تاثیر روش مراقبتی پرستارهدایتگر بر کیفیت مراقبت و سطح HbA1C مبتلایان به زخم پای دیابتی

عنوان انگليسی

Effect of Nurse-led care on Quality of Care and Level of HbA1C in Patients with Diabetic Foot Ulcer

خلاصه انگلیسی

Background: 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 care as a multidisciplinary team can be effective due to a holistic approach to some disease management but patients with DFU have no assess. Therefore, this study was designed to determine the effect of Nurse-led care on quality of care and improvement of HbA1C in patients with Diabetic Foot Ulcer. Methods: 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 was 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<0.05 was considered significant. Results: The results demonstrated that according to repeated measures test, (before, 4 and 12 weeks after the intervention), the level of Quality of Care dimensions (psychosocial, communication and physical aspect) in the intervention group had a significant difference with control group (P<0.0001). Also, according to the results of Independent T test, there was a significant difference in total Quality of Care scoring and HbA1c between intervention and control groups after the intervention and follow up (P<0.0001). Conclusion: Considering the burden of diabetes and diabetic foot ulcers, 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.

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