Multiple Skleroz Yönetiminde Hemşire Liderliğinde Öz Düzenlemeyi Destekleyen İnteraktif Web Tabanlı Programın Geliştirilmesi ve Etkisinin Değerlendirilmesi: Randomize Kontrollü Çalışma Protokolü

Öz

Amaç: Bu çalışma Multiple Skleroz Yönetiminde Hemşire Liderliğinde Öz Düzenlemeyi Destekleyen İnteraktif Web Tabanlı Program olan “Yönetebilirim”i Multiple Sklerozlu bireylerde öz yönetim, yorgunluk ve anksiyete düzeyleri üzerindeki etkisini değerlendirmeyi amaçlamıştır. Yöntem: Araştırma, paralel desende randomize kontrollü bir araştırmadır. Araştırma, Nisan 2022 ile Haziran 2023 arasında X'teki bir üniversite hastanesi nöroloji kliniğinde takip edilen Multipl Sklerozlu bireyle yürütülecektir. Araştırmanın çalışma grubunu 76 Multiple Sklerozlu birey oluşturmaktadır. Müdahale grubu, sekiz hafta boyunca MS yönetiminde hemşire liderliğindeki öz düzenlemeyi destekleyen interaktif bir web tabanlı program olan “Yönetebilirim”i kullanacaktır. Araştırma verilerinin toplanmasında, Birey Tanılama Formu, Multiple Skleroz Öz-Yönetim Ölçeği, Yorgunluk Şiddet Ölçeği ve Durumluluk ve Sürekli Kaygı Ölçeği kullanılacaktır. Veriler sayı, yüzde, ortalama ve standart sapma olarak sunulacaktır. Bağımsız grupları karşılaştırmak için ki-kare analizi kullanılacaktır. Zaman ve grup arasındaki etkileşimi incelemek için karma bir ANOVA yapılacaktır. Araştırmanın etik kurul olayı X üniversitesi Hemşirelik Fakültesi Girişimsel Olmayan Etik Kurul’undan alınmıştır. Çalışma protokolü "Klinik Çalışma" veri tabanına (NCT05393765) kaydedilmiştir. Bulgular: Araştırma sonuçları, hipotezlere dayalı olarak sunulacaktır. Sonuç: Araştırma sonucunda, Multipl Sklerozlu bireylerin programı kullanacaklarını ve program ile ilgili olumlu geri bildirimde bulunacaklarını varsayıyoruz. Bu çalışma, Multipl Skleroz yönetimini iyileştirmek için randomize kontrollü bir hemşirelik müdahalesi olması nedeniyle önemlidir ve gelecekteki müdahale çalışmaları için bir örnek teşkil etmektedir.

Anahtar Kelimeler

• Multipl Skleroz
• Öz Yönetim
• Hemşirelik
• İnternet Tabanlı Müdahale
• Randomize Kontrollü Çalışma

Evaluation of an Interactive Web-Based Program Advancing Nurse-Led Self-Regulation in Multiple Sclerosis Management: Study Protocol for a Randomized Controlled Trial

Öz

Aim: This study aimed to evaluate the effect of "I Can Manage" an interactive web-based program that supports nurse-led self-regulation in Multiple Sclerosis management, on self-management, fatigue, and anxiety levels in individuals with Multiple Sclerosis. Method: This parallel-group randomized controlled clinical trial. The research will be conducted with patients registered at the neurology clinic of a university hospital in X between April 2022 and June 2023. The study sample will comprise 76 individuals with Multiple Sclerosis. The intervention group will use “I Can Manage,” an interactive web-based program that supports nurse-led self-regulation in MS management, for eight weeks. The control group will not receive any intervention throughout the study. Data were collected using the Participant Identification Form, Multiple Sclerosis Self-Management Scale, Fatigue Severity Scale, and State-Trait Anxiety Inventory (STAI). Data will be provided in numbers, percentages, and means and standard deviations. Chi-square analysis will be used to compare independent groups. A mixed ANOVA will be conducted to examine the interaction between time and group. The University Faculty of Nursing Non-Interventional Ethics Committee approved the study. The study protocol was registered in the "Clinical Trial" database (NCT05393765). Results: The research findings will be shared according to the hypotheses. Conclusion: As a result, we anticipate that individuals with Multiple Sclerosis will use the program frequently and provide positive feedback about the web platform."This study has significance as a randomized controlled nursing intervention to promote Multiple Sclerosis management, ıt is an example for future intervention studies.

Anahtar Kelimeler

• Multiple Sclerosis
• Self-Management
• Nursing
• Internet-Based Intervention
• Randomized Controlled Trial

Etik Beyan

Etik Kurul (Numara ve tarih): 2022/33, 28.04.2022.

Teşekkür

The authors extend their sincere gratitude to the invaluable individuals with MS, nurses, and expert speakers who generously participated in the study and contributed their insights.

Kaynakça

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