Affiliation:
1. Department of Dermatology People's Hospital Affiliated to Shandong First Medical University Jinan China
2. Department of Endocrinology and Metabolism People's Hospital Affiliated to Shandong First Medical University Jinan China
3. Department of Gastroenterology People's Hospital Affiliated to Shandong First Medical University Jinan China
4. Department of Oncology People's Hospital Affiliated to Shandong First Medical University Jinan China
5. Department of General Medicine People's Hospital Affiliated to Shandong First Medical University Jinan China
Abstract
AbstractThis meta‐analysis systematically evaluates the impact of continuous nursing care interventions on wound infections and ulcerations in patients with diabetic foot. A comprehensive computerized search was conducted, from database inception to November 2023, in PubMed, Embase, Google Scholar, Cochrane Library, China National Knowledge Infrastructure, and Wanfang databases for randomized controlled trials (RCTs) examining the application of continuous nursing care in diabetic foot. Two researchers independently screened the literature, extracted data, and conducted quality assessments based on inclusion and exclusion criteria. Data analysis was performed using Stata 17.0 software. A total of 23 RCTs involving 1813 diabetic foot patients were included. The analysis revealed that, compared to standard care, the implementation of continuous nursing care significantly reduced the incidence of wound infections (OR = 0.22, 95% CI: 0.15–0.32, p < 0.001) and complications (OR = 0.19, 95% CI: 0.14–0.25, p < 0.001), as well as the occurrence of foot ulcers (OR = 0.21, 95% CI: 0.12–0.35, p < 0.001). This study demonstrates that the application of continuous nursing care in diabetic foot patients can effectively reduce the occurrence of wound infections, foot ulcers, and complications, thereby facilitating patient recovery.