Volume 28, Issue 1 (3-2020)                   Avicenna J Nurs Midwifery Care 2020, 28(1): 11-19 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Bikmoradi A, Abdolmaleki S, Tapak L. The Effect of Telephone Consultation and Follow-up on Pain Reduction in Multiple Sclerotic Patients: a Randomized Clinical Trial. Avicenna J Nurs Midwifery Care 2020; 28 (1) :11-19
URL: http://nmj.umsha.ac.ir/article-1-1962-en.html
1- Health Economics and Management Department, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran , bikmoradi@umsha.ac.ir
2- Medical Surgical Department, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
3- Biostatistics Department, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
Abstract:   (5657 Views)
Introduction: Patients with multiple sclerosis (MS) suffer from pain. Usually, the severity of other symptoms causes the pain of these patients to be ignored or considered to be normal. This study was carried out to determine the impact of telephone counseling and follow-up on pain in patients with MS.
Methods: This randomized clinical trial was conducted on 70 MS patients attending the multiple sclerosis Clinic at Sina (Farshchian) Hospital, Hamadan, Iran. A two-month intervention was administered, with the phone calls organized as follows: Week 1 (two calls revolving around medication schedule Week 2 (two calls about a diet plan, Week 3 (two calls about the exercise schedule،Week 4 (two calls about the role of stress in MS; and Weeks 5 to 8 (four weekly reminder calls to ensure patient compliance with the contents delivered within the first 4 weeks. Pain assessment scale was completed before and after the intervention.
Results: The mean of pain severity in the experimental group before and after the consultation with telephone follow up was statistically significant (P=0/001). The mean of pain severity in the experimental group after intervention was reduced to 4.32 with a standard deviation of 0.17. However, the mean and standard deviation of pain in the experimental group also showed a downward trend. The comparison of the mean pain severity in the two groups after the intervention showed a significant difference (P<0.001).
Conclusion: Telephone counseling together with telephone follow-up reduces pain in patients with multiple sclerosis and improves patient health. Therefore, counseling with telephone follow up is recommended in reducing pain intensity of patients.
Persian Full-Text [PDF 522 kb]   (1229 Downloads) |   |   Extended Abstract (HTML)  (911 Views)  
✅ Telephone counseling together with telephone follow-up reduces pain in patients with multiple sclerosis and improves patient health. Therefore, counseling with telephone follow up is recommended in reducing pain intensity of patients.
Type of Study: Original Research | Subject: Nursing
Received: 2018/11/27 | Accepted: 2019/04/27 | Published: 2020/01/3

1. Hayes S, Kennedy C, Galvin R, Finlayson M, McGuigan C, Walsh CD, et al. Interventions for Preventing Falls in People with Multiple Sclerosis. 2017. [DOI:10.1002/14651858.CD012475] [PMCID]
2. Mazdeh M, Khazaei M, HASHEMI FN, Ghiasian M. Frequency of Multiple Sclerosis (MS) Among Relatives of MS Patients in Hamadan Society, Iran. Avicenna Journal of Neuro Psych Physiology. 2016;3(1). [DOI:10.17795/ajnpp-38613]
3. Rumah KR, Vartanian TK, Fischetti VA. Oral Multiple Sclerosis Drugs Inhibit the in Vitro Growth of Epsilon Toxin Producing Gut Bacterium, Clostridium Perfringens. Frontiers in cellular and infection microbiology. 2017 Jan 25;7:11. [DOI:10.3389/fcimb.2017.00011] [PMID] [PMCID]
4. Farma BS. Introduction to Multiple Sclerosis 1, Translation Company Bayer Farma Shrink Office. Tehran: Jalal Publication. 2010;1389.
