Abstract:
Variations of Community Health Workers (CHWs) interventions in diabetes self-management education (DSME) have been reviewed by many studies. In contrast, specific interventions regarding foot care intervention (FCI) are scarce and need to be explored further as one preventive measure to reduce diabetic foot problems in the community. This scoping review aimed to identify, and report nature of FCIs and the core components of FCIs delivered by CHWs. The scoping review was undertaken using PRISMA Extension for Scoping Reviews (PRISMA-ScR). The following electronic databases were searched for articles from data first indicated date through December 2022: CINAHL, EMBASE, Cochrane, Scopus, Web of Science, Theses ProQuest, PubMed, google scholar and other sources by using search terms related to foot care, community health workers, and diabetes mellitus. Descriptive synthesis was used to summarise the data. Nine studies from 1644 were included. All studies found that CHWs provided DSME in general, and foot care education was included. There was no detailed description of the core components of the intervention on foot care. Although, all studies might not provide detailed data on how CHW provided FCIs; the CHW intervention is an undoubtedly vital strategy to promote and prevent foot problems in medically underserved communities.
摘要:
许多研究综述了社区卫生工作者(CHW)在糖尿病自我管理教育(DSME)中的干预措施。相比之下,关于足部护理干预(FCI)的具体干预措施很少,需要进一步探索作为减少社区糖尿病足问题的预防措施.这项范围审查旨在确定,并报告CHW交付的FCI的性质和FCI的核心组成部分。范围审查是使用PRISMA扩展进行范围审查(PRISMA-ScR)。从最初指示日期到2022年12月的数据中搜索了以下电子数据库中的文章:CINAHL,EMBASE,科克伦,Scopus,WebofScience,这些ProQuest,PubMed,通过使用与足部护理相关的搜索词,谷歌学者和其他来源,社区卫生工作者,和糖尿病。使用描述性合成来总结数据。纳入了1644年的9项研究。所有研究发现,CHW通常提供DSME,包括足部护理教育。没有详细描述足部护理干预的核心组成部分。虽然,所有研究可能无法提供有关CHW如何提供FCI的详细数据;CHW干预无疑是在医疗服务不足的社区中促进和预防足部问题的重要策略.