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自我护理教育对多发性硬化症患者自我效能的影响:一项随机临床试验。

Effect of self-care education on self-efficacy of patients with multiple sclerosis: a randomized clinical trial.

作者信息

Rooddehghan Zahra, Sholehvar Mohammad Saber, Nejati Soraya, Haghani Shima, Karimi Raoofeh

机构信息

School of Nursing and Midwifery, Tehran University of Medical Sciences, Nosrat St. Tohid Sq. Tehran I.IRAN 141973317, Tehran, Iran.

Nursing Care Research Center, Iran University Of Medical Sciences, Tehran, Iran.

出版信息

BMC Psychol. 2024 Dec 20;12(1):764. doi: 10.1186/s40359-024-02285-5.

DOI:10.1186/s40359-024-02285-5
PMID:39702423
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11660607/
Abstract

BACKGROUND

Self-care education is one method used to reduce the complications of chronic diseases like Multiple sclerosis which affects self-efficacy. The present study evaluated the effect of self-care training by nurses on the self-efficacy of patients with multiple sclerosis.

METHODS

This is a randomized clinical trial with pre-test/ post-test. The statistical population of this study included all patients with multiple sclerosis who were members of the Iranian Multiple Sclerosis Association, from whom 90 patients were selected and divided into two groups of intervention and control (n = 45 people in each group), through a table of random numbers. First, both groups completed the demographic information and Sherer's self-efficacy questionnaire. Then, a self-care empowerment program was delivered to patients in the intervention group. Eight weeks later, the self-efficacy questionnaires were completed again by both intervention and control groups. The data were analyzed using SPSS-22 statistical software.

RESULTS

The mean self-efficacy score in the intervention group was (60.27 ± 8.63) and in the control group was (59.07 ± 6.84) before the intervention. After the intervention, a statistically significant difference was observed between the two groups regarding the mean self-efficacy scores (p = 0.004). The mean self-efficacy scores in the intervention and control groups were (63.73 ± 6.97) and (59.21 ± 6.23) after the intervention.

CONCLUSIONS

A Self-care training program can be used as one of the methods to improve self-efficacy in patients with multiple sclerosis.

TRIAL REGISTRATION

The protocol of this clinical trial has been registered in the Iranian Clinical Trial Registration Center (registration code: IRCT20180914041036N1). Registered 18 January 2019- Retrospectively registered, date of first recruitment: 23 August 2017, https://www.irct.ir/ .

摘要

背景

自我护理教育是一种用于减少像多发性硬化症这类影响自我效能的慢性疾病并发症的方法。本研究评估了护士进行的自我护理培训对多发性硬化症患者自我效能的影响。

方法

这是一项采用前测/后测的随机临床试验。本研究的统计总体包括所有伊朗多发性硬化症协会成员中的多发性硬化症患者,通过随机数字表从中选取90名患者并分为干预组和对照组(每组n = 45人)。首先,两组都完成人口统计学信息和谢勒自我效能问卷。然后,向干预组患者提供自我护理赋能计划。八周后,干预组和对照组再次完成自我效能问卷。数据使用SPSS - 22统计软件进行分析。

结果

干预前,干预组的自我效能平均得分为(60.27 ± 8.63),对照组为(59.07 ± 6.84)。干预后,两组在自我效能平均得分方面观察到统计学上的显著差异(p = 0.004)。干预后,干预组和对照组的自我效能平均得分分别为(63.73 ± 6.97)和(59.21 ± 6.23)。

结论

自我护理培训计划可作为提高多发性硬化症患者自我效能的方法之一。

试验注册

本临床试验方案已在伊朗临床试验注册中心注册(注册号:IRCT20180914041036N1)。2019年1月18日注册 - 追溯注册,首次招募日期:2017年8月23日,https://www.irct.ir/ 。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b79/11660607/b9a151eba18e/40359_2024_2285_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b79/11660607/b9a151eba18e/40359_2024_2285_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b79/11660607/b9a151eba18e/40359_2024_2285_Fig1_HTML.jpg

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