Barriers to foot care in patients with diabetes as identified by healthcare professionals
Barriers to foot care in patients with diabetes as identified by healthcare professionals
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DOI：
10.1111/dme.13653
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发表时间：
2018-08-01
影响因子：
3.5
通讯作者：
Edmonds, M. E.
中科院分区：
文献类型：
--
作者：
Pankhurst, C. J. W.;Edmonds, M. E.
AimsTo寻求医疗保健专业人士的意见，他们认为足部护理的障碍，对临床结果的影响，并有助于截肢的数量。MethodsThe研究涉及来自英国的医疗保健专业人士参加我们的2015年和2016年大师班糖尿病足会议。这些会议向所有为糖尿病和足部问题患者提供护理的多学科成员开放。与会者被要求写下的问题，他们认为构成的障碍，足部护理的糖尿病患者。ResultsA共收到425个答复（90.8%的总出席2015/2016会议）。对答复的分析产生了八个关键主题领域，其中确定了护理障碍：病人转诊、学科之间的沟通、获得专家服务、病人护理、资金、护理组织、教育和感染。在这些关键领域，受访者报告了对足部问题的认识和诊断不足，缺乏对糖尿病患者和医疗保健专业人员转诊必要性的认识，转诊途径困难，缺乏多学科护理，资源短缺以及糖尿病患者和医疗保健专业人员缺乏教育。受访者认为这些障碍导致糖尿病患者接受专家帮助的延迟。这种延迟可能导致截肢。ConclusionsThe关键障碍糖尿病足护理延迟访问专科护理。在这一问题得到解决之前，护理将不是最佳的，截肢将继续下去。
AimsTo seek the views of healthcare professionals as to the barriers to foot care that they perceive as having an impact on clinical outcomes and contributing to the number of amputations.MethodsThe study involved healthcare professionals from the UK attending our 2015 and 2016 Masterclass diabetic foot conferences. Admission to these conferences was open to all members of the multidisciplinary spectrum who provide care of people with diabetes and foot problems. Attendees were asked to write down concerns that they considered to constitute barriers to foot care for people with diabetes.ResultsA total of 425 responses were received (90.8% of the total attendance at the 2015/2016 conferences). Analysis of the responses produced eight key subject areas in which barriers to care were identified: patient referrals, communication between disciplines, access to specialist services, patient care, funding, organization of care, education and infection. Within these key areas, respondents reported poor recognition and diagnosis of foot problems, lack of awareness of the need for referral both by the person with diabetes and healthcare professionals, difficulties in the referral pathway, lack of access to multidisciplinary care, shortage of resources and lack of education of both people with diabetes and healthcare professionals. The respondents identified these barriers as contributing to delay in people with diabetes receiving specialist help. Such a delay can lead to amputation.ConclusionsThe crucial barrier to diabetic foot care is delay in accessing specialist care. Until this is addressed, care will be less than optimum and amputations will continue.