Effect of Self-Management Guidelines on Fatigue among Patients with Systemic Lupus Erythematosus

Amer, Shaimaa Abd El Mageed; El-Sheikh, Amal Amin; Eldoushy, Engy E.; Gad, Afaf Mohamed Mansour

doi:10.21608/menj.2024.381510

Effect of Self-Management Guidelines on Fatigue among Patients with Systemic Lupus Erythematosus

Document Type : Original Article

Authors

¹ Assistant lecturer of Medical Surgical Nursing, Faculty of Nursing, Menoufia University, Egypt.

² Professor of Medical Surgical Nursing, Faculty of Nursing, Menoufia University, Egypt.

³ Assistant Professor of Medical Surgical Nursing , Faculty of Nursing, Menoufia University, Egypt.

⁴ Lecturer of Medical Surgical Nursing , Faculty of Nursing, Menoufia University, Egypt.

10.21608/menj.2024.381510

Abstract

Background Systemic lupus erythematosus is a common chronic autoimmune inflammatory disease which can affect most organ systems. Effective self- management guidelines are required as they may be of a great value in minimizing fatigue. Purpose: To assess the effect of self-management guidelines on fatigue among patients with systemic lupus erythematosus. Design: a quasi-experimental research design was utilized for this study. Setting: The current study was carried out at rheumatology outpatient clinic in Menoufia University Hospital, Shebin El-Kom. Sampling: A consecutive sample of 70 adult patients with systemic lupus erythematosus were assigned alternatively into two equal groups, (35 patients in each group). Instruments: Two instruments were used for data collection: Structured interviewing questionnaire and Fatigue Severity Scale (FSS). Results: They revealed that the severity of fatigue level were reduced among the study than control groups on post intervention and follow-up (54.3% and 57.1% pre intervention among the study and control groups respectively compared with 20% and 54.3% post intervention and 14.3% and 54.3% at follow up intervention among the study and control groups respectively. Conclusions: Self-management guidelines had significant effect on reducing fatigue severity among study group (group I) than control group (group II). Recommendations: Supervised continuous self management guidelines for patients with SLE in hospitals should be implemented to reduce fatigue severity.

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