Cultura

Diabetes Between Health Awareness And Community Culture: The Role Of Nursing, Health Information, And Health Security In Prevention And Quality Of Life

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

Falah Semaihan Alharbi, Shahd Abdullah Alshahrani, Dalal Manhi H. Alanazi, Huda Abdullah Al-Bam, Talal Turki Almutairi
Mohammad Abdullah Alaiyed, Mohamad Fahad Alfaheed, Bandar Menwer Almutairi, Abduljabbar Abdulrahman Almatrudi, Tariq Salem Al-Shahi

Abstract

Diabetes mellitus represents a growing global public health challenge with profound clinical, social, and economic consequences. Its prevention and long-term management extend beyond medical treatment to encompass health awareness, community culture, and the capacity of healthcare systems to deliver continuous and secure care. This article explores the interrelated roles of nursing, health information systems, and health security in diabetes prevention and in improving quality of life, within the broader context of community culture and health awareness.

The review highlights that inadequate health literacy and culturally incongruent health interventions remain major barriers to effective diabetes prevention and self-management. Nursing professionals play a pivotal role in addressing these gaps through health education, early screening, psychosocial support, and culturally sensitive patient engagement. In parallel, health information systems enhance diabetes care by supporting early risk identification, continuity of care, data-driven decision-making, and patient empowerment through access to reliable health information. Health security frameworks further underpin these efforts by ensuring the continuity of essential services, protection of healthcare facilities and data, and resilience of diabetes care during public health emergencies.

The findings underscore that sustainable diabetes prevention and improved quality of life are best achieved through integrated approaches that align nursing practice, robust health information systems, and health security within the cultural realities of communities. Strengthening these interconnected domains is essential for reducing diabetes-related complications, enhancing patient engagement, and mitigating the long-term burden of diabetes on individuals and healthcare systems.

Keywords : Diabetes, Health Awareness, Community Culture, Nursing, Health Information Systems, Health Security, Quality of Life..
Erin Saricilar
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