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Abstract
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Multiple sclerosis is a chronic disease affecting the central nervous system. Multiple sclerosis occurs when the immune system attacks nerve fibers and myelin sheathing in the brain and spinal cord.
AIM: the current study aimed to evaluate the effect of nursing guidelines regarding safety measures on occurrence of injuries among adolescents with multiple sclerosis.
DESIGN: pre-posttest quasi-experimental research design was utilized in the current study. Setting: The study was conducted in the multiple sclerosis unit (out patients clinics) at Al-Kasr Al-Ainy Hospital. Sample: A purposive sample of 50 adolescents with MS aged from 12-18 years, free from any other central nervous system disorders and had previous exposure to injuries (falling, bruises, sprains, cuts, burns, choking, poisoning and drowning). Tools: Data collection was done through 1) Structured Interviewing Questionnaire Sheet, 2) Pre/post Knowledge assessment Questionnaire, 3) Pre/post Reported Practices Checklist and 4) Injures Occurrence Recording Sheet.
RESULTS: nearly half of selected adolescents (46%) aged from 16-18 with mean= 15.1± 0.6. More than three quarters (76%) of adolescents were female while 48% of them had the second rank in their families. Selected adolescents with MS suffered from fatigue, numbness and tingling, pain, thinking, and learning problems presented as 88%, 84%, 80%, and 80% respectively. 62% of adolescents with multiple sclerosis were diagnosed less than 12 months. 92% of them were hospitalized and 36% of them were due to complications. Exposed to falling, bruises, sprains, cuts, burns, choking, poisoning, and drowning (46%, 60%, 44%, 34%, 38%, 12%, 6% 10% respectively) among the selected adolescents with multiple sclerosis before intervention. Less exposed to injures as falling 24%, bruises 38%, sprains 32%, cuts 22%, burns 22%, choking 6%, poisoning 6%, and drowning 4% respectively after received nursing guidelines among the adolescence with MS. There were highly statistically significant differences before and after nursing guidelines at P ≤ 0.01.
CONCLUSION: The current study concluded that the adolescents with MS who receive nursing guidelines for safety measures had higher mean score of knowledge and reported practice than before with highly statistically significant differences. Adolescents after receiving the nursing guidelines for safety measures less exposed to injuries than before. Recommendation: Conducting nursing guidelines for safety measures for adolescents with MS and their caregivers in MS unit (outpatient clinics / inpatient section).and Applying educational program for adolescents with MS regarding developed nursing guidelines for safety measures in different community setting as schools, family health centers.
Language: en |