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

摘要：

目的 检索、筛选并整合预防糖尿病足复发的足部减压护理相关证据，为临床护理实践提供参考。方法 按照循证资源“6S”金字塔模型，系统检索国内外相关数据库及专业学会网站中关于足部减压护理预防糖尿病足复发的相关文献，检索时限为建库至2025年1月。由2名研究者独立进行文献质量评价，并对符合质量标准的文献进行证据提取。结果 共纳入14篇文献，包括8篇指南、4篇专家共识、1篇证据总结和1篇系统评价，从足部压力评估、局部压力调适、日常足部减压行为和减压预防健康教育4个维度汇总了36条证据。结论 该研究总结了足部减压护理预防糖尿病足复发的最佳证据，具备一定的科学性和全面性，可为临床实践提供循证依据，建议根据特定临床情境及患者个性化特征应用证据，以改善患者的临床结局。

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