Dressing Method (Self-dressing vs. Nurse-led Dressing) on Healing Outcomes in Diabetic Foot Ulcers

Ain Shams University60 enrolled

Overview

This study aimed to compare the efficacy of self-dressing and nurse-led dressing on healing outcomes in diabetic foot ulcers (DFUs) .

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Dressing Self-dressing Nurse-led Dressing Healing Diabetic Foot Ulcers

Interventions

Self-dressingOTHER

Patients received self-dressing.

Nurse-led dressingOTHER

Patients received a nurse-led dressing.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

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.

Locations (1)

Ain Shams University

Cairo, Egypt

Outcomes

Primary Outcomes

Time to complete wound healing

Time to complete wound healing was recorded.

Time frame: 3 months after the procedure

Secondary Outcomes

Proportion of ulcers healed

Proportion of ulcers healed within 12 weeks was recorded.

Time frame: 3 months after the procedure

Infection rate

Infection rate was recorded.

Time frame: 3 months after the procedure

Degree of pain

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").

Time frame: 24 hours postoperatively

Data from ClinicalTrials.gov

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