Sadeghian Ali, Tataei Azadeh, Fallah Ramazan, Zirak Mohammad
Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran.
Department of Health Information Technology, School of Allied Medical Sciences, Urmia University of Medical Sciences, Urmia, Iran.
J Educ Health Promot. 2025 Jul 4;14:270. doi: 10.4103/jehp.jehp_2292_24. eCollection 2025.
To evaluate the effect of nurse-led, social media-based patient education on COVID-19-associated fear and self-care in diabetic patients throughout a six-month follow-up period.
A single-blind randomized controlled trial. A total of 113 diabetic patients were recruited using convenience sampling and randomly assigned to the intervention group ( = 58) or control group ( = 55). Data were collected using the Fear of COVID-19 Scale (FCV-19S) and the Self-Care in COVID-19 Scale (SCOVID) at baseline, immediately after the intervention, and at two- and six-month follow-ups. The intervention group received a four-week COVID-19-related patient education program via social media, while the control group only received routine care. Data were analyzed using IBM SPSS Statistics for Windows, version 20 (IBM Corp., Armonk, N.Y., USA).
No significant differences in fear or self-care scores were observed between the groups at baseline ( > 0.05). However, the intervention group exhibited significant improvements in both fear and self-care scores at all post-intervention time points compared to the control group ( < 0.05). The reduction in fear scores was more pronounced between T1 (immediately after the intervention) and T2 (two months after the intervention), whereas it remained relatively stable between T2 and T3 (six months after the intervention). This indicated a sustained intervention effect over time.
Social media-based nurse-led education effectively reduces COVID-19-associated fear and improves self-care in diabetic patients, with benefits sustained for up to six months. This approach is recommended for accessible, scalable patient education during pandemics.
评估以护士为主导、基于社交媒体的患者教育对糖尿病患者在为期6个月的随访期内与新冠病毒病相关的恐惧及自我护理的影响。
一项单盲随机对照试验。采用便利抽样法招募了113例糖尿病患者，并将其随机分为干预组（n = 58）或对照组（n = 55）。在基线、干预结束后即刻、干预后2个月和6个月时，使用新冠病毒病恐惧量表（FCV - 19S）和新冠病毒病自我护理量表（SCOVID）收集数据。干预组通过社交媒体接受了为期4周的新冠病毒病相关患者教育项目，而对照组仅接受常规护理。使用IBM SPSS Statistics for Windows 20版（美国纽约州阿蒙克市IBM公司）对数据进行分析。
两组在基线时恐惧或自我护理得分无显著差异（P > 0.05）。然而，与对照组相比，干预组在所有干预后时间点的恐惧和自我护理得分均有显著改善（P < 0.05）。恐惧得分在T1（干预结束后即刻）和T2（干预后2个月）之间下降更为明显，而在T2和T3（干预后6个月）之间保持相对稳定。这表明随着时间推移干预效果持续存在。
以护士为主导的基于社交媒体的教育可有效降低糖尿病患者与新冠病毒病相关的恐惧并改善自我护理，且益处可持续长达6个月。在大流行期间，推荐采用这种方法进行可及且可扩展的患者教育。
