Diyabetik Nöropatinin Yönetiminde Güncel Tedavi Yaklaşımları ve Hemşirelik Bakımı

Abstract

Diyabetik nöropati bireylerin yaşam kalitesini etkileyen ve morbidite riski yüksek olan diyabetin en sık görülen nörolojik komplikasyonlarından biridir. Diyabetli birçok kişi, diyabetik nöropati ile ilişkili semptomları veya sorunları bildirmez. Diyabeti olan bireyler, nöropatiye özgü öykü, tarama testi ve fizik muayene yapılarak yıllık olarak taranmalıdır. Bu bireyler kötü yaşam kalitesi, nöropatik ağrı, düşmeler, ayak ülseri gelişimi ve enfeksiyonlar, ampütasyon açısından yüksek risk altındadır. Komplikasyonları en aza indirmek ve yaşam kalitesini iyileştirmek için diyabetik nöropatili bireylerin erken aşamada tanılanması, geçerli ve güvenilir tarama araçları ile değerlendirilmesi ve diyabetik nöropatinin yönetimi önemlidir. Diyabetik nöropatinin yönetimi multidisipliner ekip yaklaşımını gerektirir. Bu ekibin önemli bir üyesi olan hemşirelerin sorumluluklarından bazıları diyabetik nöropatili ve nöropati gelişme riski olan bireylerde farkındalığı artırmak, yüksek riskli gruplar için müdahaleler planlamak, doğru bilgi ve davranış kazanmalarını sağlamaktır. Hemşirenin diyabetik nöropatili bireylerin taranması, teşhisi, tedavisi ve bakım uygulamaları konusunda farkında ve bilgili olması olumsuz sonuçların gelişmesini önlemede veya azaltmada yarar sağlar.

Keywords

• Diyabetik nöropati
• tarama
• tedavi
• bakım
• hemşirelik

Current Treatment Approaches and Nursing Care in the Management of Diabetic Neuropathy

Abstract

Diabetic neuropathy is one of the most common neurological complications of diabetes with a high risk of morbidity that affects the quality of life of individuals. Many people with diabetes do not report symptoms or problems associated with diabetic neuropathy. All patients with diabetes should be screened annually for neuropathy with a neuropathy-specific history, screening test, and physical examination. These individuals are at high risk for poor quality of life, neuropathic pain, falls, development of foot ulcers and infections, and amputation. In order to minimize complications and improve quality of life, early diagnosis of individuals with diabetic neuropathy, evaluation with valid and reliable screening tools, and management of diabetic neuropathy are important. Management of diabetic neuropathy requires a multidisciplinary team approach. Nurses, who are an important member of this team, are among the responsibilities of nurses to raise awareness of individuals with diabetic neuropathy and those at risk of developing neuropathy, to plan interventions for high-risk groups, and to ensure that they gain correct knowledge and behavior. The nurse's awareness and knowledge about the screening, diagnosis, treatment and care practices of individuals with diabetic neuropathy will be beneficial in preventing or reducing the development of negative outcomes. Keywords: Diabetic neuropathy; scanning; treatment; care; nursing.

Keywords

• Diabetic neuropathy
• scanning
• treatment
• care
• nursing

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