Objective To retrieve and summarize relevant evidence on nutritional management in patients with diabetic foot ulcers.Methods Databases and websites,including UpToDate,BMJ Best Practice,Joanna Briggs Institute Evidence-Based Practice Center,Cochrane Library,Medlive,PubMed,Embase,CINAHL,Wanfang Database,China National Knowledge Infrastructure,as well as the websites of the International Diabetic Foot and the International Diabetes Federation,were systematically searched for literature related to nutritional management in patients with diabetic foot ulcers.Records of guidelines,systematic reviews,evidence summaries,clinical decisions,expert consensus,and randomized controlled trials published from database establishment to June 30,2023 were screened.Two researchers independently evaluated the search results and included eligible literature as per quality criteria.Results This study ultimately included 31 pieces of publication,comprising 6 guidelines,1 expert consensus,9 systematic reviews,1 best clinical practice,and 14 randomized controlled trials.A total of 35 pieces of evidence were summarized,covering the six domains of nutritional assessment,dietary methods,modes of nutritional support,nutrients,hydration,and nutrition education and follow-up for patients with diabetic foot ulcers.Conclusions This study summarized the best evidence on nutritional management for patients with diabetic foot ulcers in a scientific and robust manner.Clinicians,management decision-makers,and policy implementers can develop individualized nutritional support plans for patients with diabetic foot ulcers based on actual conditions,to promote wound healing,improve patient physical and mental health and enhance patient quality of life.
Diabetic footNutritional managementNutrition interventionSummary of the evidence
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