5. Kamm CP, Uitdehaag BM, Polman CH. Multiple Sclerosis: Current Knowledge And Future Outlook. European neurology. 2014;72(3-4):132-41. [DOI:10.1159/000360528] [PMID]
6. Fricska-Nagy Z. New Data in the Epidemiology of Multiple Sclerosis in Hungary (Doctoral dissertation, szte).
7. Thompson AJ, Toosy AT, Ciccarelli O. Pharmacological Management of Symptoms in Multiple Sclerosis: Current Approaches and Future Directions. The Lancet Neurology. 2010 Dec 1;9(12):1182-99. [DOI:10.1016/S1474-4422(10)70249-0]
8. Jelinek GA, Hassed CS. Managing Multiple Sclerosis in Primary Care: Are We Forgetting Something?. Quality in Primary Care. 2009;17(1):55-61.
9. Wilsdon T, Barron A, Mitchell-Heggs A, Ginoza S. Access to Medicines for Multiple Sclerosis: Challenges and Opportunities. Report prepared for Biogen Idec. London. 2014 Feb.
10. Metz I, Weigand SD, Popescu BF, Frischer JM, Parisi JE, Guo Y, Lassmann H, Brück W, Lucchinetti CF. Pathologic Heterogeneity Persists in Early Active Multiple Sclerosis Lesions. Annals of neurology. 2014 May;75(5):728-38. [DOI:10.1002/ana.24163] [PMID] [PMCID]
11. Milo R, Miller A. Revised Diagnostic Criteria of Multiple Sclerosis. Autoimmunity reviews. 2014 Apr 1;13(4-5):518-24. [DOI:10.1016/j.autrev.2014.01.012] [PMID]
12. Heitmann H, Biberacher V, Tiemann L, Buck D, Loleit V, Selter RC, Knier B, Tölle TR, Mühlau M, Berthele A, Hemmer B. Prevalence of Neuropathic Pain in Early Multiple Sclerosis. Multiple Sclerosis Journal. 2016 Aug;22(9):1224-30.Day MA, 13. [DOI:10.1177/1352458515613643] [PMID]
13. Ehde DM, Ward LC, Hartoonian N, Alschuler KN, Turner AP, Kraft GH, Jensen MP. An Empirical Investigation of a Biopsychosocial Model of Pain in Multiple Sclerosis. The Clinical journal of pain. 2016 Feb 1;32(2):155-63. [DOI:10.1097/AJP.0000000000000240] [PMID]
14. Fritz NE, Roy S, Keller J, Prince J, Calabresi PA, Zackowski KM. Pain, Cognition and Quality of Life Associate with Structural Measures of Brain Volume Loss in Multiple Sclerosis. NeuroRehabilitation. 2016 Jan 1;39(4):535-44. [DOI:10.3233/NRE-161384] [PMID] [PMCID]
15. Brunner LS. Brunner & Suddarth's Textbook of Medical-Surgical Nursing. Lippincott Williams & Wilkins; 2010.
16. Martinelli Boneschi F, Colombo B, Annovazzi P, Martinelli V, Bernasconi L, Solaro C, Comi G. Lifetime and Actual Prevalence of Pain and Headache in Multiple Sclerosis. Multiple Sclerosis Journal. 2008 May;14(4):514-21. [DOI:10.1177/1352458507085551] [PMID]
17. Khan N, Smith MT. Multiple Sclerosis-Induced Neuropathic Pain: Pharmacological Management and Pathophysiological Insights from Rodent EAE Models. Inflammopharmacology. 2014 Feb 1;22(1):1-22. [DOI:10.1007/s10787-013-0195-3] [PMID] [PMCID]
18. Kes VB, Cengić L, Cesarik M, Tomas AJ, Zavoreo I, Matovina LZ, Corić L, Drnasin S, Demarin V. Quality of Life in Patients with Multiple Sclerosis. Acta clin croat. 2013 Mar 1;52(1):107-1.
