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Randomized Controlled Trial
. 2023 Feb:70:104507.
doi: 10.1016/j.msard.2023.104507. Epub 2023 Jan 5.

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

Ali Dehghani  1 , Yasaman Pourfarid  2 , Mohsen Hojat  2
Affiliations
Randomized Controlled Trial

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

Ali Dehghani et al. Mult Scler Relat Disord. 2023 Feb.

Abstract

Introduction: Multiple sclerosis is associated with decrease in health-promoting behaviors (HPBs) and require appropriate nursing interventions. Telenursing can play an important role in education of patients during the COVID-19 pandemic in which face-to-face education is limited. This study aimed to investigate the effect of self-care education with telenursing approach on HPBs in patients with MS.

Materials and methods: In this clinical trial, 68 patients with MS were selected using simple random sampling from Jahrom MS Society and randomly assigned to the intervention (n = 34) and control (n = 34) groups. In the intervention group, educational sessions were held three days a week for six weeks. Data were collected using demographic information and Walker's Health-Promoting Lifestyle questionnaires before and immediately after the intervention. Data were analyzed by Mann-Whitney and Wilcoxon tests using SPSS software (Ver. 21).

Results: Based on the findings, immediately after the intervention, the mean score of HPBs was significantly higher (p = 0.005) in the intervention group (145.38 ± 26.66) than the control group (129.18 ± 22.35). The means of nutrition, exercise, health responsibility, and stress management were significantly different between the intervention and control groups immediately after the intervention (p < 0.05).

Conclusion: results this study indicated that self-care education with telenursing approach was effective on HPBs in patients with MS. It can be beneficial to employ as an educative-supportive approach in MS patients.

Keywords: COVID-19 pandemic; Education; Health-promoting behaviors; Multiple sclerosis; Self-care; Telenursing.

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Conflict of interest statement

Declaration of Competing Interest There were no conflicts of interest in this study.

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CONSORT 2010 flow diagram.
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