Diabetic Foot Ulcers, Dressing, Healing, Nurse-led Dressing, Self-dressing
Conditions
Brief summary
This study aimed to compare the efficacy of self-dressing and nurse-led dressing on healing outcomes in diabetic foot ulcers (DFUs) .
Detailed description
Diabetic foot ulcers (DFUs) are among the most severe and persistent complications linked to diabetes. Wound care is essential in managing diabetic foot wounds, involving the cleansing of the wound with normal saline via aseptic procedures and the application of contemporary wound care methods that facilitate a moist healing environment. The choice of wound dressings is crucial in the management of diabetic wounds.
Interventions
OTHERSelf-dressing
Patients received self-dressing.
OTHERNurse-led dressing
Patients received a nurse-led dressing.
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age ≥18 years. * Admitted with type 1 or type 2 diabetes mellitus. * Superficial or moderate diabetic foot ulcer (Wagner grade 1-2). * Ankle-Brachial Pressure Index (ABI) ≥0.7. * Mental competence and literacy sufficient to understand instructions. * Had adequate visual and motor skills to perform self-dressing.
Exclusion criteria
* Severe ulcers (Wagner grade ≥3). * Systemic infection. * Critical limb ischemia. * Patients requiring urgent surgical intervention or amputation. * Inability to perform self-care due to physical or cognitive impairment. * Refusal to participate or withdrawal of informed consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to complete wound healing | 3 months after the procedure | Time to complete wound healing was recorded. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of ulcers healed | 3 months after the procedure | Proportion of ulcers healed within 12 weeks was recorded. |
| Infection rate | 3 months after the procedure | Infection rate was recorded. |
| Degree of pain | 24 hours postoperatively | Each patient was instructed about postoperative pain assessment with the Visual Analog Scale (VAS). VAS (0 represents "no pain" while 10 represents "the worst pain imaginable"). |
Countries
Egypt
Outcome results
None listed