Khodaveisi Masoud, Ashtarani Fatemah, Beikmoradi Ali, Mohammadi Nahid, Mahjub Hossein, Mazdeh Mehrdokht, Ashtarani Elham
Chronic Diseases (Home Care) Research Center, and Community Health Nursing Department, Hamadan University of Medical Sciences, Hamadan, Iran.
Clinical Research Development Unit of Farshchian Hospital, Hamadan University of Medical Sciences, Hamadan, Iran.
Iran J Nurs Midwifery Res. 2017 May-Jun;22(3):225-231. doi: 10.4103/1735-9066.208170.
Multiple sclerosis is a common debilitating chronic disease of the central nervous system with a progressive and prolonged nature. Patients need an adjusted lifestyle and continuous care in order to prevent its recurrence and progressive disabilities. This study aimed to assess the effect of continuous care on lifestyle in patients suffering from multiple sclerosis.
A randomized clinical trial was conducted among 72 patients with multiple sclerosis who referred to the Farshchian Educational Hospital in Hamadan, Iran in 2013. The patients were allocated to intervention and control groups using balanced block randomization with blocks of four. The steps of continuous care (orientation, sensitization, control, and evaluation) were implemented in the case group for 2 months. The patients' lifestyle was assessed before and 1 and 2 months after continuous care using the researcher-developed Lifestyle Questionnaire. The data were analyzed using the Chi-square test, -test, and repeated-measures analysis of variance.
The mean score of lifestyle and its dimensions were significantly higher in the intervention group 1 and 2 months after the intervention compared to the baseline ( = 0.001). In contrast, the mean score of lifestyle and its dimensions had no significant difference in the control group 1 and 2 months after routine care compared to the baseline.
Continuous care improved the patients' lifestyle. It could be designed as an appropriate care system into the hospitals or other health care centers. This care system could be used widely in order to improve adherence to suitable lifestyle in patients with chronic diseases.
多发性硬化症是一种常见的使人衰弱的中枢神经系统慢性疾病，具有渐进性和长期性。患者需要调整生活方式并接受持续护理，以预防疾病复发和渐进性残疾。本研究旨在评估持续护理对多发性硬化症患者生活方式的影响。
2013年，在伊朗哈马丹的法尔什恰安教育医院对72例多发性硬化症患者进行了一项随机临床试验。采用四个一组的平衡区组随机化方法将患者分为干预组和对照组。在病例组实施持续护理步骤（指导、强化、控制和评估）2个月。使用研究者编制的生活方式问卷在持续护理前以及护理后1个月和2个月对患者的生活方式进行评估。数据采用卡方检验、t检验和重复测量方差分析进行分析。
与基线相比，干预组在干预后1个月和2个月时生活方式及其各维度的平均得分显著更高（P = 0.001）。相比之下，对照组在常规护理后1个月和2个月时生活方式及其各维度的平均得分与基线相比无显著差异。
持续护理改善了患者的生活方式。它可以设计成为医院或其他医疗保健中心的一种合适的护理系统。这种护理系统可以广泛应用，以提高慢性病患者对适宜生活方式的依从性。
