Ege University, Faculty of Nursing, Department of Medical Nursing, Izmir, Turkey.
Lupus. 2020 Jul;29(8):884-891. doi: 10.1177/0961203320928423. Epub 2020 May 31.
The aim of this study was to determine the effect of web-based education and counselling for patients with systemic lupus erythematosus on self-efficacy, fatigue and assessment of care.
The study was conducted as a randomized controlled trial. The study sample consisted of 80 patients divided into two groups: the experimental group ( = 40) and a control group ( = 40). Randomization was performed by simple random sampling. At the beginning of the study (month 0), data-collection forms were administered to both groups. Web-based education was carried out for the first three months, and counselling and information updates were given for the next three months for the experimental group. In the intervention process, the control group just received standard care. After six months, data-collection forms were administered to both groups again.
The mean age of the participants in the experimental and control groups was 35.58 ± 8.40 years and 39.00 ± 12.71 years, respectively. In both groups, 95% of patients were women. Wilcoxon's test was used for within-group comparisons before and after the study. The Mann-Whitney -test was used to evaluate the difference between the two groups before the intervention and between the two groups after the intervention. We found that there was a significant improvement in fatigue, self-efficacy and assessment of chronic illness care in the experimental group at the end of the study ( < 0.05).
The intervention had a positive effect on self-efficacy, fatigue and satisfaction with chronic illness. In accordance with the results, similar studies should be conducted for different patient groups in order to strengthen the results.
本研究旨在确定基于网络的教育和咨询对系统性红斑狼疮患者的自我效能、疲劳和护理评估的影响。
该研究采用随机对照试验设计。研究样本由 80 名患者组成,分为两组:实验组(n=40)和对照组(n=40)。采用简单随机抽样进行分组。在研究开始时(第 0 个月),向两组患者发放数据收集表。实验组在前三个月接受基于网络的教育,在后三个月接受咨询和信息更新。在干预过程中,对照组仅接受标准护理。六个月后,再次向两组患者发放数据收集表。
实验组和对照组患者的平均年龄分别为 35.58±8.40 岁和 39.00±12.71 岁。两组患者均有 95%为女性。采用 Wilcoxon 检验进行组内比较,采用 Mann-Whitney U 检验进行干预前后组间比较。研究发现,实验组在研究结束时的疲劳、自我效能和慢性病护理评估方面均有显著改善(<0.05)。
该干预措施对自我效能、疲劳和慢性病满意度有积极影响。根据研究结果,应该针对不同的患者群体开展类似的研究,以增强研究结果的可靠性。