AUTHOR=Yuan Yuan , Hou Ping , Wang Sican , Kitayama Akio , Yanagihara Kiyoko , Liang Jingyan 

TITLE=Intervention effects of telenursing based on M-O-A model in empty-nest older adult individuals with chronic diseases: a randomized controlled trial

JOURNAL=Frontiers in Public Health

VOLUME=12

YEAR=2024

URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2024.1239445

DOI=10.3389/fpubh.2024.1239445

ISSN=2296-2565

ABSTRACT=<sec id="sec1"><title>Aim</title><p>This study aims to verify the effectiveness of M-O-A telenursing intervention model in improving the health status and quality of life of the empty-nest older adult individuals with chronic diseases by a randomized comparative trial.</p></sec><sec id="sec2"><title>Methods</title><p>M-O-A telenursing intervention model was constructed based on the needs of the participants. The control group (<italic>N</italic> = 39) received routine nursing, the experimental group (<italic>N</italic> = 39) received M-O-A telenursing intervention in addition to routine nursing. After 12 weeks of intervention, the intervention effects of being a participant in the two groups were evaluated. SPSS 26.0 was used for data analysis.</p></sec><sec id="sec3"><title>Results</title><p>After 12 weeks of intervention, for the experimental group, each dimension of quality of life based on EQ-5D-3L became better, especially for “pain/discomfort,” “anxiety/depression,” “HRQoL” and “EQ-VAS” (all <italic>p</italic> &lt; 0.05) and each dimension of quality of life based on SF-36 became better too, especially for “GH,” “BP,” “RE,” “MH,” “VT,” “SF,” “PCS,” “MCS,” “SF-36” (all <italic>p</italic> &lt; 0.05). In addition, there was a statistical downward trend in blood pressure, blood glucose, weight, BMI, fat rate, nap duration, number of nocturnal awakenings, light sleep rate and a statistical upward trend in water rate, basal metabolic rate, nighttime sleep duration, deep sleep rate, rapid eye movement sleep rate, especially at the end of intervention (all <italic>p</italic> &lt; 0.05). While for the control group, there was no statistical improvement in all these aspects.</p></sec><sec id="sec4"><title>Conclusion</title><p>The M-O-A telenursing model could effectively regulate quality of life and health condition of the empty-nest older adult individuals with chronic diseases, making it worthy of further promotion and application.</p></sec>