Cultura

Applying Epidemiological Principles in Nursing Practice to Improve Population and Community Health

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

Abdullah Mohmmed Hasan Joman, Ayman Atiah Ateeq Aljohani, Abdullah Ghazi Falah Alharbi, Saad Awda Ahmed Alahmadi, Omar Muallith Safar Alhejaili, Fahad Abdulelah Abdullah Alahmadi, Mislat Saud Dlal Aloufi, Riyadh Ghazi Falah Alharbi

Abstract

Abstract

The integration of epidemiological principles into nursing practice has become increasingly important in addressing contemporary population and community health challenges. Nurses play a central role in disease prevention, health promotion, and the management of health risks across diverse settings, making epidemiology a critical foundation for effective nursing practice. This article examines how core epidemiological concepts—such as disease surveillance, risk factor identification, and levels of prevention—can be applied within nursing roles to enhance population and community health outcomes. Drawing on contemporary literature, the paper highlights the ways in which epidemiological evidence supports informed clinical judgment, guides community-based interventions, and strengthens preventive strategies led by nurses. The application of epidemiological data enables nurses to identify vulnerable populations, prioritize health needs, and design targeted interventions that address both individual and collective health risks. Furthermore, the article discusses the contribution of epidemiology to evidence-based nursing practice and its role in reducing health disparities and improving health equity. By strengthening nurses’ competencies in epidemiological thinking, healthcare systems can enhance the effectiveness of nursing interventions, promote proactive rather than reactive care, and improve overall population and community health outcomes.

Keywords : Epidemiology; Nursing Practice; Population Health; Community Health; Disease Prevention; Public Health Nursing.
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