19. Poser CM. The Diagnosis and Management of Multiple Sclerosis. Acta neurologica scandinavica. 2005 Sep;112(3):199-201. [DOI:10.1111/j.1600-0404.2005.00450.x] [PMID]
20. Schlachta-Fairchild L, Varghese SB, Deickman A, Castelli D. Telehealth and Telenursing are Live: APN Policy and Practice Implications. The journal for nurse practitioners. 2010 Feb 1;6(2):98-106. [DOI:10.1016/j.nurpra.2009.10.019]
21. Kumar S, Snooks H, editors. Telenursing. Springer Science & Business Media; 2011 Jul 9. [DOI:10.1007/978-0-85729-529-3]
22. Peck A. Changing the Face of Standard Nursing Practice Through Telehealth and Telenursing. Nursing administration quarterly. 2005 Oct 1;29(4):339-43. [DOI:10.1097/00006216-200510000-00008] [PMID]
23. Collaborative OC. Chronic Obstructive Pulmonary Disease (COPD) Evidentiary Framework. Ontario health technology assessment series. 2012;12(2):1.
24. Hsu YC, Tsai CH, Kuo YM. Telecare Services for Elderly: Predictive Factors of Continued Use Intention. The open biomedical engineering journal. 2016;10:82. [DOI:10.2174/1874120701610010082] [PMID] [PMCID]
25. Kalankesh LR, Pourasghar F, Nicholson L, Ahmadi S, Hosseini M. Effect of Telehealth Interventions on Hospitalization Indicators: A Systematic Review. Perspectives in health information management. 2016;13(Fall).
26. Akhu-Zaheya LM, Wa'ed YS. The Effect of Short Message System (SMS) Reminder on Adherence to a Healthy Diet, Medication, and Cessation of Smoking Among Adult Patients with Cardiovascular Diseases. International journal of medical informatics. 2017 Feb 1;98:65-75. [DOI:10.1016/j.ijmedinf.2016.12.003] [PMID]
27. Myles PS, Troedel S, Boquest M, Reeves M. The Pain Visual Analog Scale: Is It Linear or Nonlinear?. Anesthesia & Analgesia. 1999 Dec 1;87(6):1517. [DOI:10.1213/00000539-199912000-00038]
28. Loos MJ, Houterman S, Scheltinga MR, Roumen RM. Evaluating Postherniorrhaphy Groin Pain: Visual Analogue or Verbal Rating Scale?. Hernia. 2008 Apr 1;12(2):147-51. [DOI:10.1007/s10029-007-0301-9] [PMID]
29. Mendelson G, Selwood TS. Measurement of Chronic Pain: A Correlation Study of Verbal and Nonverbal Scales. Journal of behavioral assessment. 1981 Dec 1;3(4):263-9. [DOI:10.1007/BF01350830]
30. Vickers ER, Cousins MJ, Woodhouse A. Pain Description and Severity of Chronic Orofacial Pain Conditions. Australian dental journal. 1998 Dec;43(6):403-9. [DOI:10.1111/j.1834-7819.1998.tb00200.x] [PMID]
31. Rezvani Amin M, Siratinayer M, Abadi A, Moradyan T. Correlation Between Visual Analogue Scale and Short Form of McGill Questionnaire in Patients with Chronic Low Back Pain. Qom University of Medical Sciences Journal. 2011 Apr 10;5(1):31-4.
32. Ehde DM, Elzea JL, Verrall AM, Gibbons LE, Smith AE, Amtmann D. Efficacy of a Telephone-Delivered Self-Management Intervention for Persons With Multiple Sclerosis: A Randomized Controlled Trial with a One-Year Follow-Up. Archives of physical medicine and rehabilitation. 2015 Nov 1;96(11):1945-58. [DOI:10.1016/j.apmr.2015.07.015] [PMID]
33. Ikemoto K, Yamagata Y, Ikemoto T, Kawai T, Aono S, Arai YC. Telephone Consultation Partially Based on a Cognitive-Behavioral Approach Decreases Pain and Improves Quality of Life in Patients with Chronic Pain. Anesthesiology and pain medicine. 2015 Dec;5(6). [DOI:10.5812/aapm.32140] [PMID] [PMCID]

Add your comments about this article : Your username or Email:

Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Avicenna Journal of Nursing and Midwifery Care

Designed & Developed by : Yektaweb