中华护理杂志 ›› 2025, Vol. 60 ›› Issue (11): 1399-1404.DOI: 10.3761/j.issn.0254-1769.2025.11.019
张洁(
), 丁珊妮, 陈慈爱, 徐亦虹, 王佳楠, 袁红娣, 潘红英(
)
收稿日期:2024-07-04
出版日期:2025-06-10
发布日期:2025-06-03
通讯作者:
潘红英,E-mail:3191016@zju.edu.cn作者简介:张洁:女,本科(硕士在读),护师,E-mail:22318029@zju.edu.cn
基金资助:
ZHANG Jie(
), DING Shanni, CHEN Ciai, XU Yihong, WANG Jianan, YUAN Hongdi, PAN Hongying(
)
Received:2024-07-04
Online:2025-06-10
Published:2025-06-03
摘要:
糖尿病足是糖尿病患者最常见且最严重的慢性并发症之一。随着数字医疗的进步,数字疗法作为新型一种手段,其安全、高效、智能的优势可以弥补传统糖尿病足风险评估、健康教育、自我管理等方面的不足,已逐渐在糖尿病足患者中实施并推广。该研究对数字疗法进行概述,总结其在糖尿病足患者中的应用情况,并提出相关建议,旨在为提高糖尿病足患者生活质量和满意度,降低糖尿病足的复发提供参考。
张洁, 丁珊妮, 陈慈爱, 徐亦虹, 王佳楠, 袁红娣, 潘红英. 数字疗法在糖尿病足患者中应用的研究进展[J]. 中华护理杂志, 2025, 60(11): 1399-1404.
ZHANG Jie, DING Shanni, CHEN Ciai, XU Yihong, WANG Jianan, YUAN Hongdi, PAN Hongying. Research progress in the application of digital therapeutics in diabetic foot patients[J]. Chinese Journal of Nursing, 2025, 60(11): 1399-1404.
| [1] | van Netten JJ, Bus SA, Apelqvist J, et al. Definitions and cri-teria for diabetic foot disease[J]. Diabetes Metab Res Rev, 2020, 36(Suppl 1):e3268. |
| [2] | Bakker K, Apelqvist J, Lipsky BA, et al. The 2015 IWGDF gui-dance documents on prevention and management of foot problems in diabetes:development of an evidence-based global consensus[J]. Diabetes Metab Res Rev, 2016, 32(Suppl 1):2-6. |
| [3] | Peng BC, Min R, Liao YQ, et al. Development of predictive no-mograms for clinical use to quantify the risk of amputation in patients with diabetic foot ulcer[J]. J Diabetes Res, 2021, 2021:6621035. |
| [4] | 中华医学会糖尿病学分会,中华医学会感染病学分会,中华医学会组织修复与再生分会. 中国糖尿病足防治指南(2019版)(Ⅰ)[J]. 中华糖尿病杂志, 2019, 11(2):92-108. |
| Chinese Medical Association Diabetes Society,Chinese Medical Association Infectious Diseases Society,Chinese Medical Asso-ciation Tissue Repair and Regeneration Society. Chinese gui-deline on prevention and management of diabetic foot(2019 edition)(I)[J]. Chin J Diabetes Mellit, 2019, 11(2):92-108. | |
| [5] |
祝红娟, 余红丽, 王倩, 等. 糖尿病足截肢患者自我管理方案实施的行动研究[J]. 中华护理杂志, 2024, 59(11):1346-1352.
DOI |
| Zhu HJ, Yu HL, Wang Q, et al. Action research on the imple-ment of a self-management program for patients with diabetic foot amputation[J]. Chin J Nurs, 2024, 59(11):1346-1352. | |
| [6] | Digital Therapeutics Alliance. Digital therapeutics definition and core principle[EB/OL].(2019-11-30)[2023-09-12]. https://www.dtxalliance.org/. |
| [7] | 动脉网,蛋壳研究院. 2023数字疗法白皮书[EB/OL].(2023-12-01)[2025-01-01]. https://www.vbdata.cn/1518940096. |
| Artery.com,Eggshell Institute. 2023 digital therapies white pa-per[EB/OL].(2023-12-01)[2025-01-01]. https://www.vbdata.cn/1518940096. | |
| [8] | Day JO, Smith S, Noyce AJ, et al. Challenges of incorporating digital health technology outcomes in a clinical trial:experien-ces from PD STAT[J]. J Parkinsons Dis, 2022, 12(5):1605-1609. |
| [9] | 林巧, 王芳, 罗云婷, 等. 杵针对糖尿病高危足病人足部电流感觉阈值和临床症状的影响研究[J]. 护理研究, 2019, 33(21):3746-3749. |
| Lin Q, Wang F, Luo YT, et al. Study on effects of pestle needle on foot current sensory threshold and clinical sym-ptoms in patients at high risk of diabetic foot[J]. Chin Nurs Res, 2019, 33(21):3746-3749. | |
| [10] |
吴佳芸, 宁丽, 葛华英, 等. 糖尿病足风险自评工具的构建与验证[J]. 中华护理杂志, 2022, 57(15):1811-1817.
