Effect of Tele Nursing on Health Outcomes of Children with Rheumatic Arthritis and Satisfaction of Their Caregivers during Covid-19 Pandemic

Document Type : Original Article

Authors

1 Assistant professor of Family and Community Health Nursing, Faculty of Nursing, Menoufia University, Egypt.

2 Lecturer of Family and Community Health Nursing, Faculty of Nursing, Menoufia University, Egypt.

3 Lecturer of Pediatric Nursing, Faculty of Nursing, Menoufia University, Egypt.

Abstract

Rheumatoid arthritis (RA) is autoimmune illness which mostly affects the joints. Access to care and
rheumatic arthritis outcomes and satisfaction may be improved by utilizing the tele-nursing
especially during the outbreak of COVID-19. Aim: To investigate the effect of tele nursing on
health outcomes of children with rheumatic arthritis and satisfaction of their caregivers during
Covid 19 pandemic. Design: A quasi experimental research design. Setting: Three out patients’
clinics of rheumatology were selected from; Menoufia University hospital, Teaching hospital and
school health insurance clinics. Subjects: A purposive sample of 120 students were selected and
divided equally to study and control group. Instruments: Data was collected using The Arabic form
of The Juvenile Arthritis Multidimensional Assessment Report & Client Satisfaction Questionnaire-

Results:The health outcomes of children with RA, including functional abilities, pain intensity,

joint pain and swelling, joint stiffness, medication adherence, disease status and disease course, and
general well-being, showed statistically significant differences between the study group and control
group following the intervention. Moreover, there was a significance improvement in the levels of
the quality of life (physical and psychological) on post intervention among study group than control
group. Additionally, for the study group, there was a statistically significant improvement in the
caregivers' satisfaction with the health services they received. Conclusion: Tele-nursing
intervention is a significant method of health care delivery and has a positive impact on health
outcomes of children with RA and increases the caregivers' satisfaction especially after arising the
era of COVID 19 Pandemic. Recommendations: High-quality researches incorporating other
undiscovered health outcomes and satisfaction are required to establish the benefit of tele-nursing in
enhancing patient care.

Keywords

Egyptian Journal of Health Care
Volume 13, Issue 2
June 2022
Pages 1855-1873

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