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Objective:To retrieve, obtain and summarize the best evidence for the prevention of recurrence in patients with diabetic foot, and to provide reference for clinical practice.Methods:According to the "6S" model of evidence-based resources, JBI, UpToDate, BMJ Best Practice, Cochrane Library, International Working Group on the Diabetic Foot, International Diabetes Federation, National Istitute for Health and Clinical Excellence, PubMed, EmBase, China National Knowledge Internet, Wanfang and China Biology Medicine disc were searched by computer for the prevention of recurrence of diabetic foot patients. The retrieval time limit was from the establishment of the database to April 2022. Two researchers independently evaluated the included literature and extracted the literature that met the quality standards.Results:Totally 12 articles were included at last, including 5 guidelines, 3 expert consensus and 4 Meta-analysis. From the six dimensions of the necessity and risk factors of recurrence prevention in diabetic foot patients, decompression brace prevention, surgery and wound management prevention, nutritional therapy prevention, health education and lifestyle prevention, monitoring and analysis, 18 pieces of best evidence were summarized.Conclusions:The best evidence for the prevention of recurrence of diabetic foot patients was summarized to provide evidence-based basis for management decision makers and decision implementers to prevent recurrence of diabetic foot. In the process of practice, medical workers should also fully evaluate the promoting factors and hindering factors in order to ensure that evidence can be better applied to clinical practice and serve patients.
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Objective:To evaluate and summarize the relevant evidence of comprehensive detumescence treatment of lower limb lymphedema in patients with gynecological malignant tumors, and to provide evidence-based basis for clinical intervention of comprehensive detumescence treatment of lymphedema.Methods:This study was an evidence - based nursing research. Databases such as BMJ Best Practice, UpToDate, PubMed, CNKI, Wanfang and other domestic and foreign databases, as well as websites such as the Australian Lymphology Society, the International Lymphedema, and the European Clinical Oncology Association were searched for relevant evidence and evaluation of comprehensive treatment of gynecological malignant tumor-related lower limb lymphedema. The search time was from the establishment of the database to April 1, 2022.Results:A total of 18 articles were included, including 2 guidelines, 5 systematic reviews, 4 expert consensus, 2 evidence summaries, 4 randomized controlled trials and 1 best practice. Twenty-eight evidence were summarized from 7 aspects : treatment cycle and edema stage, free-hand lymphatic drainage, graduated compression stockings, skin care, elastic socks, functional exercise and health education.Conclusions:The evidence summarized in this study can provide reference for clinical medical staff to formulate comprehensive treatment plans for lower limb lymphedema. Evidence-based practice should consider the individual status of patients and clinical scenarios, and provide personalized comprehensive treatment plans for patients with lower limb lymphedema of gynecological malignant tumors as soon as possible to improve the quality of life of patients.
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Objective To analyze the effect of preoperative nutritional risk screening on clinical outcomes, immune function and nutritional index in patients with colorectal cancer.Methods 140 cases with colorectal cancer between September 2015 and March 2016 were selected,according to the score of NSR 2002 screening scale,they were divided into A group (87 cases),which was less than 3 points,and B group (53 cases),which was more than 3 points.A group was divided into non nutrition support group (50 cases)and nutrition support group (37 cases), while B group was divided into non nutrition support group (21 cases)and nutrition support group (32 cases).The clinical outcomes,immune function,nutritional index and complication were compared.Results The clinical out-comes[(1.9 ±0.5)d vs.(1.3 ±0.4)d],immune function[(31.93 ±5.27)pg/mL vs.(31.46 ±4.68)pg/mL], nutritional index[(2.09 ±0.36)g/L vs.(2.01 ±0.32)g/L]of the non nutrition support group and nutrition support group of A group had no significant differences (t =0.992,0.981,0.991,all P >0.05 ).The clinical outcomes [(3.5 ±0.7)d vs.(2.2 ±0.6)d],immune function[(25.49 ±5.49)pg/mL vs.(56.41 ±9.52)pg/mL],nutritional index[(1.71 ±0.40)g/L vs.(1.94 ±0.35)g/L]of one week after operation of the non nutrition support group in B group were worse than nutrition support group (t =4.033,7.335,4.997,all P 0.05).The complication rate of non nutrition support group of A group was 21.7%, which was higher than that in nutrition support group (9.3%)(χ2 =7.299,P <0.05 ).Conclusion For newly admitted patients with colorectal cancer,nutritional risk screening in early admission,according to the physiological index test results such as nutritional index and screening results,get the nutritional status of patients,choose reasona-ble nutrition drug dosage and the infusion way on the need of nutritional support of patients in a timely and reasonable nutrition support,improve the postoperative nutritional status,and accelerate the postoperative recovery.