Construction of a hospital–community–family integrated diabetic foot disease prevention and treatment model based on informationization

OBJECTIVES: This study aims to construct an information-based hospital-community-family whole-course prevention and treatment model for diabetic foot disease. METHODS: An information-based whole-process hospital-community-family management model for diabetic foot prevention and treatment was constructed. A total of 250 subjects were screened from the hospital diabetes database as core intervention participants between June 2022 and April 2023; we then calculated their participation rate in diabetic foot knowledge learning and diabetic foot ulcer incidence. The experimental group included 78 patients enrolled during model implementation, while the control group contained 86 patients recruited prior to program launch, with clinical data collected from May 2021 to March 2022. RESULTS: The core intervention population attained a 97.2% participation rate in diabetic foot knowledge learning, and the overall incidence of diabetic foot ulcers was 2.4%.At the 4-week follow-up, the ulcer healing rate among patients with grade 1 and grade 2 diabetic foot ulcers was markedly higher in the experimental group (53.9%) versus the control group (26.7%). At the 6-week follow-up, the healing rate of patients with grade 2 diabetic foot ulcers was significantly higher in the experimental group (82.9%) than in the control group (18.0%). At the 12-week intervention follow-up, the improvement rate of patients with grade 4 diabetic foot disease in the experimental group reached 80.0%, which was significantly higher than the 27.3% observed in the control group. CONCLUSION: This integrated prevention and treatment model may reduce the incidence of diabetic foot lesions and facilitate the healing of diabetic foot ulcers under single-center clinical conditions.