Education and Ethics In Nursing ISSN: 2322-5300

The effect of self-care training on health-promoting behaviors with telenursing approach in MS patients: study protocol of a Dosokor (double-blind) randomized parallel clinical trial

https://doi.org/10.22034/ethic.2024.2034229.1076
Volume 13, 1-2
April 2024
Pages 143-153
Education and Ethics In Nursing ISSN: 2322-5300

Document Type : Original Article

Author

yasaman Pourfarid

MSc in Nursing, Department of Nursing, School of Nursing, Jahrom University of Medical Sciences, Jahrom, Iran

Abstract
Introduction:
Multiple sclerosis is a chronic inflammatory disease of the central nervous system. Self-care training can improve the quality of life of chronic patients. Remote nursing is considered a new method in nursing care. The current study was designed and presented as a model for investigating the effect of self-care education on health-promoting behaviors, with a remote nursing approach, in MS patients.
Methods & Materials:
The present study is a guide for the implementation of a double-blind randomized parallel clinical trial. The sample size was calculated with the help of G-power software, and 70 MS patients were randomly divided into two intervention groups (35 people) and control (35 people). The inclusion criteria were: 1. Willingness to participate in the study; 2. Definitive diagnosis of multiple sclerosis; 3. Age range from 18 to 50 years; 4. Using the WhatsApp messenger; 5. At least two years of medical history; 6. Self-care ability; 7. Mobile phone access; Exclusion criteria, including: 1. withdrawal from the study for any reason; 2. Inability to implement self-care plan due to acute illness; 3. Return of the disease; 4. Occurrence of acute heart, kidney, respiratory, digestive and metabolic diseases; 5. Absence of more than two sessions in the training course. Training sessions were held three days a week for six weeks. Information was collected using Walker's demographic and health promoting lifestyle questionnaires, before and immediately after the intervention. Data were analyzed using Mann-Whitney and Wilcoxon tests using SPSS version 21 software.
Discussion:
Considering the relatively high prevalence of multiple sclerosis and the high importance of self-care in it as a chronic disease, as well as the newness of the remote nursing discussion in the country, this current research can provide deep scientific evidence based on the clinical trial design, in the field of effectiveness of self-care education on health-promoting behaviors, with a remote nursing approach in MS patients.
IRCT code: IRCT20201112049367N1
 

Keywords

Key words: self-care
health
remote nursing
multiple sclerosis

  1. 1.Walton C, King R, Rechtman L, Kaye W, Leray E, Marrie RA, et al. Rising prevalence of multiple sclerosis worldwide: Insights from the Atlas of MS. Multiple Sclerosis Journal. 2020;26(14):1816-21.