DOI |
|
Wu JY, Ning L, Ge HY, et al. Construction and validation of diabetic foot risk self-assessment tool[J]. Chin J Nurs, 2022, 57(15):1811-1817.
DOI |
|
| [11] |
谢晓冉, 徐蓉. 糖尿病足发病风险预测模型的系统评价[J]. 中华护理杂志, 2021, 56(1):124-131.
DOI |
|
Xie XR, Xu R. A systematic review of risk prediction models for diabetic foot[J]. Chin J Nurs, 2021, 56(1):124-131.
DOI |
|
| [12] | 孙晓, 张琳, 张瑾. 国外糖尿病足风险预控管理现况及对我国的启示[J]. 中国护理管理, 2021, 21(9):1409-1413. |
| Sun X, Zhang L, Zhang J. The current status of diabetic foot risk pre-control management in foreign countries and its implications to diabetic foot management in China[J]. Chin Nurs Manag, 2021, 21(9):1409-1413. | |
| [13] |
Sibbald RG, Ayello EA, Alavi A, et al. Screening for the high-risk diabetic foot:a 60-second tool(2012)[J]. Adv Skin Wound Care, 2012, 25(10):465-476.
PMID |
| [14] | Alfonso AR, Rao S, Everett B, et al. Novel pressure-sensing smart insole system used for the prevention of pressure ulce-ration in the insensate foot[J]. Plast Reconstr Surg Glob Open, 2017, 5(12):e1568. |
| [15] | Abbott CA, Chatwin KE, Foden P, et al. Innovative intelligent insole system reduces diabetic foot ulcer recurrence at plantar sites:a prospective,randomised,proof-of-concept study[J]. Lancet Digit Health, 2019, 1(6):e308-e318. |
| [16] | Wang DR, Ouyang J, Zhou PR, et al. A novel low-cost wire-less footwear system for monitoring diabetic foot patients[J]. IEEE Trans Biomed Circuits Syst, 2021, 15(1):43-54. |
| [17] |
Armstrong DG, Holtz-Neiderer K, Wendel C, et al. Skin tempe-rature monitoring reduces the risk for diabetic foot ulceration in high-risk patients[J]. Am J Med, 2007, 120(12):1042-1046.
DOI PMID |
| [18] | Reyzelman AM, Koelewyn K, Murphy M, et al. Continuous tem-perature-monitoring socks for home use in patients with dia-betes:observational study[J]. J Med Internet Res, 2018, 20(12):e12460. |
| [19] |
Frykberg RG, Gordon IL, Reyzelman AM, et al. Feasibility and efficacy of a smart mat technology to predict development of diabetic plantar ulcers[J]. Diabetes Care, 2017, 40(7):973-980.
DOI PMID |
| [20] | Thorne CS, Bartolo E, Gatt A, et al. The impact of peripheral artery disease(PAD) on lower limb kinematics in type 2 dia-betes mellitus[J]. Rev Diabet Stud, 2021, 17(1):11-16. |
| [21] | Khan KS, Andersen H. The impact of diabetic neuropathy on activities of daily living,postural balance and risk of falls:a systematic review[J]. J Diabetes Sci Technol, 2022, 16(2):289-294. |
| [22] | Nam SM, Lee DY. Effects of visual cue deprivation balance training with head control on balance and gait function in stroke patients[J]. Medicina, 2022, 58(5):629. |
| [23] | Grewal GS, Schwenk M, Lee-Eng J, et al. Sensor-based interac-tive balance training with visual joint movement feedback for improving postural stability in diabetics with peripheral neuropathy:a randomized controlled trial[J]. Gerontology, 2015, 61(6):567-574. |
| [24] |
何大平, 朱琴, 张会容. 社区Wagner分级0级糖尿病足患者对糖尿病足的知晓情况和足部自我管理行为及其影响因素研究[J]. 中国全科医学, 2022, 25(12):1460-1463,1469.
