Investigation of the Effects of Education Provided Through Face-to-face and Tele-nursing Based on Pender's Health Promotion Model on Fatigue, Pain, Sleep, and Urinary Tract Infections ın Patients With Multiple Sclerosis: a Randomized Controlled Trial.
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 96
- 试验地点
- 1
- 主要终点
- TELENURSING EDUCATION
研究概览
简要总结
The aim of this study is to evaluate the effects of face-to-face and distance nursing education, based on Pender's Health Promotion Model, on fatigue, pain, sleep, and urinary tract infections in MS patients who applied to the Multiple Sclerosis Outpatient Clinics of Sakarya Training and Research Hospital. With this research, the researcher aims to reduce MS symptoms and severity, prevent secondary problems, and improve quality of life.
详细描述
Education is a crucial aspect of disease management in MS patients. A strategy aimed at improving patients' health and health behaviors, education provides benefits such as increasing their quality of life, self-efficacy, and confidence in ongoing care, reducing anxiety and stress, decreasing the frequency of disease symptoms, increasing patient participation in care plans, and improving their autonomy and self-management. Selecting the appropriate educational model is the first step in educational planning, and one of the most comprehensive and widely used models offered by nurses for patient education is Pender's Health Promotion Model.
Introduced by Pender in 1982, Pender's Health Promotion Model (HPLP) focuses on enabling people to achieve higher levels of well-being. The model encompasses six areas of health promotion, including nutrition, physical activity (exercise), health responsibility, stress management, interpersonal relationships, and self-actualization, as well as the factors that influence these areas.
Telenursing is a method that allows nurses to receive training to improve nursing services and enhance patient well-being. Telenursing is considered a component of telemedicine and, by definition, enables nurses to meet patients' healthcare needs through information and communication technologies. Telenursing offers a tool for providing continuous care to patients with chronic illnesses. This allows patients to receive the care they need without the need for long journeys, at a low cost, and in a way that positively impacts their recovery process.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
盲法说明
Because participants and researchers are aware of the assigned groups, double-blinding is not possible. However, study evaluation and scale scoring will be masked wherever possible. The MS medical support team who assisted with survey completion and the statistician who evaluated the data are blinded to the study. (Both groups will be blinded.) Data will be analyzed after the study is completed to support blinding.
入排标准
- 年龄范围
- 18 Years 至 55 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients who are willing to participate in the study,
- •Age between 18-55,
- •Literate,
- •Diagnosed at least 1 year ago,
- •Diagnosed with Relapsing-Remitting MS (the most common type, RRMS, which progresses with attacks and remissions),
- •A specialist (psychologist or psychiatrist) has determined that their cognitive level is suitable for participation in the study,
- •Scoring their pain 4 points or higher on the Visual Analog Scale (VAS),
- •Scoring 4 or higher on the Fatigue Severity Scale (FSS),
- •Scoring 10 or higher on the Epworth Sleepiness Scale (ESS),
- •Having not used any other complementary and alternative treatments in the last 6 months,
- •Patients who own or have a family member who owns a smartphone, tablet, or computer will be included (Eren, 2018).
排除标准
- •Patients who are unwilling to participate in the study for any reason,
- •Have a communication disability,
- •Have a hearing or visual impairment,
- •Have failed to attend three consecutive training sessions unless medically indicated,
- •Have not completed 70% of the training program (or 17 of 24 sessions) (Alonso Martínez et al., 2023),
- •Have developed serious physical or mental illnesses during the study period,
- •Have been found to be unsuitable for participation in the study (as assessed by a psychologist or psychiatrist),
- •Have used other complementary therapies such as acupuncture, yoga, meditation, etc. during the study period,
- •Have been in an attack phase of the disease or have conditions requiring hospitalization during the intervention will not be included in the study.
研究组 & 干预措施
Education through telenursing services
TELENURSING GROUP: EDUCATION AND SYMPTOM MANAGEMENT PROVIDED ACCORDING TO PENDER'S HEALTH PROMOTION MODEL THROUGH TELENURSING
干预措施: telenursing (Other)
face-to-face education
FACE-TO-FACE GROUP: EDUCATION AND SYMPTOM MANAGEMENT PROVIDED ACCORDING TO PENDER'S HEALTH PROMOTION MODEL THROUGH FACE-TO-FACE EDUCATION
干预措施: face to face education (Other)
control group
CONTROL GROUP
干预措施: Control arm (Other)
结局指标
主要结局
TELENURSING EDUCATION
时间窗: Up to the 12th week after educational interventions
Based on Pender's Health Enhancement Model, telenursing provides education to MS patients, reducing patient fatigue, pain intensity, and urinary tract infections, while improving patient sleep quality. 1\. The total score obtained from the application of fatigue technology (FSS) is reduced as it decreases; a higher score indicates increased fatigue.
次要结局
- FACE TO FACE EDUCATION(Up to the 12th week after educational interventions)
研究者
ugurlu
Specialist Public Health Nurse, PhD Student in Public Health Nursing
Sakarya University