The Effect of the Human Care Model on Patients With Multiple Sclerosis

NCT06634758 | Unknown

• 1 other identifier: a3xktrbv
• Study Type: interventional
• Target: 74
• Locations: 1 country
• Sites: 1

Brief Summary

Purpose: This study was conducted to determine the effect of nursing care based on Watsons Human Caring Model on the quality of life of patients with MS. Materials and Methods: This randomized controlled study was conducted in Gülhane Training and Research Hospital, Neurology Department Outpatient Clinic between January and November 2023.Patients were assigned to groups according to block randomization. The study was conducted with a total of 74 patients, 37 in the intervention and 37 in the control group. Four interviews were conducted with the patients, and a nursing care protocol based on the Watson Human Caring Model was applied. Patients in the control group underwent routine procedure. The "Multiple Sclerosis Symptom Management Booklet" and "Relaxation Exercises" educational materials used in the study were evaluated with the DISCERN measurement tool and the written materials evaluation form. Research data were obtained using the Data Collection Form, MS Quality of Life Scale, Watson Patient Satisfaction Form and Semi-Structured Interview Form. Keywords: Watson Human Caring Model, MS, nursing care, quality of life.

Conditions

Nursing Caries

Keywords

Nursing Care; Multiple Sclerosis; Quality of Life; Watson human care model

Outcome Measures

Primary Outcomes (1)

• Multiple Sclerosis Quality of Life (MSQOL)-54 scale

  The effect of nursing care on quality of life

  10 weeks

Study Arms (1)

"intervention"

EXPERIMENTAL

When the studies in the literature are examined, it has been presented that nursing care based on Watson's Human Caring Model increases the quality of life in various diagnosed patient groups, reduces depression and pain, increases sleep quality and provides glycemic control . However, to our knowledge, no research has been conducted on individuals with MS based on Watson's Human Caring Model. Based on the idea that the model to be used will cause a positive change in the quality of life of MS patients, it is anticipated that this model-based research, which is preferred, can guide the treatment, support and counseling services that nurses provide to MS patients and strengthen nursing care.

Behavioral: Nursing interventions based on the Watson Human Caring Model

Interventions

Nursing interventions based on the Watson Human Caring Model BEHAVIORAL

In the literature review, it was noticed that nursing care based on the Watson Human Caring Model was applied to various patient groups but not to patients with MS.

"intervention"

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Having a score between 3-7 on the Expanded Disability Status Scale (EDSS) (Puz et al., 2018) divided the patients into two groups as EDSS\<3 and EDSS≥3 and reported that the frequency of comorbidity was high in patients with EDSS scores of 3 and above. For this reason, patients with EDSS scores below 3 were not included in the study. In addition, patients with EDSS scores above 7 are dependent on the caregiver/helper. Since the quality of life of dependent patients may be affected by the caregiver, patients with EDSS scores above 7 were not included in the study).
• Being between the ages of 18 and 65
• Being able to speak and understand Turkish, not having a speech-comprehension disorder

You may not qualify if:

• Having an attack during the research process
• Becoming pregnant during the research process
• Not being able to attend any or more of the four planned meetings in line with the care plan based on the Watson Human Care Model created for this research
• Wanting to leave the research

Sponsors & Collaborators

• Saglik Bilimleri Universitesi: lead

Study Sites (1)

Atatürk Sanatoryum Eğitim ve Araştırma Hastanesi

Ankara, Keçiören, 06310, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Multiple Sclerosis

Condition Hierarchy (Ancestors)

Demyelinating Autoimmune Diseases, CNS; Autoimmune Diseases of the Nervous System; Nervous System Diseases; Demyelinating Diseases; Autoimmune Diseases; Immune System Diseases

Study Officials

• Fatma İlknur ÇINAR, Prof. Dr.

  SBÜ Gülhane Hemşirelik Fakültesi

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Intervention Group Procedure 4 interviews were conducted with patients in this group and in each interview, patients were given MS Symptom Management and Relaxation Exercise training. Nursing care based on the Human Care Model was provided. Control Group Procedure No intervention other than routine treatment and care was applied to the patients in the control group. Data Collection Form, MS Quality of Life Scale were applied to the patients. Face-to-face interviews were conducted with these patients two and a half months after the first interview and the MS Quality of Life Scale was applied again. After the study ended, between June and November 2023, Watson Human Care Model Based Nursing Care was applied to the patients in this group (1 patient could not attend the planned interviews due to a change of province and 1 patient could not take leave from work).

Study Record Dates

• First Submitted: September 17, 2024
• First Posted: October 10, 2024
• Study Start: May 1, 2022
• Primary Completion: October 28, 2024
• Study Completion: November 28, 2024
• Last Updated: October 10, 2024

Record last verified: 2023-10

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)