Assessment Of Nursing Competency In The Prevention Of Diabetes-Related Complications: A 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
Hanan Bader Alanzi, Noura Saeed Bani Al-Malki, Sultan Mutlag Ali Alharbi, Sultan Halal AlHarbi, Awad Rwilan Fawaz AlHarbi
Fahd Torki Ali AlHarbi, Rahaf Sarhan Alanazi, Amal Rashed Alalwani, Yasir Buraykan Lafi Almutairi, Nadiyah Ibrahim Fallatah
Abstract
Background: Diabetes mellitus is a major global health concern, with complications contributing significantly to morbidity and mortality. Nurses play a pivotal role in preventing diabetes-related complications; however, evidence regarding their competency in this area remains limited.
Aim: To assess nursing competency in the prevention of diabetes-related complications and identify associated demographic and professional factors.
Methods: A descriptive cross-sectional study was conducted among 120 nurses working in healthcare facilities providing diabetes care. Data were collected using a structured questionnaire assessing demographic characteristics, knowledge, and nursing practices related to diabetes complication prevention. Chi-square tests were used to examine associations between nursing competency and selected variables.
Results: Overall nursing competency was predominantly moderate (55%), with 25% demonstrating high competency. Statistically significant associations were found between nursing competency and educational level (p = 0.008), years of experience (p = 0.004), and previous diabetes training (p < 0.001). No significant associations were observed with gender or workplace setting.
Conclusion: Nursing competency in preventing diabetes-related complications was moderate, highlighting the need for targeted education and continuous professional development. Strengthening nursing training programs may enhance preventive care and improve outcomes for patients with diabetes.
Keywords :
Nursing competency; Diabetes mellitus; Complication prevention; Cross-sectional study; Diabetes care..
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