    1. Boyko A, Melnikov M. Prevalence and incidence of multiple sclerosis in Russian federation: 30 years of studies. Brain Sciences. 2020;10(5):305.
    2. Mirmosayyeb O, Shaygannejad V, Bagherieh S, Hosseinabadi AM, Ghajarzadeh M. Prevalence of multiple sclerosis (MS) in Iran: a systematic review and meta-analysis. Neurological Sciences. 2022;43:233-41.
    3. AlJumah M, Bunyan R, Al Otaibi H, Al Towaijri G, Karim A, Al Malik Y, et al. Rising prevalence of multiple sclerosis in Saudi Arabia, a descriptive study. BMC neurology. 2020;20:1-7.
    4. Habibi H, Sedighi B, Jahani Y, Hasani M, Iranpour A. Self-Care practices and related factors in patients with multiple sclerosis (MS) based on the health belief model. Journal of caring sciences. 2021;10(2):77.
    5. Momenabadi V, Kaveh MH, Nakhaee N, Shirazi KK, Sedighi B, Tabatabaei SHR. Health promoting self-care behaviors in patients with multiple sclerosis in the southeast of iran: Developing a model for practice. Basic and Clinical Neuroscience. 2020;11(5):687.
    6. Afrasiabifar A, Mehri Z, Ghaffarian Shirazi HR. Orem’s self-care model with multiple sclerosis patients’ balance and motor function. Nursing Science Quarterly. 2020;33(1):46-54.
    7. Sobhy Hassan G, Hamdy Ahmed F, Abd ElKader Mohamed W, Hassan Elsheshiny A. Self-care Training Program for Patients Suffering from Multiple Sclerosis. Egyptian Journal of Health Care. 2024;15(1):1898-911.
    8. Dehghani A, Pourfarid Y, Hojat M. The effect of telenursing education of self-care on health-promoting behaviors in patients with multiple sclerosis during the COVID-19 pandemic: A clinical trial study. Multiple Sclerosis and Related Disorders. 2023;70:104507.
    9. Roshanghiyas S, Sharifi S, Faghihi H, Jahantigh M. Effect of Mobile Health Self-Care Training on Fatigue in Multiple Sclerosis Patients. Medical-Surgical Nursing Journal. 2023;12(2).
    10. Kamei T, Yamamoto Y, Kanamori T, Nakayama Y, Porter SE. Detection of early‐stage changes in people with chronic diseases: A telehome monitoring‐based telenursing feasibility study. Nursing & health sciences. 2018;20(3):313-22.
    11. DURMUŞ APDM, DURMUŞ LY. TELE-NURSING DURING COVID-19 OUTBREAK. TRENDS IN INTERPROFESSIONAL CARE MANAGEMENT IN HEALTHCARE. 2021:89.
    12. Soleimanpour Manzari R, Moradi M, Sadeghmoghadam L. Effect of Psychological/Spiritual Self-care Education Through Telenursing on Death Anxiety of the Elderly During the COVID-19 Pandemic in Gonabad, Iran: A Randomized Controlled Clinical Trial. Iranian Journal of Ageing. 2024;19(1):40-53.
    13. Heydari SA, Zonoori S, Kalhor M, Yarahmadi F. Ethical challenges of health care system personnel in natural disasters: A qualitative study. Education and Ethics In Nursing. 2021;10(3-4):49-55.
    14. Fathizadeh P, Heidari H, Masoudi R, Sedehi M, Khajeali F. Telenursing strategies in Iran: a narrative literature review. International Journal of Epidemiology and Health Sciences. 2020;1(3).
    15. Borzou SR, Zonoori S, Falahinia GH, Soltanian AR. The effect of education of health-promoting behaviors on lifestyle in hemodialysis patients. International Journal of Medical Research & Health Sciences. 2016;5(6):214-20.
    16. Hinkle JL, Cheever KH. Brunner and Suddarth’s textbook of medical-surgical nursing: Wolters kluwer india Pvt Ltd; 2018.
    17. Donze C, Massot C, Hautecoeur P, Cattoir-Vue H, Guyot M-A. The practice of sport in multiple sclerosis: update. Translational Journal of the American College of Sports Medicine. 2017;2(16):97-103.
    18. Wikler D. Personal and social responsibility for health. Ethics & international affairs. 2002;16(2):47-55.
    19. Varvogli L, Darviri C. Stress management techniques: Evidence-based procedures that reduce stress and promote health. Health science journal. 2011;5(2):74.
    20. Gholamnejad H, Darvishpoor-Kakhki A, Ahmadi F, Rohani C. Self-actualization: Self-care outcomes among elderly patients with hypertension. Iranian journal of nursing and midwifery research. 2019;24(3):206-12.
    21. Beckett J, Bird M-L, Pittaway J, Ahuja K. Diet and Multiple Sclerosis: Systematic Review of Online Recommendations (Preprint). Interactive Journal of Medical Research. 2018;8.
