通过远程护理对患有多发性硬化症的人的自我管理产生患者为中心的赋权计划的影响:双盲随机临床试验
Fateme Bayat1, Reza Negarandeh2, Shahzad Pashaeypoor3
1Department of Community Health and Geriatric Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
BMC neurology
|April 2, 2025
概括
通过远程护理提供的以患者为中心的赋权计划显著改善了多发性硬化症 (PwMS) 患者的自我管理技能. 这种方法增强了MS知识和健康维护行为,为慢性疾病管理提供了有价值的策略.
科学领域:
- 神经学 神经学
- 数字健康数字健康
- 患者赋权是患者赋权的一种方式.
背景情况:
- 多发性硬化症 (MS) 给照顾者带来了重大挑战.
- 根据个体需求量身定制的患者赋权对于管理MS等慢性疾病至关重要.
研究的目的:
- 评估通过远程护理提供的以患者为中心的赋权计划对患有多发性硬化症 (PwMS) 患者自我管理的影响.
主要方法:
- 一个双盲,随机的临床试验,涉及90个PwMS.
- 干预:为期4周的5个远程护理课程,专注于个体需求.
- 结果测量:多发性硬化症自我管理量表.
主要成果:
- 与对照组相比,干预组在干预后的自我管理指数,多发性硬化症知识和健康维护行为的显著改善.
- 观察到一个中等效应大小 (科恩的d=0.56).
- 两组之间没有发现显著的基线差异.
结论:
- 通过远程护理提供的以患者为中心的赋权计划有效地提高了PwMS的自我管理.
- 医疗保健提供者应在慢性疾病护理中优先考虑个性化的患者赋权战略.
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