The Effect of Clinical Pathway Implementation on Healing of Post Lower Limb Amputation for Diabetic Patients | ||||
Alexandria Scientific Nursing Journal | ||||
Volume 17, Issue 2, December 2015, Page 1-20 PDF (245.07 K) | ||||
Document Type: Research articles | ||||
DOI: 10.21608/asalexu.2015.208755 | ||||
![]() | ||||
Authors | ||||
Eman Fathy Amr* 1; Sanaa Alaa El-din2; Mamdouh Mohammed Kotb3; Kawther Gaber Tolba2; Wafaa Nour Besely2 | ||||
1Technical Nursing Institute, Faculty of Medicine, Alexandria University | ||||
2Medical Surgical Nursing, Faculty of Nursing, Alexandria University | ||||
3Vascular Surgery, Faculty of Medicine, Alexandria University | ||||
Abstract | ||||
Diabetic lower limb amputation remains the serious outcome of diabetic foot complications. It has been consistently shown that the best results of diabetic stump care occur when clinical pathway /an interdisciplinary approach is taken toward treatment. Objective: To determine the effect of implementing a clinical pathway on healing of post lower limb amputation for diabetic patients. Settings: The study was carried out in the Vascular Unit, Department of Surgery at the Alexandria Main University Hospital and the Private Alexandria Vascular Center (AVC) using a quasi experimental research design. Subjects: The study included 40 adult diabetic patients undergoing first exposure to unilateral lower limb amputation and free from vital organ failure. Study subjects are randomly divided into control and study groups (20 patients each). Tools: Three tools were used for data collection; Perioperative Diabetic Lower Limb Amputation Assessment, Clinical Pathway Variances Observation Checklist and Patients' Satisfaction Scale. Results: The study implies statistical significant difference in favor of the study group regarding wound healing during the second to the sixth week in postoperative follow up period. The results also imply that the study group had significantly higher satisfaction level as compared to the control one. Conclusion: Diabetic patients underwent lower limb amputation exhibited significantly better post clinical pathway health outcomes comparing with control one. Recommendations: Applying the clinical pathway for diabetic patients undergoing lower limb amputation rather than the hospital routine care is recommended. | ||||
Keywords | ||||
Clinical Pathway; Healing; Amputation; Diabetes | ||||
Statistics Article View: 136 PDF Download: 271 |
||||