目的 制订《老年糖尿病患者足部胼胝护理专家共识》（以下简称《共识》），规范足部胼胝的评估、护理流程，为防治糖尿病足的发生与发展提供参考。方法 组建由内分泌科、血管外科、皮肤科、康复科及护理专业组成的多学科团队编写组，通过系统文献检索形成《共识》初稿，通过2轮德尔菲专家函询与1次专家论证会修订形成《共识》终稿。结果 《共识》围绕老年糖尿病患者足部胼胝处理与全程管理的核心环节，形成包括评估、胼胝处理、定向减压与辅助器具、步态调整、健康教育与自我管理、护理人员培训6个维度的规范内容。结论 《共识》基于循证证据与专家意见，提出面向临床与社区的老年糖尿病足部胼胝护理规范，有助于防治糖尿病足的发生与发展，提高老年患者足部健康水平，并为各级医疗与护理机构提供可操作的实践参考。

Objective To formulate theExpert Consensus on Nursing of Plantar Calluses in Elderly Patients with Diabetes Mellitus(hereinafter referred to as “the Consensus”),standardize the assessment and nursing process of calluses,and provide a reference for the prevention and treatment of the occurrence and development of diabetic foot.Methods A multidisciplinary writing group was established,consisting of experts from endocrinology,vascular surgery,dermatology,rehabilitation medicine,and nursing.The preliminary draft was formed through systematic literature retrieval,and the final draft was developed after two rounds of Delphi expert consultations and one expert demonstration meeting.Results Centering on the core links of plantar callus management and whole-process care in elderly diabetic patients,the Consensus formed standardized content covering six dimensions: assessment,callus management,targeted decompression,gait adjustment,health education,and training of nursing staff. Conclusions Based on evidence-based evidence and expert opinions,the Consensus proposes nursing standards for plantar calluses in elderly diabetic patients for both clinical and community settings.It helps aid in the prevention and management of diabetic foot,improve the level of foot health in elderly patients,and provide an operational practical reference for medical and nursing institutions at all levels.

R473.58；R823

国家卫生健康委科技重大专项（2023ZD0507200)；复旦大学-复星护理科研基金立项项目 (FNF202433)；“海上护理”巾帼特色护理创新工作室(白姣姣足病护理创新工作室)；老年长期照护教育部重点实验室（海军军医大学）