Effect of Digital Nursing Intervention on Performance of Daily Living Activities and Treatment Adherence among Adult Patients with Multiple Sclerosis | ||||
| Egyptian Journal of Health Care | ||||
| Volume 15, Issue 3, September 2024, Page 1570-1591 PDF (890 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2024.409252 | ||||
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| Authors | ||||
| Om Elhana Kamel Abo Shehata1; Eman Ebrahim Ahmed2; Afaf Mohammed Mansour Gad3; Asmaa Elsayed Farid Amr4 | ||||
| 1Assistant Prof. of Medical Surgical Nursing, Faculty of Nursing, Menoufia University, Egypt. | ||||
| 2Lecturer of Community Health Nursing, Faculty of Nursing, Modern University for Technology and Information, Egypt | ||||
| 3Lecturer of Medical Surgical Nursing, Faculty of Nursing, Menoufia University, &Lecturer of Medical Surgical Nursing Department, Faculty of Nursing, Al-Ryada University for Science and Technology, Egypt. | ||||
| 4Assistant Prof. of Family and Community Health Nursing, Faculty of Nursing, Menoufia University, Egypt | ||||
| Abstract | ||||
| Background: Multiple Sclerosis is a progressive inflammatory neurological disease affecting central nervous system that may lead to long term disability and even death especially among young adults. So, digital nursing intervention is crucial in providing information about disease, identify needs, improve daily activities and treatment adherence among patients with multiple sclerosis Aim: to assess the effect of digital nursing intervention on performance of daily living activities and treatment adherence among adult patients with multiple sclerosis.. Design: Quasi-experimental (case and control group- pre/ posttest) research design was utilized for the present study. Setting: The current study was conducted at Neurological outpatient clinic at University Hospital in Shebin El –Kom, Menofia Governorate, Egypt. Sample: A purposive sample of 80 adult patients diagnosed with multiple sclerosis was taken in this study. Instruments: Three instruments were used I: Structured interviewing questionnaire to gather socio demographic data, patient's medical data, and Patients' knowledge regarding multiple sclerosis, II: Modified Barthel Index scale, and III: Multiple Sclerosis Treatment Adherence Questionnaire. Results: After three and six months of application of digital nursing intervention, total mean score of knowledge among the study group was increased to 14.6 and18.2-compared to 9.1 and 9.8 in the control group respectively. Also, The mean score of performance of Daily Living activity was improved to 15.82±4.24 and 17.07±3.96 in the study group compared to 8.07±3.79 and 8.67±4.28 in the control group respectively. In addition, the study group had a statistical significant improvement in in all item of treatment adherence at post 3 and 6 months of intervention compared to control group (P<0.001).. Conclusion: Digital nursing intervention ascertained its efficacy in increasing knowledge, enhancing performance of daily living activities and improving treatment adherence of patients with multiple sclerosis. Recommendation: Creation of Web site under supervision of medical and nursing to increase information about the disease and facilitate follow up of patients with multiple sclerosis. | ||||
| Keywords | ||||
| Daily Living Activities; Digital Nursing Intervention; Multiple Sclerosis; Treatment Adherence | ||||
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