Orthotic Treatment of Diabetic Foot Ulcers: Patient Adherence to Prescribed Wear and Effectiveness of Treatment

到足科就诊的糖尿病足溃疡患者会被开出矫形器的处方，以减轻负担并保护 脚不会受到进一步伤害。然而，现有的轶事和学术数据表明，患者不会穿 按规定配戴矫形器。如果不佩戴这些矫形器，通常会对健康造成负面影响 与负面健康结果相关的医疗保健系统增加了成本。 这项工作的目标是鼓励糖尿病足溃疡患者使用矫形器。糖尿病足溃疡 参与这项研究的患者将在两次就诊之间测量他们的矫形器磨损时间。对.的使用 通过教育和激励性访谈，将在一组中鼓励矫形器。测得的磨损时间 也将与这群患者进行讨论。不会积极鼓励第二类患者 戴上矫形器。两组的常规临床数据将与磨损时间数据同步收集。 这些数据将被用来客观地确定患者佩戴矫形器的频率，是否活跃 干预可以调节矫形器的佩戴时间，并为矫形器的有效性提供一个客观的衡量标准 使用。这项研究的目标是改善退伍军人在退伍军人管理局治疗糖尿病足部溃疡的结果，减少 不使用矫形器的并发症发生率，从而降低医疗成本。

Patients who present to Podiatry with a diabetic foot ulcer are prescribed orthoses to offload and protect the foot from further damage. However, the available anecdotal and scholarly data suggests that patients do not wear orthoses as prescribed. There are often negative health consequences when these orthoses are not worn and added costs to the healthcare system associated with the negative health outcomes. The goal of this work is to encourage the use of orthoses by diabetic foot ulcer patients. The diabetic foot ulcer patient’s participating in this study will have their orthosis wear-time measured between clinic visits. The use of the orthosis will be encouraged in one group using education and motivational interviewing. Measured wear time will also be discussed with this group of patients. The second group of patients will not be actively encouraged to wear the orthosis. Routine clinical data will be collected in tandem with wear-time data in both groups. These data will be used to objectively determine how often patients wear their orthosis, whether active intervention can modulate orthosis wear time, and provide an objective measure of the effectiveness of orthosis use. The goal of the study is to improve outcomes for Veterans treated in the VA for diabetic foot ulcers, reduce complication rates from non-use of orthoses and to, thereby, reduce healthcare costs.