EFFECTIVENESS OF MULTIDISCIPLINARY NURSING CARE ON SURGICAL OUTCOMES IN DIABETIC PATIENTS
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Keywords
Multidisciplinary nursing care, surgical outcomes, diabetic patients, glycemic control, wound care, patient satisfaction
Abstract
This research aims at establishing the impact of multidisciplinary nursing care on surgical outcomes of diabetic patients who are undergoing elective surgeries. A prospective cohort design was used and 100 patients from the tertiary care hospital were selected and divided into intervention and control groups. The intervention group received enhanced nursing care focusing on glycemic control and wound care while the control group received routine preoperative and postoperative care. Outcome analysis shows that the intervention group had a lower proportion of patients with surgical site infection (24% vs 40%, p= 0. 045) and delayed wound healing (12% vs 30%, p= 0. 021), a shorter length of hospital stay (mean 5. 3 days vs 6. 8 days, p < 0. 001) and higher patient satisfaction score (mean satisfaction score 8. 7 vs These results stress the importance of providing multidisciplinary nursing care in improving the surgical outcomes and satisfaction of diabetic patients, suggesting the directions for the further clinical practice and research to confirm the generalizability of the findings for the different patient groups and settings.
References
2. C. W. Hicks et al., "Trends and predictors of limb loss after lower extremity revascularization in the United States, 2000-2008," Journal of Vascular Surgery, vol. 54, no. 6, pp. 1464-1471, 2011.
3. K. B. Kirkland et al., "The impact of surgical-site infections in the 1990s: attributable mortality, excess length of hospitalization, and extra costs," Infection Control & Hospital Epidemiology, vol. 20, no. 11, pp. 725-730, 2013.
4. P. Mitchell et al., "Core principles & values of effective team-based health care," Institute of Medicine, 2012.
5. E. S. Moghissi et al., "American Association of Clinical Endocrinologists and American Diabetes Association consensus statement on inpatient glycemic control," Diabetes Care, vol. 32, no. 6, pp. 1119-1131, 2009.
6. M. A. Powers et al., "Diabetes self-management education and support in type 2 diabetes: a joint position statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics," Diabetes Care, vol. 38, no. 7, pp. 1372-1382, 2015.
7. C. A. Estrada et al., "Outcomes and perioperative hyperglycemia in patients with or without diabetes mellitus undergoing coronary artery bypass grafting," The Annals of Thoracic Surgery, vol. 75, no. 5, pp. 1392-1399, 2003.
8. R. P. Naik et al., "The effectiveness of multidisciplinary care for sickle cell disease: a systematic review," Blood Advances, vol. 1, no. 3, pp. 131-139, 2014.
9. K. R. Simpson and Y. C. Lin, "The impact of multidisciplinary approaches to patient care: a systematic review," Nursing Research, vol. 55, no. 1, pp. 19-27, 2006.
10. World Medical Association, "World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects," JAMA, vol. 310, no. 20, pp. 2191-2194, 2013.
11. M. O. Joret, K. Osman, A. Dean, C. Cao, B. van der Werf, and V. Bhamidipaty, "Multidisciplinary clinics reduce treatment costs and improve patient outcomes in diabetic foot disease," Journal of vascular surgery, vol. 70, no. 3, pp. 806-814, 2019.
12. J. Musuuza, B. L. Sutherland, S. Kurter, P. Balasubramanian, C. M. Bartels, and M. B. Brennan, "A systematic review of multidisciplinary teams to reduce major amputations for patients with diabetic foot ulcers," Journal of vascular surgery, vol. 71, no. 4, pp. 1433-1446, 2020.
13. E. Huizing, M. A. Schreve, W. Kortmann, J. P. Bakker, J. P. de Vries, and Ç. Ünlü, "The effect of a multidisciplinary outpatient team approach on outcomes in diabetic foot care: a single center study," JOURNAL OF CARDIOVASCULAR SURGERY, vol. 60, no. 6, pp. 662-671, 2019.
14. J. M. Wentworth, J. Playfair, C. Laurie, M. E. Ritchie, W. A. Brown, P. Burton et al., "Multidisciplinary diabetes care with and without bariatric surgery in overweight people: a
15. W. Zhang, X. Feng, X. Deng, M. Jin, J. Li, J. Xu et al., "Application of a specialist nurse-led multidisciplinary team model in the perioperative care of patients undergoing simultaneous pancreas and kidney transplantation: randomized controlled trial," Gland Surgery, vol. 12, no. 5, pp. 619, 2023.
A. Buggy and Z. Moore, "The impact of the multidisciplinary team in the management of individuals with diabetic foot ulcers: a systematic review," Journal of Wound Care, vol. 26, no. 6, pp. 324-339, 2017.
16. V. Dargis, O. Pantelejeva, A. Jonushaite, L. Vileikyte, and A. J. Boulton, "Benefits of a multidisciplinary approach in the management of recurrent diabetic foot ulceration in Lithuania: a prospective study," Diabetes care, vol. 22, no. 9, pp. 1428-1431, 1999.
17. T. Choi, U. L. Osuagwu, C. Tran, K. Bulsari, and D. Simmons, "Impact of multidisciplinary care of diabetic foot infections for inpatients at Campbelltown Hospital," BMC Health Services Research, vol. 23, no. 1, pp. 1126, 2023.
18. M. Bolton, A. Richard, L. Blonde, and A. Burshell, "Effective glycemic management in hospitalized patients: A multidisciplinary approach," Ochsner Journal, vol. 7, no. 2, pp. 52-57, 2007.
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Dr. Khrieketouzo Chielie
Associate Professor, Anatomy Shija Academy Of Health Sciences, Imphal, Manipur
Dr Abanibhusan Jena
Associate Professor & Head Of Department, Department Of Emergency Medicine ,
F.M. Medical College, Balesore, Affiliated To: Odisha University Of Health Sciences, Bhubaneswar, India,
Dr Sukanta Bandyopadhyay
Associate Professor, Dept Of Biochemistry, Rama Medical College Hospital & Research Centre, Kanpur, India
Dr. Arpana Sandeep Pareek
Smt. K. B. Abad Homoeopathic Medical College Chandwad Dist. Nashik Maharashtra
Professor & HOD, Department Of Repertory
Dr Meenal Pravin Berad (Bari)
Associate Professor in the subject of Homoeopathic Repertory, Shri Bhagwan Homoeopathic Medical College and Hospital Aurangabad, Maharashtra,