Effect of using a Nursing Care Protocol on a person with an amputation due to Diabetes Mellitus

INTERVENTION: E02.760.611 N02.421.533 I02.903 This is an experimental study of the randomized clinical trial type. It will be developed in the city of Recife‐PE, data collection will take place in two hospital units: 1) Hospital Agamenon Magalhães and 2) Hospital Getúlio Vargas, between the period of 2022 to 2024. mentioned institutions. The following inclusion criteria will be adopted: 1) Be aged 18 or over; 2) Have an amputation due to diabetic complications; 3) Being treated in the inpatient units of the hospitals participating in the study. Exclusion criteria: 1) Patients admitted to the Intensive Care Unit; 2) Present a medical diagnosis of neurological deficit that hinders the learning process; 3) Have a hearing and/or visual impairment; 4) Health professionals. The sample should consist of two groups containing 98 people in each group. The recruitment of participants will occur through the identification of patients hospitalized in the medical clinic units of the selected institutions through the medical records. Randomization will be done in blocks using the following software: Research Randomizer (www.randomizer.org), available online and free of charge. The control group will be conducted by nurses from the institutions participating in the study, such professionals will provide assistance based on the hospital routine of the institution where they work, applying the nursing process during patient care. The intervention group will be assisted by the main researcher and three researchers who will be previously trained to apply the protocol. The training will take place through a four‐hour dialogued lecture with practical demonstration and issuance of a declaration of participation.Data will be collected using instruments developed by the main researcher, tabulated in Microsoft Excel 2007 spreadsheets and s CONDITION: C19.246.09 Diabetes Mellitus; Amputation, Surgical PRIMARY OUTCOME: It is expected to find a reduction in the length of stay, a decrease in the rate of complications such as: reinfections and readamputations, through the application of the protocol and the data collection instrument that includes the records of the length of stay and subsequent complications identified through the measurement /record of hospitalization days, number of reinfections and reamputations INCLUSION CRITERIA: Be 18 years of age or older; present amputation due to diabetic complications; being treated in the inpatient units of the hospitals participating in the study SECONDARY OUTCOME: Identify motor difficulties and provide guidance to achieve the highest possible level of autonomy through the Barthel Index, which verifies functional independence through scoring according to the questions, and indicates the possibility of carrying out daily activities, the lower the score, the lower the functional capacity of the patient to perform the activities Identify the rates of glycemic curve control, through capillary blood glucose and recording in a data collection instrument through measurement with capillary blood glucose values It is expected to verify the reduction or relief of pain reports, through the evaluation of pain on a numerical scale contained in the protocol Reduce healing time by applying the protocol, in addition to measuring healing time based on the number of days between the onset of injury and healing