Mansouri Parisa, Sayari Roghayeh, Dehghani Zahra, Naimi Hosseini Fakhrozaman
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Int J Community Based Nurs Midwifery. 2020 Jan;8(1):12-22. doi: 10.30476/IJCBNM.2019.73958.0.
Proper education can improve the quality of life. Multimedia as an interactive educational method and booklet as a traditional one have their own unique effects. This study aimed at compare the interactive multimedia and booklet methods at the time of discharge on the quality of life of kidney transplant patients.
In this single-blind interventional study, 80 patients from Bouali Hospital, Shiraz, from September 2017 until June 2018 were selected by convenience sampling, and then divided into two groups (booklet and interactive multimedia) by block randomization. Intervention for the first group included short and long-term care information in the form of a booklet, and an interactive multimedia CD with the same content for the second group. Quality of life was assessed by kidney transplant questionnaire (KTQ) at the time of discharge and after two months. Adherence to education was verified by phone. The data were analyzed through SPSS v.24 software using independent and paired t-tests. Plt;0.05 was considered significant.
The mean overall quality of life score in both groups increased significantly, P=0.044 for the booklet group and P=0.039 for the multimedia group. In emotional, fatigue, uncertainty/fear domains, both groups showed improvement after the intervention (P<0.05). However, in physical symptoms and appearance domains, differences were not significant, before and after education. After intervention, no significant difference was observed between the two groups in the overall and specific domains of quality of life score (P=0.437).
Both methods had positive impacts on the quality of life and emotional, fatigue and uncertainty/fear domains. IRCT201608272950N1.
适当的教育可以提高生活质量。多媒体作为一种交互式教育方法，而小册子作为一种传统教育方法，各有其独特的效果。本研究旨在比较出院时使用交互式多媒体和小册子方法对肾移植患者生活质量的影响。
在这项单盲干预研究中，通过便利抽样从设拉子布阿利医院选取了80例患者，时间为2017年9月至2018年6月，然后通过区组随机化将其分为两组（小册子组和交互式多媒体组）。第一组的干预措施包括以小册子形式提供的短期和长期护理信息，第二组则提供内容相同的交互式多媒体光盘。在出院时和两个月后通过肾移植问卷（KTQ）评估生活质量。通过电话核实教育依从性。使用独立样本t检验和配对t检验通过SPSS v.24软件对数据进行分析。P<0.05被认为具有统计学意义。
两组的平均总体生活质量得分均显著提高，小册子组P = 0.044，多媒体组P = 0.039。在情感、疲劳、不确定性/恐惧领域，两组在干预后均有改善（P<0.05）。然而，在身体症状和外观领域，教育前后差异不显著。干预后，两组在生活质量得分的总体和特定领域均未观察到显著差异（P = 0.437）。
两种方法对生活质量以及情感、疲劳和不确定性/恐惧领域均有积极影响。IRCT201608272950N1。
