The exploration and research on the establishment of an early risk assessment system for high-risk diabetic feet.

PURPOSE: To develop an early risk assessment system for high-risk diabetic feet.

METHODS

The system framework was established through literature review and two rounds of Delphi expert consultation.

RESULTS

The two rounds of consultation achieved effective response rates of 73.3% and 100.0%, with authority coefficients of 0.802 and 0.933, and Kendall's coefficients of concordance (W) of 0.302 and 0.103 (all P < 0.05). Consensus was reached on an early risk assessment system comprising 6 dimensions (risk factor identification, neurological assessment, vascular evaluation, foot skin and nail examination, self-care ability assessment, and healthcare resource accessibility) and 42 items, enabling structured risk stratification for high-risk diabetic feet.

CONCLUSION

The Delphi-validated system demonstrates good scientific rigor, rationality, practicality, and targetedness. This evidence-based tool can guide nursing training, standardize prevention and control practices, refine teaching programs, and evaluate institutional capabilities for high-risk diabetic foot management.