Effect of Foot Massage on Patients with Grade 0 Diabetic Foot: A Meta-analysis
KANG Yan-nan,YANG Xueshi,WEI Wen-tong
Nursing of Tianjin University of Traditional Chinese Medicine, Tianjin01617, China
Abstract:
Objective To evaluate the effectiveness of foot massage for patients with Grade 0 diabetic foot, and to determine the nursing effect of this method in patients as well as to provide scientific and the best evidence-based evidence for clinical practice. Methods Randomized controlled trial (RCT) and semi-randomized controlled trial(CCT)articals on foot massage for patients with Grand 0 diabetic foot were searched in Cochrane Library, PubMed, Embase, Web of Science, Ebsco, China Knowledge Network(CNKI), Wanfang Data Knowledge Service Platform(WanFang Data), Weipu Periodical Resource Integration Service Platform(VIP) and China Biomedical Literature Database(CBM) from database construction to March, 2020. Two researchers collected and extracted data according to the criteria of inclusion and exclusion, and evaluated the quality of the literatures by reference to the quality evaluation criteria of the Cochrane Handbook. Meta-analysis was performed by using Review Manger 5.3 analysis software. Results A total of 13 pieces of literatures were included in this study, involving 663 patientsand four subgroups. They were divided according to different interventions. There were 10 Grade B quality of original research. Meta-analysis showed that the effective rate of nursing was increased by foot massage [RR=1.43, 95%CI (1.25,1.63), P<0.00001] and foot massage increased ABI [MD=0.22, 95%CI (0.15,0.30), P<0.00001]. Conclusion Foot massage is superior to routine care for patients with Grade 0 diabetic foot, but the quality of the literature is not good enough, so it needs to be confirmed by multi-center and large sample randomized controlled trials, and the difference of curative effect between different TCM nursing techniques should be analyzed.
