Siahvashi Mohammad Mehdi, Shamsizadeh Morteza, Tapak Leli, Ghiasian Masoud, Azizi Azim
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran.
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Chronic Diseases (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.
Heliyon. 2024 Oct 16;10(20):e39453. doi: 10.1016/j.heliyon.2024.e39453. eCollection 2024 Oct 30.
Multiple sclerosis (MS) is a prevalent disease of the central nervous system that often leads to diminished resilience and quality of life in affected individuals. This study aims to compare the effects of nursing and peer education on improving the quality of life and resilience in patients with multiple sclerosis.
This three-group clinical trial study was conducted before and after interventions at the MS Society in Hamedan, Iran. In this study, 120 patients with MS were randomly selected and assigned to three groups: nurse education, peer education, and control. Quality of life and resilience questionnaires were self-reported before and two months after the completion of the intervention. The educational sessions were conducted over five meetings, each lasting between 45 and 60 min, held every two days. Group one received education led by nurses, while group two participated in peer-led education sessions.
The results indicated that before the intervention, there were no significant statistical differences in demographic variables, resilience, and quality of life among the three groups (p > 0.05). However, after the intervention, both the peer and nurse groups showed a significant increase in quality of life and resilience compared to the control group (p < 0.05). Nevertheless, no differences were observed between the nurse and peer groups regarding these variables (p > 0.05).
Both nursing and peer education methods had an equal impact on enhancing the resilience and quality of life of patients with MS. It is recommended that peer support be utilized to empower MS patients, especially in contexts where there is a shortage of nurses.
多发性硬化症（MS）是一种常见的中枢神经系统疾病，常导致患者恢复力下降和生活质量降低。本研究旨在比较护理教育和同伴教育对改善多发性硬化症患者生活质量和恢复力的效果。
本三组临床试验研究在伊朗哈马丹的多发性硬化症协会进行，于干预前后开展。本研究随机选取120例MS患者，分为三组：护理教育组、同伴教育组和对照组。在干预开始前及结束后两个月，由患者自行填写生活质量和恢复力问卷。教育课程共进行五次，每两天一次，每次时长45至60分钟。第一组接受护士主导的教育，第二组参与同伴主导的教育课程。
结果表明，干预前，三组在人口统计学变量、恢复力和生活质量方面无显著统计学差异（p>0.05）。然而，干预后，同伴教育组和护理教育组的生活质量和恢复力相比对照组均显著提高（p<0.05）。不过，在这些变量上，护理教育组和同伴教育组之间未观察到差异（p>0.05）。
护理教育和同伴教育方法在增强MS患者的恢复力和生活质量方面具有同等效果。建议利用同伴支持来增强MS患者的能力，尤其是在护士短缺的情况下。
