Student Research Committee, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
BMC Neurol. 2023 Feb 14;23(1):71. doi: 10.1186/s12883-023-03115-8.
Fatigue is one of the most common problems in patients with multiple sclerosis (MS) and has adverse effects on their sleep status and self-efficacy. This study aimed to determine the effect of distance nurse-led fatigue management on fatigue, sleep quality, and self-efficacy in patients with MS.
This quasi-experimental study was performed on 60 patients with MS in Arak, Iran. Subjects were randomly assigned into intervention and control groups. The intervention group received eight sessions of nurse-led fatigue management training through the Skyroom platform. The control group received only the usual programs. Data were collected before and two months after the intervention using the Fatigue Severity Scale, the Pittsburgh Sleep Quality Index, and the Multiple Sclerosis Self-Efficacy Scale. The significance level in this study was determined 0.05.
After the intervention, the mean score of fatigue severity in the intervention group was significantly lower than the control group (2.52 ± 0.40 vs 5.65 ± 0.52) (P < 0.001). Also, after the intervention, the mean score of self-efficacy in the intervention group was significantly higher than the control group (49.37 ± 3.25 vs 24.43 ± 2.52) (P < 0.001). Furthermore, after the intervention the mean score of sleep quality was lower in intervention group (11.92 ± 2.01) than the control group (15.46 ± 1.40) (P < 0.001).
Distance nurse-led fatigue management improved fatigue, sleep quality, and self-efficacy in patients with MS. We recommend the use of these courses as an important step toward improving fatigue, sleep quality, and self-efficacy among these patients.
疲劳是多发性硬化症（MS）患者最常见的问题之一，对其睡眠状况和自我效能产生负面影响。本研究旨在确定远程护士主导的疲劳管理对 MS 患者疲劳、睡眠质量和自我效能的影响。
本准实验研究在伊朗阿拉克招募了 60 名 MS 患者。受试者被随机分为干预组和对照组。干预组通过 Skyroom 平台接受了八次护士主导的疲劳管理培训。对照组仅接受常规方案。在干预前和干预后两个月使用疲劳严重程度量表、匹兹堡睡眠质量指数和多发性硬化症自我效能量表收集数据。本研究的显著性水平定为 0.05。
干预后，干预组疲劳严重程度的平均评分明显低于对照组（2.52±0.40 对 5.65±0.52）（P<0.001）。此外，干预后，干预组自我效能的平均评分明显高于对照组（49.37±0.32 对 24.43±0.25）（P<0.001）。此外，干预后，干预组的睡眠质量评分（11.92±0.21）低于对照组（15.46±0.14）（P<0.001）。
远程护士主导的疲劳管理可改善 MS 患者的疲劳、睡眠质量和自我效能。我们建议将这些课程作为改善这些患者疲劳、睡眠质量和自我效能的重要步骤。
