Chronic wounds are a substantial burden on healthcare systems worldwide, with their management accounting for a significant portion of healthcare budgets. Given the rising prevalence of wounds and the growing strain on healthcare resources, there is an urgent need for more efficient treatment options in wound care.

Authors:

Zena Moore and Sebastian Probst

Zena Moore PhD, MSc, FFNMRCSI, PG Dip, RGN is Professor and Head of the School of Nursing and Midwifery, Director of the Skin Wounds and Trauma Research Centre, Royal College of Surgeons in Ireland, University of Medicine and Health Sciences, Dublin, Ireland;

Sebastian Probst DClinPrac, MNS, BNS, RN is Full Professor of Tissue Viability and Wound Care, Geneva School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland, Care Directorate, University Hospital Geneva, Switzerland and Adjunct Professor, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia

* The data set used to create the 3.5 billion hour model (Moore et al, 2022), revealed that globally, 4,011,188,929 hours are spent on dressing changes in the community per year. ALLEVYN LIFE Dressing as part of a shared wound care approach has the potential to release 10.8% (433,208,404) of these hours (Joy et al, 2015; Moore et al, 2022; Rossington et al, 2013; Simon and Bielby, 2014; Tiscar-González et al, 2021).

The Wound Care Pathway was developed in 2020/21 to provide a practical, evidence-based step-by-step approach towards wound healing (Dowsett et al, 2021). Healthcare providers who use the pathway asked for more detailed guidance for specific wound types. A group of wound care experts, comprised of physicians, nurses and researchers, undertook a process to expand the international consensus on wound healing by developing wound type-specific pathways for diabetic foot ulcers, venous leg ulcers, skin tears, pressure injuries/pressure ulcers and surgical wound dehiscence. The objective was to take complex research evidence and translate it into simple and practical treatment guidance for the non-specialist, for the five most common wound types. The systematic approach to wound care provided in the wound care pathway and in the wound type specific pathways is designed with the goal of achieving a shorter way to wound healing by helping healthcare providers focus on healing wounds not just dressing wounds.

Authors:

Terry Swanson, Kimberly Bain,Caroline Dowsett, Jose Ramon March Garcia, Emily Greenstein, David Keast, Long Zhang, Mark Bain, Hester Colboc and Christoffer Hoffmann

Terry Swanson is Nurse Practitioner

Wound Management, Warrnambool, Vic. Australia;

Kimberly Bain is Senior Partner - Consensus Building, BainGroup Consulting, Canada;

Caroline Dowsett is Nurse Specialist Tissue Viability, East London NHS Foundation Trust London, UK;

Jose Ramon March Garcia is Vascular Surgeon Getafe University Hospital (Madrid), Spain;

Emily Greenstein is Certified Nurse Practitioner at Sanford Health in Fargo, USA;

David Keast is Associate Scientist, Lawson Health Research institute, Canada;

Long Zhang is Vascular Surgeon, Wound Healing Center, Peking University Third Hospital,China;

Mark Bain is Senior Partner, Data Strategy, BainGroup Consulting, Canada;

Hester Colboc is Dermatologist & Gerontologist, Rothschild Hospital, Paris, France;

Christoffer Hoffmann is Senior Medical Specialist, Coloplast A/S, Denmark

臧娴，白姣姣，王怡

复旦大学附属华东医院护理部，上海200040

[摘要]目的评价运动训练对老年糖尿病周围神经病变(DPN)患者平衡功能的影响。方法计算机检索Cochrane Library、JBI、MEDLINE、EMbase 、PubMed、 Web of Science、中国生物医学文献数据库( CBM)、中国知网(CNKI) 及万方数据库中(自建库至2017年2月5日)关于运动训练对老年DPN患者平衡功能影响的随机对照试验( randomized controlled tria，RCT), 由2名研究员按纳入和排除标准筛选文献、提取资料并评价质量,然后采用RevMan 5.3软件进行Meta分析。结果共纳人6个RCT, 373例老年DPN患者。Meta分析结果显示，运动训练可延长老年DPN患者的睁眼/闭眼单足站立时间[WMD=3.8, 95%CI (2.38 ~5.22), P<0.0000; WMD= 1.66, 95%CI (0.86 ~2.46),P<0.0001],增加Berg平衡功能量表得分[WMD=1.34, 95%CI (0.93~ 1.75), P<0.000],缩短计时起立一步行测试时间[WMD=-1.37. 95%CI (-1.69~-1.05), P<0000]。结论运动训练可显著改善老年DPN患者的静态和动态平衡功能，临床上应注重对老年DPN患者进行运动训练，从而改善其平衡功能，降低跌倒风险。

