Impact of multidisciplinary nursing interventions and blood glucose control on diabetic foot ulcer healing, patient emotions, and satisfaction

BACKGROUND Diabetic foot ulcers (DFUs) present a significant healthcare challenge attributable to their high rates of disability and the limitations of applied traditional nursing approaches. Effective management is critical for uneventful health outcomes. AIM To investigate the effects of multidisciplinary team (MDT) nursing interventions and blood glucose control on the negative emotions and satisfaction of DFU-healing patients. METHODS This retrospective cohort study included 115 patients with DFUs, divided into MDT and blood glucose control intervention group (n = 60) and standard care control group (n = 55). The comparison factors were wound area, new granulation tissue coverage area, wound healing rate, 2-hour postprandial blood glucose level, fasting plasma glucose level, Hamilton Anxiety Scale score, Hamilton Depression Scale score, and nursing satisfaction. RESULTS After 4 weeks, the average wound area reduced from 22.04 ± 6.48 cm2 to 11.96 ± 3.63 cm2 (P < 0.05). New granulation tissue coverage area reached 52.85 ± 18.39 cm2 for the intervention group and 28.39 ± 9.94 cm2 (P < 0.05) in the control group, respectively. The healing rate was significantly higher in the intervention group than in the control group (91.7% vs 76.4%, P < 0.05). Fasting plasma glucose decreased more sharply in the intervention group (from 8.36 ± 0.98 mmol/L to 6.91 ± 1.23 mmol/L) than in the control group (8.41 ± 1.05 mmol/L to 7.81 ± 1.27 mmol/L), with the intervention group maintaining significantly lower levels (P < 0.05). The intervention group demonstrated a significantly greater reduction in 2-hour postprandial blood glucose levels (11.35 ± 2.67 mmol/L to 7.52 ± 1.38 mmol/L) compared to the control group (11.61 ± 3.01 mmol/L to 8.72 ± 1.63 mmol/L; P < 0.05). Hamilton Anxiety Scale and Hamilton Depression Scale scores were significantly lower in the intervention group (P < 0.05). Patient satisfaction with nursing was 93.33% and 74.55% in the intervention and control groups, respectively (P < 0.05). CONCLUSION MDT combined with blood glucose control enhanced healing rates and positively influenced emotional well-being and satisfaction among patients. This strategy holds potential for application in clinical practice.