The design and application of diabetic foot screening form

Abstract

Objective To detect risk factors of diabetic foot through diabetic foot screening,and take countermeasures timely to reduce the incidence of diabetic foot.Methods Designed diabetic foot screening form according to the diagnostic criteria,prevention strategies of diabetic foot,and document literature.Applied diabetic foot screen to 358 cases of diabetic under the charge of Changan Community Health Service Center,who were randomly divided into control group and observation group based on dangerous level,with 179 cases in each group.Two groups were under observation for 1 year respectively.Control group received conventional management,while observation group received hierarchical management according to dangerous level.Results Screening results:① the risk of diabetic foot occurred in 277 patients (77.4％) in this study,multiple risk factors in 183 cases,single risk factor in 94 cases.② There were 51 cases of high-risk foot,77 cases of moderate-risk foot,149 cases of low-risk foot,and 81 cases of normal foot.There was statistically significant difference in the incidence of diabetic foot (high,moderate and low risk foot) before and after the intervention in observation group (P ＜ 0.01),no statistically significant difference in control group (P ＞ 0.05).Conclusions Patients with diabetic have a high risk of diabetic foot.So it is necessary to strengthen community screening of diabetic foot,and carry out appropriate management according to dangerous level to prevent the occurrence of diabetic foot.Diabetic foot screening table is simple,convenient,economic and applicable in clinical application,worthy of clinical promotion. Key words: Diabetic foot; Community screening; Hierarchical management; Application