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An Appraisal of the Role of Nurses in Reducing Diabetic Foot Ulcers in Sokoto State

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Background of the Study

Diabetic foot ulcers (DFUs) are a common and debilitating complication of diabetes mellitus, contributing significantly to morbidity and mortality among diabetic patients. The prevalence of diabetes is increasing globally, and with it, the incidence of diabetic foot ulcers. Nurses are essential in managing and preventing diabetic foot ulcers through patient education, early detection, and appropriate wound care. In Sokoto State, a region with a high prevalence of diabetes, DFUs are a major healthcare concern. Research has shown that nurses play a pivotal role in reducing the incidence of DFUs through timely interventions, patient education, and the implementation of evidence-based practices (Abubakar et al., 2024).

The management of DFUs requires a multidisciplinary approach, where nurses often serve as the first point of contact and the main providers of ongoing care for diabetic patients. Nurses are responsible for educating patients on foot care, encouraging regular monitoring of blood glucose levels, and providing wound care. Additionally, nurses facilitate the identification of high-risk individuals, ensuring that preventive measures are put in place to avoid the development of ulcers. While there is evidence of the positive role of nurses in managing diabetic foot care, the specific contributions of nurses in Sokoto State remain underexplored. This study seeks to investigate how nurses in Sokoto State are involved in the reduction of diabetic foot ulcers and how their interventions impact patient outcomes.

Statement of the Problem

Diabetic foot ulcers are a leading cause of disability and amputations in diabetic patients, significantly affecting their quality of life and leading to high healthcare costs. In Sokoto State, where the prevalence of diabetes is on the rise, the incidence of DFUs remains high. Despite the availability of preventive measures and management strategies, the incidence of diabetic foot ulcers continues to pose a major public health challenge. Nurses in Sokoto State, like their counterparts in other regions, are involved in managing these ulcers; however, their role and the effectiveness of their interventions have not been thoroughly examined. Understanding the role of nurses in reducing the incidence of DFUs is critical to improving healthcare outcomes for diabetic patients in the region. Identifying barriers to effective care, as well as exploring the strategies employed by nurses, will provide insight into how to reduce the burden of diabetic foot ulcers in Sokoto State.

Objectives of the Study

  1. To assess the role of nurses in the prevention and management of diabetic foot ulcers in Sokoto State.
  2. To examine the impact of nurse-led interventions on the reduction of diabetic foot ulcers among diabetic patients in Sokoto State.
  3. To identify the challenges nurses face in preventing and managing diabetic foot ulcers in Sokoto State.

Research Questions

  1. What role do nurses play in the prevention and management of diabetic foot ulcers in Sokoto State?
  2. How effective are nurse-led interventions in reducing the incidence of diabetic foot ulcers in Sokoto State?
  3. What challenges do nurses face in preventing and managing diabetic foot ulcers in Sokoto State?

Research Hypotheses

  1. Nurse-led interventions significantly reduce the incidence of diabetic foot ulcers among diabetic patients in Sokoto State.
  2. Nurses play a critical role in the prevention and management of diabetic foot ulcers in Sokoto State.
  3. There are significant challenges faced by nurses in the prevention and management of diabetic foot ulcers in Sokoto State.

Scope and Limitations of the Study

This study will focus on nurses involved in the care of diabetic patients in Sokoto State, specifically examining their role in preventing and managing diabetic foot ulcers. The research will include both qualitative and quantitative data, such as surveys and interviews with nurses, patients, and healthcare administrators. The scope of the study will be limited to Sokoto State, and the findings may not be applicable to other regions with different healthcare systems. Potential limitations include access to data, the willingness of nurses and patients to participate, and the challenges of accurately assessing the impact of nurse-led interventions.

Definitions of Terms

  • Diabetic Foot Ulcers (DFUs): Chronic wounds that develop in individuals with diabetes due to poor circulation, nerve damage, and high blood glucose levels.
  • Nurse-Led Interventions: Healthcare strategies implemented by nurses, including patient education, wound care, and monitoring, aimed at preventing or managing medical conditions.
  • Prevention: Measures taken to reduce the likelihood of developing diabetic foot ulcers, including patient education on foot care and regular monitoring.
  • Management: The treatment and care provided to diabetic patients who have developed foot ulcers, including wound care, infection control, and monitoring of complications.
  • Sokoto State: A state in the north-western region of Nigeria, where there is a high prevalence of diabetes and associated complications, including diabetic foot ulcers.




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