{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T14:19:21Z","timestamp":1770905961628,"version":"3.50.1"},"reference-count":50,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,2,18]],"date-time":"2020-02-18T00:00:00Z","timestamp":1581984000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Wound Repair Regeneration"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Diabetic foot ulcer (DFU) is a serious and costly complication in diabetes which affects different aspects of life and can reduce patient's quality of life. Various views to manage DFU have been introduced. The nurse\u2010led team, as a multidisciplinary team, can be effective due to a holistic approach to some disease management; but in patients with DFU it has not been assessed. Therefore, this study was designed to determine the effect of nurse\u2010led care on quality of care (QOC) and improvement of HbA1C in Patients with DFU. This was a randomized clinical trial study performed on 52 patients with DFU. Patients were randomly assigned into two groups: nurse\u2010led care intervention and standard care. The study was conducted in one of the hospitals affiliated to Tehran University of Medical Sciences. Data were collected using two questionnaires: Demographic characteristics and Quality Patient Care Scale (QUALPACS) and taking a blood sample for HbA1C. The nurse\u2010led Care interventions were conducted in three stages: Integrated, Interdisciplinary, and Comprehensive. Descriptive and analytic statistical methods were used to analyze the data. <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.05 was considered significant. The results demonstrated that according to repeated measures test, (before, 4 and 12\u2009weeks after the intervention), the level of QOC dimensions (Psychosocial, communication and physical aspect) in the nurse\u2010led group had a significant difference with control group (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.0001). Also, according to the results of Independent <jats:italic>t<\/jats:italic> test, there was a significant difference in total QOC scoring and HbA1c between intervention and control groups after the intervention and follow up (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.0001). Considering the burden of diabetes and DFUs, it seems that the establishment of a nurse\u2010led care approach can be an effective strategy to manage and treat these patients, and eliminate the disruption of care and achieve optimal care quality.<\/jats:p>","DOI":"10.1111\/wrr.12788","type":"journal-article","created":{"date-parts":[[2019,12,7]],"date-time":"2019-12-07T09:01:42Z","timestamp":1575709302000},"page":"338-346","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Effect of nurse\u2010led care on quality of care and level of HbA1C in patients with diabetic foot ulcer: A randomized clinical trial"],"prefix":"10.1111","volume":"28","author":[{"given":"Nahid","family":"Dehghan Nayeri","sequence":"first","affiliation":[{"name":"School of Nursing and Midwifery, Nursing and Midwifery Care Research Center Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7648-4246","authenticated-orcid":false,"given":"Nasrin","family":"Samadi","sequence":"additional","affiliation":[{"name":"Diabetes Researcher Center, Endocrinology and Metabolism Research Institute Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bagher","family":"Larijani","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, Nursing and Midwifery Care Research Center Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leila","family":"Sayadi","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, Nursing and Midwifery Care Research Center Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,2,18]]},"reference":[{"issue":"11","key":"e_1_2_10_2_1","first-page":"28","article-title":"Diabetic foot ulcers effects on QOL, costs, and mortality and the role of standard wound care and advanced\u2010care therapies","volume":"55","author":"Snyder RJ","year":"2009","journal-title":"Ostomy Wound Manage"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc13-2176"},{"issue":"2","key":"e_1_2_10_4_1","first-page":"108","article-title":"The effect of implementing OREM'S self\u2010care program on self\u2010care behaviors in patients with diabetic foot ulcer","volume":"14","author":"Shahbaz A","year":"2016","journal-title":"J Urmia Nurs Midwife Facul"},{"key":"e_1_2_10_5_1","first-page":"11","volume-title":"Evidence\u2010Based Practice Manual for Nurses\u2010E\u2010Book: With Pageburst Online Access","author":"Smyth RL","year":"2011"},{"issue":"2","key":"e_1_2_10_6_1","first-page":"121","article-title":"Evaluation of the risk factors of diabetic foot ulcer and its treatment in diabetic patients, Babol, North of Iran","volume":"11","author":"Janmohammadi N","year":"2009","journal-title":"Iran J Endocrinol Metab"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-1241.2007.01534.x"},{"issue":"9498","key":"e_1_2_10_8_1","first-page":"1719","article-title":"A study of the efficacy of external fixation in healing large, deep and unstable diabetic foot wounds","volume":"366","author":"Patro B","year":"2005","journal-title":"Lancet"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/2251-6581-11-24"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0128581"},{"key":"e_1_2_10_11_1","first-page":"610","article-title":"Treating the diabetic ulcer: practical approach and general concepts","volume":"9","author":"Tamir E","year":"2007","journal-title":"Isr Med Assoc J"},{"key":"e_1_2_10_12_1","unstructured":"Guideline19 NC.Internal Clinical Guidelines team Diabetic foot problems Prevention and management2016. https:\/\/www.nice.org.uk\/guidance\/ng19\/evidence\/full-guidance-pdf-15672915543."},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1900\/RDS.2016.13.158"},{"key":"e_1_2_10_14_1","unstructured":"GuidelineN. 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