DOI |
| He DP, Zhu Q, Zhang HR. Awareness of diabetic foot,level and associated factors of foot self-management behavior in Wagner grade 0 diabetic foot patients in the community[J]. Chin Gen Pract, 2022, 25(12):1460-1463,1469. | |
| [25] | 秦玲, 高俊香, 於丽红, 等. 授权教育对糖尿病足高危病人足部自护行为影响的研究[J]. 全科护理, 2018, 16(30):3755-3758. |
| Qin L, Gao JX, Yu LH, et al. Study on the influence of authorized education on foot self-care behavior of high-risk patients with diabetic foot[J]. Chin Gen Pract Nurs, 2018, 16(30):3755-3758. | |
| [26] | 张佩英, 路潜, 庞冬, 等. 糖尿病足评估的循证护理实践研究[J]. 中华护理教育, 2024, 21(8):1000-1005. |
| Zhang PY, Lu Q, Pang D, et al. Evidence-based nursing practice for diabetic foot assessment[J]. Chin J Nurs Educ, 2024, 21(8):1000-1005. | |
| [27] | 李文婷, 骆妍, 王平, 等. STEPFUN程序在社区糖尿病足危险人群中的应用效果评价[J]. 护理实践与研究, 2023, 20(4):561-565. |
| Li WT, Luo Y, Wang P, et al. Evaluation of the application effect of STEPFUN program in community diabetic foot risk population[J]. J Nurs Pract Res, 2019, 20(4):561-565. | |
| [28] | 王博, 吴琼, 张苹, 等. 延续护理对糖尿病足高危患者干预效果的Meta分析[J]. 中国实用护理杂志, 2019, 35(10):794-801. |
| Wang B, Wu Q, Zhang P, et al. Meta analysis of the effect of continuing nursing intervention on high risk patients with diabetic foot[J]. Chin J Pract Nurs, 2019, 35(10):794-801. | |
| [29] | Kilic M, Karadağ A. Developing and evaluating a mobile foot care application for persons with diabetes mellitus:a rando-mized pilot study[J]. Wound Manag Prev, 2020, 66(10):29-40. |
| [30] | Ravenscroft R, Boulton A, Vileikyte L, et al. IDF21-0386 DFU track:building a novel,artificial intelligence-based method to monitor wound healing[J]. Diabetes Res Clin Pract, 2022, 186:109439. |
| [31] | Ploderer B, Brown R, Seng LSD, et al. Promoting self-care of diabetic foot ulcers through a mobile phone app:user-cente-red design and evaluation[J]. JMIR Diabetes, 2018, 3(4):e10105. |
| [32] | Sartor CD, Hasue RH, Cacciari LP, et al. Effects of strengthen-ing,stretching and functional training on foot function in patients with diabetic neuropathy:results of a randomized controlled trial[J]. BMC Musculoskelet Disord, 2014, 15:137. |
| [33] | Ferreira JSSP, Sacco ICN, Siqueira AA, et al. Rehabilitation technology for self-care:customised foot and ankle exercise software for people with diabetes[J]. PLoS One, 2019, 14(6):e0218560. |
| [34] | Zarchi K, Haugaard VB, Dufour DN, et al. Expert advice pro-vided through telemedicine improves healing of chronic wounds:prospective cluster controlled study[J]. J Invest Derma-tol, 2015, 135(3):895-900. |
