Promising community nursing effect on diabetic foot patients under the "six-in-one" collaborative management model

Diabetic foot complications are among the most severe and costly complications of diabetes. This study aims to explore the effectiveness of a nurse-led multidisciplinary collaborative nursing model under the "Six-Profession Co-Management Model" in the nursing intervention for community-based patients with high-risk diabetic feet.

A prospective analysis was conducted from July to December 2023, involving 148 community-based DHRF patients. Participants were randomly allocated (1:1) to a control group receiving conventional nursing care, or an experimental group receiving nurse-led multidisciplinary interventions within the Six-Profession Co-management Model, alongside conventional care. Outcomes including laboratory measures (fasting and postprandial blood glucose, glycated hemoglobin, lipids), high-risk foot examination results, and scores from the Diabetic Foot Care Knowledge and Daily Care Behavior questionnaires were compared between groups before and after the 6-month intervention.

No statistically significant differences were observed in baseline data between the two groups (P > 0.05). Before the intervention, there were no significant differences in laboratory indicators, high-risk foot examination results, or questionnaire scores between the two groups (P > 0.05). After the intervention, significant differences were observed in all these measures, with the experimental group demonstrating markedly better outcomes than the control group (P < 0.05).

The nurse-led multidisciplinary collaborative nursing model under the "Six-Profession Co-Management" framework is effective in managing community-based DHRF patients. It supports risk factor screening and assessment of foot care knowledge and behaviors, offering valuable guidance for early intervention.