基于目标达成理论的护理程序对 COVID-19 大流行期间多发性硬化症患者日常生活活动和生活质量的影响：一项临床试验。
The effect of applying the nursing process based on the Theory of Goal Attainment on activities of daily living and quality of life in persons with multiple sclerosis during COVID-19 pandemic: a clinical trial.
机构信息
School of Nursing and Midwifery, Hamadan University of Medical Science, Hamadan, Iran.
Department of Ethics Education in Medical Sciences, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Hamadan University of Medical Science, Hamadan, Iran.
出版信息
Ir J Med Sci. 2023 Jun;192(3):1361-1369. doi: 10.1007/s11845-022-03104-9. Epub 2022 Jul 25.
BACKGROUND
The chronic nature of multiple sclerosis (MS) affects patient's activities of daily living (ADL) and quality of life (QOL). Nursing interventions based on patients' active participation in goal-setting can be beneficial in improving ADL and QOL.
AIMS
This study aimed to determine the effect of applying the nursing process based on King's Theory of Goal Attainment (TGA) on ADL and QOL of persons with multiple sclerosis (PwMS) during the COVID-19 pandemic.
METHODS
In this clinical trial, 70 patients referred to the MS Society of Hamadan, Iran, were recruited using the convenience sampling method and randomly assigned into 2 groups. A 4-stage TGA was developed and implemented for the intervention group for a month. Data were gathered by ADL, instrumental ADL (IADL), and QOL questionnaires, and Goal of Attainment Scale (GAS) before and 2 months after the intervention.
RESULTS
Intervention group achieved a higher number of prioritized goals (p < 0.001) and reported higher QOL (P < 0.001) and instrumental ADL (IADL; P = 0.002) than the control group.
CONCLUSIONS
Given the results, TGA could effectively promote mutual goal attainment, QOL, and IADL for PwMS during the COVID-19 pandemic.
TRIAL REGISTRATION
ClinicalTriasl.gov Identifier: IRCT20201210049668N1.
背景
多发性硬化症（MS）的慢性性质会影响患者的日常生活活动（ADL）和生活质量（QOL）。基于患者积极参与目标设定的护理干预措施可以有益于改善 ADL 和 QOL。
目的
本研究旨在确定在 COVID-19 大流行期间应用基于 King 的目标达成理论（TGA）的护理程序对多发性硬化症患者（PwMS）的 ADL 和 QOL 的影响。
方法
在这项临床试验中，伊朗哈马丹的多发性硬化症协会采用便利抽样法招募了 70 名患者，并将其随机分为两组。为干预组制定并实施了 4 个阶段的 TGA，为期一个月。在干预前和干预后 2 个月，通过 ADL、工具性日常生活活动（IADL）和生活质量问卷以及目标达成量表（GAS）收集数据。
结果
干预组实现了更多的优先目标（p<0.001），并且报告了更高的生活质量（P<0.001）和工具性日常生活活动（IADL；P=0.002）比对照组。
结论
鉴于这些结果，TGA 可以在 COVID-19 大流行期间有效促进 PwMS 的相互目标达成、生活质量和 IADL。
试验注册
ClinicalTrials.gov 标识符：IRCT20201210049668N1。
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