Comparison the effect of self-care training program in two methods of multi-media education and tele-nursing on social isolation in patients with COVID-19 in Bandar Abbas

Elham Imani, Asma Khodami, Reza Jamhiry, Saeed HoseiniTeshnizi
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Abstract

Background. With the spread of the contagious disease of COVID-19, the necessity of quarantine came to prevent the transmission of the disease. For this reason, patients suffered from social isolation. On the other hand, in order to control and treat the disease, it was necessary to provide self-care training. The present study was designed with the aim of comparison of the effect of self-care training program in two methods of multi-media education and tele-nursing on social isolation in patients with COVID-19 in Bandar Abbas city. Methods. This study was performed as a quasi-experimental study on 88 patients with COVID-19 referred to comprehensive health service centers in Bandar Abbas in 2021. The research samples were selected through convenience method and were divided into two groups of multimedia training and tele-nursing using block random allocation. First, social isolation in patients with COVID-19 was assessed using the questionnaire in two groups and then self-care training was provided using multimedia and tele-nursing methods. At the end of day twenty-one, social isolation was measured again and the data was entered into SPSS software version 26 and analyzed. Results. There was no significant difference in pre-intervention assessment in term of social isolation score between the two groups (P>0.05). The results of the multiple covariance analysis test showed that by controlling the effect of the pre-test of each dimension of social isolation, the mean score of the loneliness, social disability, social anxiety and social tolerance dimensions after the intervention in the telenursing group was significantly lower than that of the multimedia group (P<0.001). Conclusion. Educational methods such as multimedia education and tele-nursing for awareness and self-care education, along with other medical care, can reduce social isolation. Therefore, it is necessary to consider a self-care education program and provide information about the necessary care during COVID-19 disease for patients in comprehensive health service centers and to use tele-nursing for more effective self-care education. Practical Implications. Research findings can be applied in self-care training programs in infectious diseases such as COVID-19.
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比较多媒体教育与远程护理两种自我保健培训方案对阿巴斯港新冠肺炎患者社会隔离的影响
背景。随着新型冠状病毒病(COVID-19)的传播,为了防止疾病的传播,有必要进行隔离。因此,患者遭受了社会孤立。另一方面,为了控制和治疗疾病,提供自我保健培训是必要的。本研究旨在比较采用多媒体教育和远程护理两种方式的自我护理培训方案对阿巴斯市新冠肺炎患者社会隔离的影响。方法。本研究是对2021年在阿巴斯港综合保健服务中心转诊的88名新冠肺炎患者进行的准实验研究。采用便利法选取研究样本,采用分组随机分配法将研究样本分为多媒体培训组和远程护理组。首先采用调查问卷对两组新冠肺炎患者进行社会隔离评估,然后采用多媒体和远程护理方法对患者进行自我护理培训。在第21天结束时,再次测量社会隔离,并将数据输入SPSS软件26版进行分析。结果。两组在社会隔离评分方面的干预前评估差异无统计学意义(P>0.05)。多元协方差分析检验结果显示,在控制社会隔离各维度前测的影响后,远程护理组干预后孤独感、社会残疾、社会焦虑和社会宽容维度的平均得分显著低于多媒体组(P<0.001)。结论。教育方法,如多媒体教育和远程护理的意识和自我保健教育,以及其他医疗保健,可以减少社会孤立。因此,有必要考虑制定自我保健教育计划,在综合卫生服务中心为患者提供COVID-19疾病期间必要的护理信息,并利用远程护理进行更有效的自我保健教育。实际意义。研究成果可以应用于COVID-19等传染病的自我保健培训项目。
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