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首页> 外文期刊>Rheumatology Advances in Practice >A clinical audit into the adherence of foot health management standards of rheumatoid arthritis compared with?the foot health management standards of diabetes mellitus in North-East London
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A clinical audit into the adherence of foot health management standards of rheumatoid arthritis compared with?the foot health management standards of diabetes mellitus in North-East London

机译：与伦敦东北东部糖尿病患者脚踏性卫生管理标准依托依托审计

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Objectives RA has an affinity for smaller joints, thus its effect on the foot/ankle is widely known. Despite this, there is lack of adherence to foot management standards by podiatrists. This research aimed to audit the adherence to these standards and compare them with well-established adherence to management standards in the diabetic foot. Methods In this clinical audit, data were obtained via six National Health Service (NHS) podiatry departments in North-East London on service provision, management, treatment and professional development on both RA and diabetic foot health via foot management clinical audit tools. Descriptive analyses were conducted and analysed to identify patterns and trends, with set standard compliance conditions calculated on the Net Promotor Score (NPS) metric to allow for multi-comparison. Results All areas of RA foot health management were found to have poor compliance when compared with diabetes foot health management. When using NPS, no trust audited met the majority of foot health standards in RA, with only two having a positive score (meeting the minimum standards), compared with all trusts posting a positive NPS on diabetes foot health standards. Conclusion Our results indicate that poor compliance to RA foot health standards is prevalent across the audited region and might be resulting in worsening foot outcomes despite a paradigm shift in other areas of RA management. Enhanced training and knowledge are required for better adherence to the standards set out and to improve foot health management in RA.
机译：目标Ra对较小关节具有亲和力，因此其对脚/踝的影响是众所周知的。尽管如此，PodiaTrists缺乏对脚踏管理标准的坚持。这项研究旨在审核遵守这些标准，并比较它们在糖尿病脚中的管理标准奠定良好的依从性。方法在本临床审计中，数据通过六个国家卫生服务（NHS）PodiaTry部门获得了伦敦东北伦敦的服务，管理，治疗和专业开发，通过足部管理临床审计工具。进行了描述性分析，并分析了识别模式和趋势，并在净促进器评分（NPS）度量上计算的设定标准合规条件，以允许多比较。结果与糖尿病足部健康管理相比，发现RA足部健康管理的所有领域都有差的合规性。使用NPS时，审计审计符合RA的大部分脚卫生标准，只有两个具有正面分数（满足最低标准），与所有信托在糖尿病足部健康标准上发布阳性NPS相比。结论我们的结果表明，在审计区域普遍普遍的遵守情况普遍存在，尽管RA管理的其他领域的范式转移，但可能导致脚后转移恶化。需要提高培训和知识，以便更好地遵守标准并提高RA的脚部健康管理。

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