Volume 29, Issue 3 (10-2023)
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Keshavarzian F, Arsalani N, Naghikhani M, Farpour H R, Vahedi M. Effect of tele-rehabilitation nursing on health locus of control in patients with knee osteoarthritis: A randomized clinical trial. Journal of Hayat 2023; 29 (3) :312-328
URL: http://hayat.tums.ac.ir/article-1-5013-en.html
URL: http://hayat.tums.ac.ir/article-1-5013-en.html
Fateme Keshavarzian1 
, Narges Arsalani * 2, Mehrdad Naghikhani3 , Hamid Reza Farpour4 , Mohsen Vahedi5
, Narges Arsalani * 2, Mehrdad Naghikhani3 , Hamid Reza Farpour4 , Mohsen Vahedi5
1- Dept. of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
2- Dept. of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran; Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran ,nargesarsalani@gmail.com
3- Dept. of Basic Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
4- Dept. of Physical Medicine and Rehabilitation, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran; Shiraz Geriatric Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
5- Dept. of Biostatistics and Epidemiology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran; Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
2- Dept. of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran; Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran ,
3- Dept. of Basic Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
4- Dept. of Physical Medicine and Rehabilitation, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran; Shiraz Geriatric Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
5- Dept. of Biostatistics and Epidemiology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran; Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Abstract: (381 Views)
Background & Aim: Knee osteoarthritis as a common chronic illness leading to disability, imposes numerous challenges on individuals in terms of daily living and self-care. Therefore, the implementation of tele-rehabilitation nursing interventions that foster patients' internal health locus of control and enhance the development of self-care behaviors may be useful. This study aimed to determine the effect of tele-nursing rehabilitation on the health locus of control in patients with knee osteoarthritis.
Methods & Materials: In this randomized clinical trial study, a total of 34 patients with knee osteoarthritis referred to the rehabilitation clinics affiliated with Shiraz University of Medical Sciences in 2022 were enrolled. The intervention group participated in an 8-session tele-rehabilitation nursing program, while the control group received standard routine care. The Multidimensional Health Locus of Control scale was administered to both groups on three separate occasions. The data were subjected to descriptive and inferential statistical analyses using SPSS software version 26.
Results: According to the results from a two-way repeated measures analysis of variance (ANOVA), a statistically significant difference was observed solely in the trend of changes in the mean score of internal belief between the two groups and over the study time period (P<0.001). Specifically, the scores of the intervention group exhibited a significant increase over time, surpassing those of the control group.
Conclusion: The implementation of tele-rehabilitation nursing care, which emphasizes patient responsibility for their internal health locus of control can improve self-care. Therefore, it is recommended that nurses employ this approach in managing additional chronic conditions.
Clinical trial registry: IRCT20220216054038N1
Methods & Materials: In this randomized clinical trial study, a total of 34 patients with knee osteoarthritis referred to the rehabilitation clinics affiliated with Shiraz University of Medical Sciences in 2022 were enrolled. The intervention group participated in an 8-session tele-rehabilitation nursing program, while the control group received standard routine care. The Multidimensional Health Locus of Control scale was administered to both groups on three separate occasions. The data were subjected to descriptive and inferential statistical analyses using SPSS software version 26.
Results: According to the results from a two-way repeated measures analysis of variance (ANOVA), a statistically significant difference was observed solely in the trend of changes in the mean score of internal belief between the two groups and over the study time period (P<0.001). Specifically, the scores of the intervention group exhibited a significant increase over time, surpassing those of the control group.
Conclusion: The implementation of tele-rehabilitation nursing care, which emphasizes patient responsibility for their internal health locus of control can improve self-care. Therefore, it is recommended that nurses employ this approach in managing additional chronic conditions.
Clinical trial registry: IRCT20220216054038N1
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