Nurses’ Knowledge And Practices Toward Diabetes Care In Governmental Hospitals: An Analytical Cross-Sectional Study
VOLUME 21, 2024
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Maryam Saleh Almutairi, Fawaz Hammad Albaqawi, Suliaman Abdullah Alaudah, Abdulaziz Awad Alharbi, Bader Ageeli Alharbi
Meshal Abdullah Alanazi, Khalid Abdullah Alanazi, Mariam Awon Alhafidh, Alhanouf Hamdan Alanazi, Abeer Mohammed Almotiry
Abstract
Background: iabetes mellitus represents a major public health challenge in Saudi Arabia, placing a substantial burden on governmental hospitals. Nurses play a central role in diabetes management through glycemic monitoring, insulin administration, patient education, and prevention of complications. However, variations in nurses’ knowledge and clinical practices may influence the quality and safety of diabetes care.
Aim: This study aimed to assess nurses’ knowledge and practices toward diabetes care in governmental hospitals in Saudi Arabia and to examine the relationship between knowledge, clinical practices, and selected demographic and professional factors.
Methods: An analytical cross-sectional study was conducted among 1,000 nurses working in governmental hospitals and primary healthcare facilities across multiple Saudi health clusters. Data were collected using a structured self-administered questionnaire assessing demographic characteristics, diabetes-related knowledge, and nursing practices. Descriptive and inferential statistics were applied, including correlation and multivariate regression analyses.
Results: The findings revealed that 45.0% of nurses demonstrated good knowledge of diabetes care, while 41.0% had moderate knowledge. Good nursing practice was observed in 43.0% of participants, whereas gaps were identified in patient education, lifestyle counseling, and routine diabetic foot assessment. A significant positive correlation was found between knowledge and practice scores (r = 0.48, p < 0.001). Multivariate analysis identified diabetes-related training, higher knowledge levels, clinical experience, and educational attainment as significant predictors of good nursing practice.
Conclusion: Although nurses in Saudi governmental hospitals exhibit satisfactory foundational knowledge and adherence to protocol-driven diabetes care practices, important deficiencies persist in preventive and educational aspects of care. Enhancing structured diabetes education, strengthening organizational support, and integrating patient-centered approaches into routine nursing practice are essential to improving diabetes care outcomes and aligning with national health transformation goals.
Keywords :
Diabetes care; Nursing practice; Knowledge; Governmental hospitals; Saudi Arabia; Cross-sectional study.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Abstract
Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords :
Diabetic foot ulcer, angiosome, angioplasty