Home Care for Clients with Diabetic Peripheral Neuropathy | ||
| Egyptian Journal of Health Care | ||
| Article 35, Volume 9, Issue 4, December 2018, Pages 513-535 PDF (885.59 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhc.2018.198494 | ||
| Authors | ||
| Fatma Gomaa Mohmed; Faten Khyrat El Guindi; Omaima Mohmed Esmat | ||
| Community Health Nursing - Faculty of Nursing, Ain Shams University | ||
| Abstract | ||
| Background: Diabetic peripheral neuropathy (DPN) is one of the most frequent complications of diabetes mellitus leading cause for disability due to foot ulceration and amputation, gait disturbance, and fall-related injury. The aim of this study was to evaluate the effect of home care program of clients with diabetic peripheral neuropathy. Setting: This study was conducted at the diabetic Outpatient Clinics at Ain Shams University Hospital through clients home. Sampling: A purposive sample of 50 clients with DPN were included, male & female aged from 35 years and above56, and registered for follow up in the previous setting. Tools: For data collection three tools were used, an interviewing questionnaire for the DPN clients include four parts; 1st part socio-demographic characteristics, home environmental assessment, Past and present medical and family history, knowledge regarding diabetic peripheral neuropathy and. 2nd tool: Healthy practices assessment sheet for client's' with diabetic peripheral neuropathy client's lifestyle toward DPN & Foot Care, 3rd tool: A neurological examination includes physical assessment measurements. Results: of this study revealed that majority from clients had unsatisfactory knowledge regarding DPN. Regarding total lifestyle practices most of clients had positive lifestyle practices; two third of clients had correctly done foot care practice toward DPN after program implementation. Conclusion: The study concluded that the Home Care program showed remarkable improvement in patient's knowledge, and practices regarding their DPN. There was highly statistically significant difference in relation to client's knowledge and, practices toward DPN pre/post home care program. Recommendations: The study recommended that Continuity of health education programs to raise the health awareness and knowledge of family and clients about risk factors for diabetic peripheral neuropathy and encourage them to adopt a healthy dietary behavior, and promote physical exercise. Providing diabetic outpatient clinics in governmental hospitals with rehabilitation centers to follow-up lifestyle promoting for diabetic patients | ||
| Keywords | ||
| Home Health Care; Diabetic Peripheral Neuropathy. Diabetic foot; life style; Transcutaneous Electrical Nerve Stimulation | ||
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