Predicting The Diabetic Foot Ulcer Risk Using Sensory Monofilament Test Among Diabetic Patients At Benha University Hospitals | ||||
Egyptian Journal of Health Care | ||||
Article 24, Volume 9, Issue 4, December 2018, Page 332-348 PDF (450.21 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejhc.2018.47165 | ||||
View on SCiNiTO | ||||
Authors | ||||
Sarah Reda Shohood1; Wafaa Ismail Shrief2; Marwa Mosaad Ali3 | ||||
1Clinical Instructor –Faculty of Nursing Damanhour University | ||||
2Medical Surgical Department-Faculty of Nursing –Mansora University | ||||
3Medical Surgical Department, Faculty of Nursing-Benha University | ||||
Abstract | ||||
Diabetes mellitus continues to grow in global prevalence and to consume health care resources. One of the key areas of morbidity associated with diabetes is the diabetic foot. Many cohort prospective studies considered that 5.07/10g Semmes Weinstein Monofilament test is a significant predictor of loss of protective sensation, peripheral diabetic neuropathy, future ulcer and likely lower extremity amputation. This study aimed to predict the diabetic foot ulcer risk using sensory monofilament test. Methods: Quasi-experimental design was conducted at Benha University Hospitals. Purposive sample of 60 diabetic patients admitted to medical department, Benha University Hospitals with inclusion criteria: Patients' age ranges from 21-60 years, intact foot skin, exclusion criteria: Patients with diabetic foot ulcer & anticipatory reaction. Data were collected using three tools I)"Structured Questionnaire" which includes 2 parts: part I: "Socio demographic data"& patient`s life style. Part II: Medical data. Tool II) "Neurovascular Foot Assessment Sheet" which includes 2 parts; part I "Sensory assessment sheet'. Part II: "foot assessment sheet". Tool III) "foot Ulcer Assessment Sheet" for 2nd and 3rd assessment. Results loss of protective sensation has increased from one quarter to more than one third after six months for RT& LT feet using sensory monofilament test, one fifth of sample were high risk group for diabetic foot, after six months. One sixth of diabetic foot ulcer risk group had foot ulcer. Conclusion: Semmes Weinstein Monofilament is an evidence based procedure used in identifying loss of protective sensation, diabetic neuropathy consequently diabetic foot ulcer risk. Recommendations: Instruct patients to use 5.07/10g nylon Semmes Weinstein Monofilament to test their feet for neuropathy & recommendations for nurses to use the test in outpatient clinics as a routine procedure. | ||||
Keywords | ||||
foot ulcer; peripheral neuropathy; Sensory monofilament test; 5.07/10g Semmes Weinstein Monofilament | ||||
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