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COVID-19 大流行期间远程护理教育对多发性硬化症患者健康促进行为的影响:一项临床试验研究。

The effect of telenursing education of self-care on health-promoting behaviors in patients with multiple sclerosis during the COVID-19 pandemic: A clinical trial study.

机构信息

Department of Community Health Nursing, School of Nursing, Jahrom University of Medical Sciences, Jahrom, Iran.

Department of Nursing, School of Nursing, Jahrom University of Medical Sciences, Jahrom, Iran.

出版信息

Mult Scler Relat Disord. 2023 Feb;70:104507. doi: 10.1016/j.msard.2023.104507. Epub 2023 Jan 5.

Abstract

INTRODUCTION

Multiple sclerosis is associated with decrease in health-promoting behaviors (HPBs) and require appropriate nursing interventions. Telenursing can play an important role in education of patients during the COVID-19 pandemic in which face-to-face education is limited. This study aimed to investigate the effect of self-care education with telenursing approach on HPBs in patients with MS.

MATERIALS AND METHODS

In this clinical trial, 68 patients with MS were selected using simple random sampling from Jahrom MS Society and randomly assigned to the intervention (n = 34) and control (n = 34) groups. In the intervention group, educational sessions were held three days a week for six weeks. Data were collected using demographic information and Walker's Health-Promoting Lifestyle questionnaires before and immediately after the intervention. Data were analyzed by Mann-Whitney and Wilcoxon tests using SPSS software (Ver. 21).

RESULTS

Based on the findings, immediately after the intervention, the mean score of HPBs was significantly higher (p = 0.005) in the intervention group (145.38 ± 26.66) than the control group (129.18 ± 22.35). The means of nutrition, exercise, health responsibility, and stress management were significantly different between the intervention and control groups immediately after the intervention (p < 0.05).

CONCLUSION

results this study indicated that self-care education with telenursing approach was effective on HPBs in patients with MS. It can be beneficial to employ as an educative-supportive approach in MS patients.

摘要

简介

多发性硬化症与促进健康行为(HPBs)的减少有关,需要适当的护理干预。在新冠疫情期间,由于面对面教育受到限制,远程护理可以在患者教育中发挥重要作用。本研究旨在探讨远程护理自我护理教育对多发性硬化症患者 HPBs 的影响。

材料与方法

在这项临床试验中,采用简单随机抽样法从亚霍罗姆多发性硬化症协会选取 68 名多发性硬化症患者,并将其随机分为干预组(n=34)和对照组(n=34)。在干预组中,每周进行三次教育课程,共进行六周。在干预前后使用 Walker 健康促进生活方式问卷收集患者的人口统计学信息和数据。使用 SPSS 软件(版本 21)进行 Mann-Whitney 和 Wilcoxon 检验分析数据。

结果

干预后,干预组的 HPBs 平均得分显著更高(p=0.005),为 145.38±26.66,而对照组为 129.18±22.35。干预后,营养、锻炼、健康责任和压力管理的平均值在干预组和对照组之间存在显著差异(p<0.05)。

结论

本研究结果表明,远程护理自我护理教育对多发性硬化症患者的 HPBs 有效。它可以作为多发性硬化症患者的一种教育支持方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5d3/9814281/29a6d56b568d/gr1_lrg.jpg

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