关键词: 糖尿病足, 复发性足溃疡, 减压, 预防, 循证护理学, 证据总结

Abstract:

Objective To retrieve，screen，and integrate evidence related to foot offloading care for preventing the recurrence of diabetic foot，and provide a reference for clinical nursing practice. Methods According to the “6S” pyramid model of evidence-based resources，relevant domestic and foreign databases and professional websites were systematically searched for the literature on foot offloading care to prevent the recurrence of diabetic foot. The retrieval time limit was from the establishment of the database to January 2025. Totally 2 researchers independently evaluated the quality of the literature，and the evidence was extracted from the literature that met the quality standards. Results A total of 14 pieces of the literature were included，including 8 guidelines，4 expert consensuses，1 evidence summary，and 1 systematic review. A total of 36 pieces of evidence were summarized from 4 dimensions，including foot pressure assessment，local pressure adjustment，daily foot offloading behaviors，and offloading prevention health education. Conclusion This study summarizes the best evidence of foot offloading care for the prevention of diabetic foot recurrence，which is scientific and comprehensive，and it can provide an evidence-based basis for clinical practice. It is recommended to apply the evidence according to specific clinical scenarios and the personalized characteristics of patients to better improve the clinical outcomes of patients.

Key words: Diabetic Foot, Recurrent Foot Ulcers, Offloading, Prevention, Evidence-Based Nursing, Evidence Summary