PDF(Pubmed)
Abstract：
UNASSIGNED: Diabetic Foot Ulcers (DFUs) are a significant health concern, particularly in Low- and Middle-Income Countries (LMICs). This review explores key strategies for managing DFUs in LMICs, including integrating podiatry, endocrinology, and wound care services, educating patients, promoting self-care, and preventive measures to reduce amputation rates.
UNASSIGNED: A comprehensive literature review was conducted, focusing on studies conducted in Low and Middle Income Countries to facilitate a qualitative analysis. The review examined the aetiology and risk factors to developing DFUs, clinical presentation, multidisciplinary management and evidence based interventions, challenges to the provision of care and future directions, all pertaining to DFUs in low and middle income countries.
UNASSIGNED: The aetiology and risk factors contributing to the development of DFUs are complex and multifaceted. Factors such as limited access to health care, inadequate diabetes management, and socioeconomic disparities significantly influence the incidence of DFUs. Clinical presentation varies, with patients often presenting at advanced stages of the disease due to delayed or missed diagnoses. Multidisciplinary management, incorporating podiatry, endocrinology, and wound care services, has exhibited substantial promise in enhancing patient outcomes. Evidence-based interventions, including offloading techniques, wound debridement, and the use of advanced wound dressings, have proven effective in promoting ulcer healing.
UNASSIGNED: The burden of DFUs in LMICs requires comprehensive strategies. Integrating podiatry, endocrinology, and wound care services, along with patient education and self-care practices, is essential for reducing amputations and improving patients\' quality of life. Regular follow-up and early detection are vital for effective DFU management, emphasizing the need for ongoing research and investment in LMIC health care infrastructure. Embracing these multidisciplinary, patient-centered approaches can effectively address the challenge of DFUs in LMICs, leading to better patient outcomes and improved quality of life.
UNASSIGNED: A comprehensive literature review was conducted, focusing on studies conducted in Low and Middle Income Countries to facilitate a qualitative analysis. The review examined the aetiology and risk factors to developing DFUs, clinical presentation, multidisciplinary management and evidence based interventions, challenges to the provision of care and future directions, all pertaining to DFUs in low and middle income countries.
UNASSIGNED: The aetiology and risk factors contributing to the development of DFUs are complex and multifaceted. Factors such as limited access to health care, inadequate diabetes management, and socioeconomic disparities significantly influence the incidence of DFUs. Clinical presentation varies, with patients often presenting at advanced stages of the disease due to delayed or missed diagnoses. Multidisciplinary management, incorporating podiatry, endocrinology, and wound care services, has exhibited substantial promise in enhancing patient outcomes. Evidence-based interventions, including offloading techniques, wound debridement, and the use of advanced wound dressings, have proven effective in promoting ulcer healing.
UNASSIGNED: The burden of DFUs in LMICs requires comprehensive strategies. Integrating podiatry, endocrinology, and wound care services, along with patient education and self-care practices, is essential for reducing amputations and improving patients\' quality of life. Regular follow-up and early detection are vital for effective DFU management, emphasizing the need for ongoing research and investment in LMIC health care infrastructure. Embracing these multidisciplinary, patient-centered approaches can effectively address the challenge of DFUs in LMICs, leading to better patient outcomes and improved quality of life.
摘要：
■糖尿病足溃疡（DFU）是一个重要的健康问题，特别是在低收入和中等收入国家(LMICs)。这篇综述探讨了在LMIC中管理DFU的关键策略，包括整合足病，内分泌学,和伤口护理服务，教育病人，促进自我照顾，以及降低截肢率的预防措施。
■进行了全面的文献综述，侧重于在低收入和中等收入国家进行的研究，以促进定性分析。这篇综述研究了发展DFU的病因和危险因素，临床表现,多学科管理和循证干预，对提供护理和未来方向的挑战，所有这些都与低收入和中等收入国家的DFU有关。
■导致DFU发展的病因和危险因素是复杂和多方面的。获得医疗保健的机会有限等因素，糖尿病管理不足，社会经济差异显著影响DFU的发病率。临床表现各不相同，由于延误或漏诊，患者通常处于疾病的晚期。多学科管理,结合足病，内分泌学,和伤口护理服务，在提高患者预后方面表现出实质性的希望。循证干预措施，包括卸载技术，伤口清创术,使用先进的伤口敷料，已证明有效促进溃疡愈合。
■在LMIC中，DFU的负担需要全面的策略。整合足病，内分泌学,和伤口护理服务，随着病人的教育和自我护理实践，对于减少截肢和改善患者的生活质量至关重要。定期随访和早期发现对于有效的DFU管理至关重要，强调需要对LMIC医疗保健基础设施进行持续的研究和投资。拥抱这些多学科，以患者为中心的方法可以有效应对低收入国家DFU的挑战，导致更好的患者预后和提高生活质量。
■进行了全面的文献综述，侧重于在低收入和中等收入国家进行的研究，以促进定性分析。这篇综述研究了发展DFU的病因和危险因素，临床表现,多学科管理和循证干预，对提供护理和未来方向的挑战，所有这些都与低收入和中等收入国家的DFU有关。
■导致DFU发展的病因和危险因素是复杂和多方面的。获得医疗保健的机会有限等因素，糖尿病管理不足，社会经济差异显著影响DFU的发病率。临床表现各不相同，由于延误或漏诊，患者通常处于疾病的晚期。多学科管理,结合足病，内分泌学,和伤口护理服务，在提高患者预后方面表现出实质性的希望。循证干预措施，包括卸载技术，伤口清创术,使用先进的伤口敷料，已证明有效促进溃疡愈合。
■在LMIC中，DFU的负担需要全面的策略。整合足病，内分泌学,和伤口护理服务，随着病人的教育和自我护理实践，对于减少截肢和改善患者的生活质量至关重要。定期随访和早期发现对于有效的DFU管理至关重要，强调需要对LMIC医疗保健基础设施进行持续的研究和投资。拥抱这些多学科，以患者为中心的方法可以有效应对低收入国家DFU的挑战，导致更好的患者预后和提高生活质量。
