目的 系统评价糖尿病足患者就医延迟原因，为早期实施有效干预、改善患者结局、提高患者生活质量提供依据。方法 计算机检索中国知网、维普、万方、中国生物医学数据库、Pubmed、Web of Science、Embase、The Cochrane Library等数据库中糖尿病足患者就医延迟定性研究的相关文献，检索时间为建库至2023年8月，采用澳大利亚JBI循证卫生保健中心质性研究标准化评估工具对文献质量进行评估，运用汇聚性整合方法对结果进行整合。结果 共纳入8篇文献，提炼出33个研究结果，归纳后形成8个类别，整合形成3个结果，即患者自身因素造成就医延迟、社会-家庭因素制约、医疗资源与服务限制。结论 延迟就医不仅影响患者治疗与预后，还加重家庭与社会负担，可通过开展糖尿病足相关教育、提供有效的家庭与社会支持、加强医疗体系建设等措施来缩短糖尿病足患者就医时间。

Objective To systematically evaluate the medical attention delay reasons in patients with diabetic foot,and to provide reference for early implementation of effective interventions,improvement of patients’ prognosis,and enhancement of patients’ quality of life(QOL).Methods Literatures were searched in China Knowledge,cqVIP,Wanfang,China Biomedical Database,Pubmed,Web of Science,Embase,and The Cochrane Library for qualitative studies on medical attention delay in patients with diabetic foot from the inception to August 2023.The results were evaluated using the standardized evaluation tool of quality research of JBI Evidence-based Health Care Center in Australia,and the convergent integration method.Results A total of 8 articles were included,and 33 research results were extracted,which were summarized into 8 categories and integrated into 3 results,namely,delay in seeking medical treatment caused by patients’ own factors,restriction of social and family factors,and restriction of medical resources and service.Conclusion The medical attention delay not only affects the treatment and prognosis of patients,but also increases the burden of family and society.Measures such as carrying out diabetic foot related education,providing effective family and social support,and strengthening the construction of medical system can shorten the time for diabetic foot patients to seek medical treatment.

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