Health Needs and Problems for Diabetic Neuropathy

Fatma Gomaa Mohamed;

Abstract


Summary
D

iabetes is a near-epidemic disease causing many neuropathic presentations most typically involving the sensory and autonomic nervous systems. Some diabetic patients have other superimposed neuropathic processes, requiring careful neurologic, laboratory and metabolic workup. Neuropathy may be the presenting symptom of patients with unrecognized but established diabetes leading to a first-time diagnosis, while others only have impaired glucose tolerance and whether their neuropathy is diabetic is less certain.(Schmidt, 2014).

Diabetic neuropathy is the main cause of neuropathy in the world. As one of the major complications, it plays a key role in morbidity and mortality in patients with type 1 and type 2 diabetes mellitus (T1DM and T2DM). (Pasnoor,etal ,2013)

Nurse can play a pivotal role in decreasing the risk factors associated with development of DN. Besides providing education on proper glucose control and foot care, nurse can also counsel patients about lifestyle changes such as exercise and smoking cessation. Nurse can provide management as well as patient education to help control hypertension and hyperlipidemia, which are also risk factor( Bakkers,etal ,2014

Aim of the study:

This study aims to assess Health Needs and Problems for Diabetic Neuropathy through:
1. Identifying knowledge of the diabetic neuropathy patients related to diabetes
2. Recognize practices of diabetic neuropathy
3. Assessing client health status related to nervous system status of diabetic of diabetic neuropathy.
4. Assessing client health need and health problem according. Diabetic neuropathy
Technical design:
Research design:
A descriptive analytic study was used in the study
Setting:
The study was conducted at diabetes outpatient clinic at Ain Shams University Hospital. The total number of attending clients during the year 2013 was (3250 diabetic clients) with the average daily number of (20:30) client /day. Follow-up days for diabetic clinic were every day except Monday and Friday. The diabetic outpatient clinic provide the following services to clients: blood sugar and blood pressure assessment, physical examination by the doctor to check on patient condition or to listen to the patient's complaint, medication follow-up and referral .
Sampling:
A purposive simple random sample was used.
Subjects:
Size:-
162 clients suffering from diabetic neuropathy representing 5% from the total annual number (3250) clients were selected purposively. The clients were assessed by the investigator to distinguish those who had diabetic neuropathy as there was no classification of clients according to diabetic complication in the clients' files. The total 162 suffering from the neuropathy.


Other data

Title Health Needs and Problems for Diabetic Neuropathy
Other Titles الاحتياجات والمشاكل الصحية لمرضى السكر المصابون باعتلال الاعصاب
Authors Fatma Gomaa Mohamed
Issue Date 2015

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