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

Assessment of Dressing Method (Self-dressing vs. Nurse-led Dressing) on Healing Outcomes in Diabetic Foot Ulcers: A Randomized Clinical Trial

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.

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.