Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! By
Effect of Nurse-Led Care on Quality of Care and Level of Hba1c in Patients With Diabetic Foot Ulcer: A Randomized Clinical Trial Publisher Pubmed



Dehghan Nayeri N1 ; Samadi N2 ; Larijani B1 ; Sayadi L1
Authors

Source: Wound Repair and Regeneration Published:2020


Abstract

Diabetic foot ulcer (DFU) is a serious and costly complication in diabetes which affects different aspects of life and can reduce patient's quality of life. Various views to manage DFU have been introduced. The nurse-led team, as a multidisciplinary team, can be effective due to a holistic approach to some disease management; but in patients with DFU it has not been assessed. Therefore, this study was designed to determine the effect of nurse-led care on quality of care (QOC) and improvement of HbA1C in Patients with DFU. This was a randomized clinical trial study performed on 52 patients with DFU. Patients were randomly assigned into two groups: nurse-led care intervention and standard care. The study was conducted in one of the hospitals affiliated to Tehran University of Medical Sciences. Data were collected using two questionnaires: Demographic characteristics and Quality Patient Care Scale (QUALPACS) and taking a blood sample for HbA1C. The nurse-led Care interventions were conducted in three stages: Integrated, Interdisciplinary, and Comprehensive. Descriptive and analytic statistical methods were used to analyze the data. P <.05 was considered significant. The results demonstrated that according to repeated measures test, (before, 4 and 12 weeks after the intervention), the level of QOC dimensions (Psychosocial, communication and physical aspect) in the nurse-led group had a significant difference with control group (P <.0001). Also, according to the results of Independent t test, there was a significant difference in total QOC scoring and HbA1c between intervention and control groups after the intervention and follow up (P <.0001). Considering the burden of diabetes and DFUs, it seems that the establishment of a nurse-led care approach can be an effective strategy to manage and treat these patients, and eliminate the disruption of care and achieve optimal care quality. © 2019 by the Wound Healing Society
Related Docs
View other Related Docs
1. Diabetic Foot Workshop: A Strategy for Improving the Knowledge of Diabetic Foot Care Providers, Diabetes and Metabolic Syndrome: Clinical Research and Reviews (2022)
2. Diabetic Foot Workshop: Improving Technical and Educational Skills for Nurses, Medical Journal of the Islamic Republic of Iran (2017)
3. Effectiveness of Standard Treatment for Foot Ulcer of Diabetic Patients, Journal of Isfahan Medical School (2015)
Experts (# of related papers)
View all Related Experts
Mahnaz Sanjari (12)
Maryam Aalaa (12)
Other Related Docs
4. Diabetic Foot Scientific Activities in Endocrinology and Metabolism Research Institute, Journal of Diabetes and Metabolic Disorders (2021)
5. Prevention and Management of Foot Problems in Diabetes: A Summary Guidance for Daily Practice Based on the Iwgdf Guidance Documents, Iranian Journal of Diabetes and Metabolism (2020)
6. Fast-Track Pathway: An Effective Way to Boost Diabetic Foot Care, Clinical Medicine Insights: Endocrinology and Diabetes (2023)
7. Challenges and Expectations of Diabetic Foot Care From the Patients’ Point of Views, Journal of Diabetes and Metabolic Disorders (2021)
8. Footwear and Offloading Interventions to Prevent and Heal Diabetic Foot Ulcers: Adapted Iwgdf Guidance, Koomesh (2022)
9. Risk Factors Associated With Diabetic Foot Ulcer-Free Survival in Patients With Diabetes, Diabetes and Metabolic Syndrome: Clinical Research and Reviews (2018)
10. Comparison Home Care Service Versus Hospital-Based Care in Patients With Diabetic Foot Ulcer: An Economic Evaluation Study, Journal of Diabetes and Metabolic Disorders (2020)
11. The Effectiveness of Negative Pressure Wound Therapy As a Novel Management of Diabetic Foot Ulcers: An Overview of Systematic Reviews, Journal of Diabetes and Metabolic Disorders (2019)
12. Evaluation of Foot Self-Care Status and Foot Screening Problems in Patients With Diabetes in Iran: A National Multicenter Study, BMC Endocrine Disorders (2023)
13. Two-Year Incidence and Risk Factors of Diabetic Foot Ulcer: Second Phase Report of Ahvaz Diabetic Foot Cohort (Adfc) Study, BMC Endocrine Disorders (2024)
14. Incidence and Risk Factors of Diabetic Foot Ulcer: A Population-Based Diabetic Foot Cohort (Adfc Study)-Two-Year Follow-Up Study, International Journal of Endocrinology (2018)
15. A Multidisciplinary Team Approach in Iranian Diabetic Foot Research Group, Journal of Diabetes and Metabolic Disorders (2019)
16. Diabetic Foot Care and Management Approaches During the Global Covid-19 Pandemic According to the International Working Group on the Diabetic Foot (Iwgdf) Guidelines, Iranian Journal of Endocrinology and Metabolism (2020)
17. Determining the Minimum Data Set of Diabetic Foot Ulcer Patients' Electronic Medical Records, Journal of Payavard Salamat (2021)
18. A Stakeholder Perspective on Diabetes Mellitus and Diabetic Retinopathy Care in Iran; a Qualitative Study, Archives of Iranian Medicine (2017)
19. Epidemiology of Diabetes Foot Amputation and Its Risk Factors in the Middle East Region: A Systematic Review and Meta-Analysis, International Journal of Lower Extremity Wounds (2022)
20. Understanding the Fear and Approval of Risk Management for Foot Care in Type 2 Diabetic Patients Referred to Diabetes Clinics in North Khorasan Province: Using a Developed Parallel Process Model, International Journal of Pharmaceutical Research (2018)