diabetic foot ulcer
Conditions
Interventions
intervention group:Patients in the intervention group and their family members will participate in a single 60-minute face-to-face shared decision-making (SDM) session. The intervention will be jointl
second, identify key issues requiring joint decision-making, such as prevention or mitigation of cardiorenal comorbidities, selection of offloading methods for the foot, daily foot care, and adjustmen
third, provide systematic information on available management options, supplemented with charts and decision aids to enhance understanding
fourth, assess the values, lifestyle preferences, and feasibility considerations of the patient and caregiver
fifth, jointly determine the optimal management pathway, formulate an actionable individualized plan, and set stage-specific goals
and sixth, evaluate the effectiveness of the intervention through outpatient visits or remote follow-up at 1, 2, and 3 months after the session, with timely adjustments to management content as needed
Sponsors
Sun Yat-sen Memorial Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 90 Years
Inclusion criteria
Inclusion criteria: 1. Patients aged >=18 and child/parent > sibling) who is a relative and does not receive direct financial compensation for caregiving. The caregiver must provide daily care, accompany the patient to outpatient follow-ups, be proficient in using the WeChat app on a smartphone, and be able to perform basic wound care tasks such as taking photos, cleaning, and dressing the wound after training; 5. Provision of written informed consent.
Exclusion criteria
Exclusion criteria: 1.Pregnant or lactating women. 2.Aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) >5 times the upper limit of normal, or serum creatinine > 4 times the upper limit of normal. 3.Receipt of immunosuppressants, chemotherapeutic agents, radiotherapy, or systemic corticosteroid therapy within the past 4 weeks. 4.Presence of progressive malignant tumor, severe malnutrition, or severe cardiopulmonary disease. 5.Patients with iodine allergy or thyroid dysfunction. 6.Use of medications that impair wound healing, such as dipeptidyl peptidase-4 (DPP-4) inhibitors. 7.Emotional instability, cognitive impairment, or current/long-term alcohol or substance abuse. 8.Foot ulcer with any of the following characteristics: involvement of multiple planes, severe infection or purely ischemic ulcer, active bleeding, or the presence of gangrene, suppuration, or sinus tract that cannot be removed by debridement.
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| self-management behavior;shared-decision making;knowledge;social support;nutrition;quality of life; | — |
Primary
| Measure | Time frame |
|---|---|
| Wound healing status of the foot ulcer;Cardiovascular–Kidney–Metabolic Health Index; | — |
Countries
China
Contacts
Public ContactYang Chuan
Sun Yat-sen Memorial Hospital
Outcome results
None listed