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首页> 外文期刊>Clinical nursing research >Exploring Diabetic Foot Exam Performance in a Specialty Clinic
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Exploring Diabetic Foot Exam Performance in a Specialty Clinic

机译：探索专业诊所的糖尿病脚考试表演

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Detection of diabetic foot complications is key to amputation prevention. This study used survey and retrospective record review to examine the relationship between frequency and performance of clinician's diabetic foot examinations on performance of patient home self-foot examinations. An additional aim was to assess clinician performance of annual foot examination per American Diabetes Association (ADA) guidelines in a specialty clinic. The relationships between demographic characteristics, diabetic foot ulcer beliefs, health literacy, HbA1c level, and foot self-exam performance was also examined. No relationship was found between the performance frequency of foot examinations by providers and patient self-examination (N = 88). The presence of specific barriers to self-management was significantly higher in those patients who did not complete daily home self-foot examinations. Only 16% of patients' charts reviewed met the ADA criteria for a complete annual foot exam. Motivational interviewing during patient visits could be a strategy to break down barriers to self-foot exam performance. Furthermore, the development of an Electronic Medical Record (EMR)-based diabetic foot exam template to improve provider documentation may improve compliance with ADA recommendations.
机译：检测糖尿病脚并发症是截肢的关键。本研究使用了调查和回顾性记录审查，以研究临床医生糖尿病足审查对患者家庭自我检查性能的频率和性能之间的关系。额外目的是评估每年糖尿病协会（ADA）在特种诊所的临床医生绩效（ADA）指导方针。还研究了人口统计学特征，糖尿病足溃疡信念，健康识字，HBA1C水平和脚自我考试性能之间的关系。在供应商和患者自我检查（n = 88）之间的脚检查的性能频率之间没有任何关系（n = 88）。在那些没有完成日常家庭自我检查的患者中，自我管理的特定障碍的存在显着高。只有16％的患者的图表审查了完整年度衡考试的ADA标准。患者访问期间的励志面试可能是打破自我考试表现障碍的战略。此外，基于电子医疗记录（EMR）的糖尿病脚考试模板来改善提供商文件的发展可能会改善遵守ADA建议。

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