Desouky, A., Mahmmod, M., Mohammad, M., Sayed, . (2023). Effect of a Nursing Care Bundle on Severity of Diabetic Peripheral Neuropathy. Assiut Scientific Nursing Journal, 11(37), 199-211. doi: 10.21608/asnj.2023.210283.1588
Amna Abdullah Desouky; Madiha Ali Mahmmod; Mohammad Hasan Mohammad; ٍSamia Youssef Sayed. "Effect of a Nursing Care Bundle on Severity of Diabetic Peripheral Neuropathy". Assiut Scientific Nursing Journal, 11, 37, 2023, 199-211. doi: 10.21608/asnj.2023.210283.1588
Desouky, A., Mahmmod, M., Mohammad, M., Sayed, . (2023). 'Effect of a Nursing Care Bundle on Severity of Diabetic Peripheral Neuropathy', Assiut Scientific Nursing Journal, 11(37), pp. 199-211. doi: 10.21608/asnj.2023.210283.1588
Desouky, A., Mahmmod, M., Mohammad, M., Sayed, . Effect of a Nursing Care Bundle on Severity of Diabetic Peripheral Neuropathy. Assiut Scientific Nursing Journal, 2023; 11(37): 199-211. doi: 10.21608/asnj.2023.210283.1588
Effect of a Nursing Care Bundle on Severity of Diabetic Peripheral Neuropathy
1Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Assiut University, Egypt.
2Lecturer of Internal Medicine, Faculty of Medicine, Assiut University, Egypt
3Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Assiut University, Egypt
Abstract
Background: Diabetic peripheral neuropathy is a chronic microvascular complication of diabetes which can lead tofoot ulcers, amputations, and mortality. Based on the current evidence-based practice; providing a care bundle can improve patient outcome. So, this study aimed to evaluate the effect of a nursing care bundle on severity of diabetic peripheral neuropathy. Methods/Design: Quasi-experimental single group pre- posttest design was utilized. A purposive sample of sixty-two diabetic attendees (new and established patients) to the Center of diabetes & endocrinology at Assiut University Hospital had been assessed at baseline using the following tools: Patient assessment sheet, Diabetic Self Care Knowledge Questionnaire (DSCK30Q), and Clinical neurological examination (CNE) scale. Then after receiving a care bundle, participant had been reassessed after three months later. Results: revealed that there was no statistically significant difference between baseline and follow-up measurements regarding neuropathy stage. Moreover, there was a highly statistically significant improvement in tested variables after receiving a care bundle with P-value <0.01. HgbA1c level was 10.56 (2.83) at baseline, while it was 8.83(1.75) at follow-up. The mean of total diabetic self-care knowledge was 10.43 (3.71) at baseline, while it was 20.93(4.76) at follow-up. Regarding neuropathy severity; (88.7%) have mild level at baseline, while (91.9%) have at follow-up. Conclusion/Recommendation: Diabetic peripheral neuropathy care bundle led to a targeted positive outcome as it maintained on the stage of diabetic peripheral neuropathy and didn’t progress to the next stage. Also, severity of symptoms had been decreased in some patients/Diabetic peripheral neuropathy care bundle should be an integral part of diabetes care.
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