% to 65% across study populations. Common foot-related concerns were corns and calluses, nail pathologies, and infections. Foot pathologies related to chronic diseases such as diabetes were identified. Compared to housed individuals across studies, homeless individuals were more likely to have foot problems including tinea pedis, foot pain, functional limitations with walking, and improperly-fitting shoes. Foot conditions were highly prevalent among homeless individuals with up to two thirds reporting a foot health concern, approximately one quarter of individuals visiting a health professional, and one fifth of individuals requiring further follow-up due to the severity of their condition. Homeless individuals often had inadequate foot hygiene practices and improperly-fitting shoes. These findings have service provision and public health implications, highlighting the need for evidence-based interventions to improve foot health in this population. An effective interventional approach could include optimization of foot hygiene and footwear, provision of comprehensive medical treatment, and addressing social factors that lead to increased risk of foot problems. Targeted efforts to screen for and treat foot problems could result in improved health and social outcomes for homeless individuals.
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影响因子：
3.7
作者：
Moher D;Shamseer L;Clarke M;Ghersi D;Liberati A;Petticrew M;Shekelle P;Stewart LA;PRISMA-P Group
通讯作者：
PRISMA-P Group
影响因子：
6.3
作者：
Downs, SH;Black, N
通讯作者：
Black, N
DOI：
10.1111/j.1745-7599.2011.00598.x
发表时间：
2011-04-01
影响因子：
--
作者：
Muirhead, Lisa;Roberson, Anthony James;Secrest, Janet
通讯作者：
Secrest, Janet
DOI：
10.1016/s0190-9622(99)70048-4
发表时间：
1999-08-01
影响因子：
13.8
作者：
Stratigos, AJ;Stern, R;Dover, JS
通讯作者：
Dover, JS
影响因子：
4.5
作者：
Argintaru, Niran;Chambers, Catharine;Hwang, Stephen W.
通讯作者：
Hwang, Stephen W.