[关键词]糖尿病;周围神经病变;运动训练;平衡功能; Meta 分析

Effect of Exercise Training on Balance Function of the Elderly with Diabetic Peripheral Neuropathy: A Meta Analysis
Zang Xian, Bai Jaojao*，Wang Yi
Department of Nursing, Huadong Hospital Afiliated 10 Fudan University, Shanghai, 200040. P. R. China
*Corresponding author: Bai Jiaojiao, E-mail: bjj163163@163. com

[ABSTRACT] Objective To evaluate the effect of exercise training on the balance function of the elderly with diabetic peripheral neuropathy (DPN). Methods Papers with randomized controlled trials (RCT) involving the effect of exercise training on the balance function of the elderly with DPN, published since the setup of the databases to Feb.5 th, 2015, were searched in Cochrane Library, JBI, MEDLINE, EMbase, PubMed, Web of Science, CBM, CNKI and WanFang Data; according to the inclusion and exclusion criteria, the papers were screened by 2 researchers; data were extracted and the meth-
odological quality of the included was asessed. Result In total, 6 RCTs involving 373 elderly with DPN were included; Meta analysis indicated that after exercise training, the elderly with DPN had a longer time of one leg stance with eyes opening (WMD=3.8, 95%CI2.38-5.22, P<0.00001), as well as a longer time of one leg stance with eyes closing (WMD= 1.66,95% CI 0.86-2.46, P<0.0001); and the exercise training increased the scores of Berg balance scale (WMD= 1.34,95%CI0.93-1.75, . P<0.00001) and shortened the time of up and go tests (WMD=-1.37， 95%CI -1.69--1.05，P<0.00001). Conclusion
Exercise training can obviously improve the static and dynamic balance function of the elderly with DPN; more atention should be paid to exercise training in clinic so as to improve the balance function of the elderly and decrease the risk of fllig.

[KEYWORDS] diabetes; peripheral neuropathy; exercise training; balance function;Meta analysis

续畅1

吴汀溪1

宋婧1

杜鑫2

李彬2

黄凤：·

1．首都医科大学附属北京友谊医院药学部，北京100050；2．首都医科大学附属北京中医医院疮疡科，北京100010 【摘要】目的采用Meta分析方法系统评价针灸治疗糖尿病周围神经病变的临床疗效。方法通过检索cNKI、万方、VIP、cBM及PubMed数据库，收集针灸治疗糖尿病周围神经病变的随机对照试验．采用RevMan 5．3软件进行Meta分析。结果共纳入文献7篇，患者累计546例。Meta分析结果显示，针灸可显著的提高糖尿病周围神经病变患者正中神经、胫神经的运动及感觉神经的传导速度。结论针灸治疗糖尿病周围神经病变的疗效确切。

【关键词]针灸；糖尿病周围神经病变；随机对照试验；Meta分析；治疗策略

【中图分类号】R246

【文献标识码】B

【文章编号】1673—9701(2016)22—0074—04

Meta- analysis and treatment strategy of acupuncture in the treatment of diabetic peripheral neuropathy
XU Chang' WU Tingxil SONG Jing' DU Xin2 LI Bin2 HUANG Feng?
1.Department of Pharmaceutical, Beijing Friendship Hospital Affiliated to Capital Medical University, Beijing
100050，China;

2.Department of Speciality of Carbuncle and Ulcers, Bejjing Hospital of Traditional Chinese Medicine Affliated to Capital Medical University, Beijing
100010, China

[Abstract] Objective To evaluate the efficacy of acupuncture in the treatment of diabetic peripheral neuropathy (DPN) by Meta -analysis.

Methods Retrieved from CNKI, Wan -Fang, VIP, CBM, PubMed database, observational studies about acupuncture in the treatment of DPN were included. A Meta -analysis was conducted by using the software of RevMan 5.3.

Results 7 literatures were included and 546 cases were involved. The results of Meta -analysis showed that the acupuncture significantly improved the sensory nerve conduction velocity (SCV) and the motor nerve conduction velocity (MCV) of the median nerve and tibial nerve in patients with DPN.

Conclusion The acupuncture on diabetic peripheral neuropathy has an exact effect.

[Key words] Acupuncture; Diabetic peripheral neuropathy(DPN); Randomized controlled trial; Meta- -analysis; Treatment strategy