دورية أكاديمية
Diabetic foot ulcers: evaluating the role of the specialist advanced practice nurse in complex chronic wounds.
| العنوان: | Diabetic foot ulcers: evaluating the role of the specialist advanced practice nurse in complex chronic wounds. |
|---|---|
| المؤلفون: | Jiménez-García JF; Advanced Practice Nurse in Complex Chronic Wounds, Poniente de Almería Health District, Spain, Associate Professor, University of Almería, Spain, and Executive Member of the Spanish Pressure Ulcer Advisory Panel., Jiménez-Abad JF; Urology Resident Internal Physician. Jiménez Díaz Foundation University Hospital, Madrid, Spain., López LA; Director of Nursing, Poniente de Almería Health District, Spain., García-Fernández FP; Professor of Nursing, Faculty of Health Sciences, University of Jaén, Spain, Executive Member of the Spanish Pressure Ulcer Advisory Panel, and Chair of the Advanced Management in Wounds, Grupo Nacional para el Estudio y Asesoramiento en Úlceras por Presión y Heridas Crónicas (GNEAUPP). |
| المصدر: | British journal of nursing (Mark Allen Publishing) [Br J Nurs] 2024 Aug 13; Vol. 33 (15), pp. S4-S15. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: MA Healthcare Country of Publication: England NLM ID: 9212059 Publication Model: Print Cited Medium: Internet ISSN: 2052-2819 (Electronic) Linking ISSN: 09660461 NLM ISO Abbreviation: Br J Nurs Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : MA Healthcare Original Publication: London : Mark Allen Pub., c1992- |
| مواضيع طبية MeSH: | Diabetic Foot*/nursing , Nurse's Role*, Humans ; Male ; Female ; Aged ; Advanced Practice Nursing ; Amputation, Surgical/nursing ; Chronic Disease ; Middle Aged ; Wound Healing |
| مستخلص: | Objectives: To determine the profile of diabetes patients with neuropathic and neuro-ischaemic lesions who are referred to the advanced practice nurse (APN) in complex chronic wounds; to determine whether a training strategy aimed at primary care nurses and nursing homes that care for patients with diabetic foot disease influences the performance of professionals; and to assess the extent, follow-up and evaluation of diabetic foot disease in patients with neuropathic ulcers and neuro-ischaemic ulcers referred to the specialist APN before and after the training. Methods: The characteristics of patients referred to the APN over a period of 6.5 years were analysed, as well as the numbers of amputations and deaths pre- and post-training. Results: of the total of 103 patients, 78 were men; across both sexes the average age was 69 years. Fifty patients had neuropathic ulcers and 53 had neuro-ischaemic ulcers, with healing rates of 59%. There were 50 amputations and 37 deaths over the study period. Conclusion: Prevention of diabetic foot ulcers depends on having in place a fast, agile, practical clinical pathway between primary care and hospital, with the role of the APN, including the co-ordination of care between primary and secondary settings, being key. |
| فهرسة مساهمة: | Keywords: Advanced practice nurse in complex chronic wounds; Amputation; Diabetic foot; Neuro-ischaemic ulcer; Neuropathic ulcer |
| تواريخ الأحداث: | Date Created: 20240814 Date Completed: 20240814 Latest Revision: 20240814 |
| رمز التحديث: | 20240814 |
| DOI: | 10.12968/bjon.2024.0006 |
| PMID: | 39141327 |
| قاعدة البيانات: | MEDLINE |
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