Effect of Coaching Program on Prevention of Peripheral Neuropathy Deterioration among Patients with diabetes mellitus

Document Type : Original Article

Authors

1 Lecturer of Medical-Surgical Nursing Faculty of Nursing Suez Canal University

2 Assistant professor of Medical-Surgical Nursing faculty of Nursing Damanhour University

3 Assistant professor of Medical-Surgical Nursing Faculty Alexandria University, Associate professor of Medical-Surgical nursing Ibnsina national college

4 Lecturer of Community Health Nursing, Faculty of Nursing, Port Said University, Egypt

5 Assistant professor of Medical-Surgical Nursing Department, Faculty of Nursing, Mansoura University

Abstract

Background: Diabetic Peripheral Neuropathy (DPN) is a common complication of diabetes, which
could lead to foot ulcers, amputations, and mortality among patients. Aim: to determine the effect
of the coaching program on prevention of peripheral neuropathy deterioration among patients with
diabetes mellitus. Design: a quasi-experimental design (pre/post-test) with experimental and control
groups. Setting: The study was conducted at Diabetic Outpatient Clinic at Port-Said University
Hospital. Subjects: A Purposive sample consisted of 100 patients will be divided into experimental
and control groups (50 patients in each) from the above-mentioned setting they will be recruited and
assigned randomly. Tools: Three tools were used for data collection: Tool I: Patient assessment;
questionnaire. Tool II: Clinical neurological examination scale; Tool III: patients with 'peripheral
neuropathy deterioration needs questionnaire. Results: The study finding revealed that 58% of the
experimental group and 67% of the control group of studied patients have severe diabetic peripheral
neuropathy on their right side. Pre coaching program there were no statistically significant
differences between patients in both group related to their level of knowledge about the prevention
of diabetic peripheral neuropathy deterioration (p > 0.05). While there were significant differences
post- implementation of the coaching program regarding knowledge scores between the control
group and the experimental group regarding the educational needs that related to prevention of
diabetic peripheral neuropathy deterioration. The Knowledge values were significantly higher
among the experimental group than among the control group after the coaching program
intervention with (p< 0.001). Conclusion: A coaching program regarding the prevention of
peripheral neuropathy deterioration had a positive effect on knowledge among patients with
diabetes mellitus. Recommendations: Continuous application of the coaching program for patients
to improve their knowledge regarding prevention needs of DPN deterioration stages.

Keywords

Egyptian Journal of Health Care
Volume 13, Issue 3
September 2022
Pages 1661-1674

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