Baharian Elahe, Abolhassani Shahla, Najimi Arash, Ashtari Fereshteh
Department of Adults Health Nursing, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Nursing and Midwifery Care Research Center, Department of Adults Health Nursing, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
J Educ Health Promot. 2024 Dec 28;13:473. doi: 10.4103/jehp.jehp_1474_23. eCollection 2024.
The plethora of troublesome signs and symptoms of multiple sclerosis (MS) reduces patients' quality of life (QOL) and coping skills. Face-to-face (F2F) education is effective and practical as it allows for more engagement and active learning. The use of mobile health technology to enhance health is now an excellent potential to establish a more efficient health system. The purpose of this study was to determine the effect of a self-care program using two smartphone-based education and F2F education on the QOL and coping skills of people with MS.
This research study was a clinical trial enrolling 60 patients with MS in a hospital in Iran. They were randomly assigned into two groups. The Multiple Sclerosis Impact Scale 29 (MSIS-29) questionnaire and the Multiple Sclerosis Coping Questionnaire (MSCQ) scale were employed to assess the QOL and coping skills, respectively. The training sessions were provided in the form of F2F sessions and an application installed on patients' mobile phones in the smartphone-based education group. Independent-samples -test, paired-samples -test, and chi-square were employed to analyze data via Statistical Package for the Social Sciences (SPSS) software version 20.
The results indicated that both F2F and smartphone-based education groups had a significant impact on their mean scores of the QOL ( < 0.001) and coping skills ( < 0.001) pre- and post-intervention. However, there was no significant difference seen between the two educational groups of the QOL ( = 0.23) and coping skills ( = 0.06) post-intervention.
A comparison of the two groups revealed that both educational methods had the same effect on coping skills and QOL in MS patients. Thus, it can be stated that smartphone-based education can be a good alternative to traditional patient education.
多发性硬化症（MS）大量令人困扰的体征和症状降低了患者的生活质量（QOL）和应对技能。面对面（F2F）教育是有效且实用的，因为它能实现更多参与和主动学习。利用移动健康技术促进健康如今具有建立更高效卫生系统的巨大潜力。本研究的目的是确定一项自我护理计划（使用两种基于智能手机的教育方式以及面对面教育）对MS患者的生活质量和应对技能的影响。
本研究是一项临床试验，在伊朗一家医院招募了60名MS患者。他们被随机分为两组。分别采用多发性硬化症影响量表29（MSIS - 29）问卷和多发性硬化症应对问卷（MSCQ）量表来评估生活质量和应对技能。培训课程以面对面授课的形式以及在基于智能手机的教育组中安装在患者手机上的应用程序的形式提供。通过社会科学统计软件包（SPSS）20版采用独立样本t检验、配对样本t检验和卡方检验来分析数据。
结果表明，面对面教育组和基于智能手机的教育组在干预前后对其生活质量平均得分（P < 0.001）和应对技能平均得分（P < 0.001）均有显著影响。然而，干预后两组在生活质量（P = 0.23）和应对技能（P = 0.06）方面没有显著差异。
两组比较显示，两种教育方法对MS患者的应对技能和生活质量具有相同效果。因此，可以说基于智能手机的教育可以成为传统患者教育的良好替代方式。
