Effect of a Nursing Care Bundle on Severity of Diabetic Peripheral Neuropathy | ||||
| Assiut Scientific Nursing Journal | ||||
| Article 19, Volume 11, Issue 37, May 2023, Page 199-211 PDF (766.32 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/asnj.2023.210283.1588 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Amna Abdullah Desouky  1; Madiha Ali Mahmmod1; Mohammad Hasan Mohammad 2; ٍSamia Youssef Sayed3
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| 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. | ||||
| Keywords | ||||
| Care bundle; Diabetic Peripheral Neuropathy & Severity | ||||
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