Evaluation of a web-based virtual nursing intervention to support self-management among adults with epilepsy: A mixed-methods study

The effects of web-based animation-supported progressive relaxation exercises applied to individuals with epilepsy on fatigue and sleep quality: A randomized controlled study

PURPOSE

The study was conducted to determine the effects of Progressive Relaxation Exercise, supported by mobile-based animation, on fatigue and sleep quality of individuals with epilepsy.

MATERIAL-METHOD

The study was conducted in a randomized controlled design with a pretest-posttest model on epileptic individuals who applied to Giresun University, Faculty of Medicine, Neurology Outpatient Clinic between February and December 2022. By using power analysis, the sample of the study was determined as 60 epilepsy patients (30 in the Control Group, 30 in the Experimental Group). The data were collected by face-to-face interview technique with the Personal Information Form, Pittsburgh Sleep Quality Index (PSQI), and Fatigue Severity Scale (FSS). Frequencies, percentages, arithmetic mean, standard deviations, Pearson Correlation Analysis, Paired t-Test, Student's t-Test, and Chi-Square Test were used in the evaluation of the study data.

RESULTS

When the Control Group's mean scores in the pre-test and post-tests, which were performed with an interval of 6 weeks, were compared, a statistically significant difference was detected between the FSS and PSQI scores (p>0.05). The mean Fatigue Severity Scale score was found to be 5.24 ± 0.69 before the Progressive Relaxation Exercises and 3.82 ± 0.77 after the exercises. The mean scores of the individuals on the Fatigue Severity Scale after the relaxation exercises were found to be lower at a statistically significant level than the mean scores before the relaxation exercises (p<0.001). The differences between subjective sleep quality (p<0.001), sleep latency (p<0.001), daytime dysfunction (p<0.001), and total sleep quality (p<0.001) score averages after the Progressive Relaxation Exercises were statistically significant compared to the pre-exercises status. When the post-test scores of the participants in the Experimental Group was examined, significant, moderate, and positive differences were detected between the FSS and Total PSQI scores (r: 0.373-p: 0.042), Subjective Sleep Quality (r: 0.487-p: 0.006), which is one of the sub-dimensions of PSQI, Sleeping Pill Use (r: 0.531-p: 0.003), and Daytime Dysfunction (r: 0.461-p: 0.01) scores.

CONCLUSION

It was determined that individuals with epilepsy experience fatigue and deterioration in sleep quality and there is a reciprocal relationship between the severity of fatigue and sleep quality in these individuals. Progressive Relaxation Exercises applied with the animation-supported web-based mobile intervention technique reduce the fatigue levels of individuals and increase sleep quality.

Filipino Nurses' Feedback on Using a Web-Based Medication Management System: A Pilot Study in a Telehealth Hospital

A common medication safety strategy involves a Web-based medication management system. Still, there is no consensus about its acceptance and usability, even more so among nurses in the Philippines. Thus, this pilot study used a mixed-methods design to explore the nurses' feedback (N = 26) about Web-based medication management system in a telehealth hospital. Their acceptance, perceived usability, and experience of Web-based medication management system were assessed using the Unified Theory of Acceptance and Use of Technology model, Post Study System Usability Questionnaire, and semistructured interview guide, respectively. Results showed nurses agreed on their acceptance of Web-based medication management system (M = 3.72 [SD = 0.69]) and slightly agreed on its usability (M = 5.18 [SD = 1.02]). It also generated the Nursing Capsule of Web-based medication management system use that combines the quantitative model with age and length of practice as significant predictors and the qualitative interaction vortex with three themes (i.e., engaging, enabling, and exciting). These findings emphasized the need for effective technological adaptation to advance nursing practice and patient care.