| [35] | Keegan AC, Bose S, McDermott KM, et al. Implementation of a patient-centered remote wound monitoring system for mana-gement of diabetic foot ulcers[J]. Front Endocrinol, 2023, 14:1157518. |
| [36] | Cecilia Matilla A, Cobo Mena A, Arpa Giménez A, et al. Role of the healicoC wound care smartphone application in pre-venting a foot amputation in a 65-year-old patient with dia-betes[J]. Am J Case Rep, 2022, 23:e936359. |
| [37] | Dabiri F, Vahdatpour A, Noshadi H, et al. Electronic orthotics shoe:preventing ulceration in diabetic patients[J]. Annu Int Conf IEEE Eng Med Biol Soc, 2008,2008:771-774. |
| [38] | Abouzahra M, Ghasemaghaei M. The antecedents and results of seniors’ use of activity tracking wearable devices[J]. Health Policy Technol, 2020, 9(2):213-217. |
| [39] | Shah N, Velez FF, Colman S, et al. Real-world reductions in healthcare resource utilization over 6 months in patients with substance use disorders treated with a prescription digital therapeutic[J]. Adv Ther, 2022, 39(9):4146-4156. |
| [1] | 曾妃, 兰美娟, 顾培培, 梁江淑渊, 王衍蝶, 蔡凌云. 儿童双肺移植术后肺康复护理方案的构建及初步验证[J]. 中华护理杂志, 2025, 60(9): 1029-1035. |
| [2] | 阎寅至, 闻芳, 王敏, 周雪梅, 马金玲, 吴惠芳, 姚文英. 造血干细胞移植患儿运动康复分级护理方案的构建与应用研究[J]. 中华护理杂志, 2025, 60(9): 1036-1042. |
| [3] | 刘曦璇, 刘玉琳, 刘莎, 杨帆, 谢晓虹, 王紫娟, 刘丽芳, 魏红雨. 学龄期支气管哮喘患儿呼吸康复操的研制及效果评价[J]. 中华护理杂志, 2025, 60(9): 1043-1049. |
| [4] | 黄盼盼, 李丽玲, 胡晓静. 先天性心脏病婴儿早期运动康复的研究进展[J]. 中华护理杂志, 2025, 60(9): 1050-1055. |
| [5] | 陈丽鸥, 张文婷, 刘俊其, 王允琮, 王振霖, 齐赛, 杨娜. 肺叶体表投影定位结合肺段引流排痰技术对吸入性肺炎患者气道廓清的效果研究[J]. 中华护理杂志, 2025, 60(9): 1056-1061. |
| [6] | 杨娜娜, 程传丽, 曾慧, 符丹丹, 王燕, 陈悦, 冉宏敏, 范红静, 龙霞. 分级运动康复对慢性阻塞性肺疾病急性加重期患者的效果评价[J]. 中华护理杂志, 2025, 60(9): 1062-1067. |
| [7] | 曹云, 孙国珍, 陈凤, 季学丽, 闫梦婉, 敬雷, 钱堃. 改良式踝泵运动在脑卒中患者中的应用研究[J]. 中华护理杂志, 2025, 60(9): 1068-1074. |
| [8] | 谢敏, 漆文凯, 殷玲, 张旋, 赵如琴. 腹膜透析患者恐动症潜在剖面分析及影响因素研究[J]. 中华护理杂志, 2025, 60(9): 1080-1086. |
| [9] | 陈冰倩, 赵彬, 孙佳蓉, 郝四芳, 侯晓丽. 慢性牙周炎种植义齿患者口腔健康管理困境的质性研究[J]. 中华护理杂志, 2025, 60(9): 1087-1092. |
| [10] | 秦春兰, 吴振云, 钱红英, 赵茜, 孙锦庭. 慢性阻塞性肺疾病患者疾病自我控制体验的质性研究[J]. 中华护理杂志, 2025, 60(9): 1093-1098. |
| [11] | 李子崴, 冯丽娟, 陈旭升, 黄毅, 杨洁. PICC置管患者运动恐惧评估量表的编制及应用[J]. 中华护理杂志, 2025, 60(9): 1099-1106. |
| [12] | 程志强, 张宝珍, 汤利萍, 李静, 夏娇云, 魏雪岩, 龚智娴, 张美珍, 黎露思. 尿失禁患者疾病认知与态度量表的汉化及初步应用[J]. 中华护理杂志, 2025, 60(9): 1107-1112. |
| [13] | 杨静, 王华芬, 卢芳燕, 鲍瑞洁, 朱莉. 肝移植患儿术后营养状况变化的影响因素分析及护理启示[J]. 中华护理杂志, 2025, 60(9): 1113-1119. |
| [14] | 石美琴, 吴建芳, 张铎, 吴春萍, 陈玲, 陶磊. 1例全喉切除辅助发音管Ⅰ期植入患者术后喉功能康复的护理[J]. 中华护理杂志, 2025, 60(9): 1120-1123. |
| [15] | 谷茜, 黄玺, 施伟雄, 吴静, 谭若铭, 王枫. 1例T细胞免疫治疗后并发细胞因子释放综合征患者的护理[J]. 中华护理杂志, 2025, 60(9): 1124-1127. |
| 阅读次数 | ||||||
|
全文 |
|
|||||
|
摘要 |
|
|||||