    22. Donze C, Massot C, Hautecoeur P, Cattoir-Vue H, Guyot MA. The Practice of Sport in Multiple Sclerosis: Update. Current sports medicine reports. 2017;16(4):274-9.
    23. Wikler D. Personal and social responsibility for health. J Ethics International Affairs. 2002;16(2):47-55.
    24. Fath Ali Lavasani F. stress management. In: Addiction MHa, editor. Tehran: Ministry of Health and Medical Education 2015.
    25. Lloyd M, Bor R. Communication skills for medicine E-book: Elsevier Health Sciences; 2009.
    26. Maltz M. Psycho-cybernetics & Self-fulfillment. 1 ed: Grosset & Dunlap; 2020.
    27. Qomi M, Rakhshan M, Ebrahimi Monfared M, Khademian Z. The effect of distance nurse-led fatigue management on fatigue, sleep quality, and self-efficacy in patients with multiple sclerosis: a quasi-experimental study. BMC neurology. 2023;23(1):71.
    28. Wilski M, Tasiemski T, Kocur P. Demographic, socioeconomic and clinical correlates of self-management in multiple sclerosis. Disability and Rehabilitation. 2015;37(21):1970-5.
    29. Gay MC, Vrignaud P, Garitte C, Meunier C. Predictors of depression in multiple sclerosis patients. Acta Neurologica Scandinavica. 2010;121(3):161-70.
    30. Mohammadi M, Ramezankhani A, Mohammadi S, Zahed S, Khabiri F, Khodakarim S, et al. The predictors of metabolic syndrome based on Walker health-promoting lifestyle in Iran 2016. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2017;11:S745-S9.
    31. Dobson R, Giovannoni G. Multiple sclerosis–a review. European journal of neurology. 2019;26(1):27-40.
    32. Rudick RA, Cohen JA, Weinstock-Guttman B, Kinkel RP, Ransohoff RM. Management of multiple sclerosis. New England Journal of Medicine. 1997;337(22):1604-11.
    33. Jeon Y-J, Pyo J, Park Y-K, Ock M. Health behaviors in major chronic diseases patients: trends and regional variations analysis, 2008–2017, Korea. BMC Public Health. 2020;20:1-10.
    34. Hauser SL, Cree BA. Treatment of multiple sclerosis: a review. The American journal of medicine. 2020;133(12):1380-90. e2.
    35. Moriyama M, Kazawa K, Jahan Y, Ikeda M, Mizukawa M, Fukuoka Y, et al. The effectiveness of telenursing for self-management education on cardiometabolic conditions: a pilot project on a remote island of Ōsakikamijima, Japan. Journal of primary care & community health. 2021;12:21501327211030817.
    36. Kotsani K, Antonopoulou V, Kountouri A, Grammatiki M, Rapti E, Karras S, et al. The role of telenursing in the management of Diabetes Type 1: A randomized controlled trial. International journal of nursing studies. 2018;80:29-35.
    37. Feinstein A. The neuropsychiatry of multiple sclerosis. The Canadian Journal of Psychiatry. 2004;49(3):157-63.
    38. Heidari-Soureshjani R, Daneshvar M, Mohammadi T, Negarandeh R, Sayadi L. The effectiveness of telehealth interventions for people with multiple sclerosis: A systematic review and meta-analysis protocol. Digital Health. 2023;9:20552076231216562.
    39. Yuan Y, Hou P, Wang S, Kitayama A, Yanagihara K, Liang J. Intervention effects of telenursing based on MOA model in empty-nest older adult individuals with chronic diseases: a randomized controlled trial. Frontiers in Public Health. 2024;12:1239445.
    40. Arab F, Hekmatpou D. The effect of distance empowerment program on the sense of coherence among multiple sclerosis patients: a quasi-experimental study. 2023.
    41. Fathizadeh P, Heidari H, Masoudi R, Sedehi M, Khajeali F. Telenursing strategies in Iran: a narrative literature review. International Journal of Epidemiology and Health Sciences. 2020;1(Continuous).
    42. Safari Nezhad M, Pakseresht M, Sayehmiri K. The effect of distance education program (Tele-nursing) on reducing anxiety in patients with prostate cancer after chemotherapy. Avicenna Journal of Nursing and Midwifery Care.0-.
    43. Wynchank S, Sabbah N. eHealth and Telenursing. The E-medicine, E-health, M-health, Telemedicine, and Telehealth Handbook. 2016:119-44.


             

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