Construction of simple version of diabetic foot risk screening scale
Objective To construct a simple version of the diabetic foot risk screening scale,which aims to provide a simple and rapid screening tool for diabetic patients.Methods The research group was established and an initial pool of scale items was formed through literature review and interviews with 15 patients in January 2023.Through discussions within the research group,the scale item pool was classified and organized.From March to May 2023,the Delphi method was used to modify and adjust the scale and conduct clinical practice.Results The effective recovery rate of the two rounds of expert consultation questionnaire was 100.0%.The authority coefficient of the first round of experts was 0.85,and the authority coefficient of the second round of experts was 0.88,both>0.7,the positive degree and authoritative degree of experts was high,and the consultation had high credibility.After consultation and revision,a simple version of the diabetic foot risk screening scale containing 4 dimensions and 10 items was finally formed.The scale after expert consultation was put into clinical application,and 12 cases of high-risk diabetic foot were screened in 30 hospitalized diabetic patients,the vibration perception threshold(VPT)and ankle brachial index(ABI)were used for the second screening,and 11 patients with moderate risk of diabetic foot were screened out,the common positive rate of the scale,VPT and ABI in screening high-risk diabetic foot was 91.7%.Conclusion The simple version of diabetic foot risk screening scale can be used to evaluate the foot health status of diabetic patients after strict expert consultation and clinical practice,and provide a simple and rapid diabetic foot risk screening tool for clinical medical staff.