الفهرس 
The effect of an educational program on fatigue level among multiple sclerosis patients
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Abstract
Multiple sclerosis (MS) is a chronic auto-immune disease that affects all aspects of the
patients’ life causing multiple progressive symptoms. Fatigue is the most common
symptom of the disease which leads to dependency of patients on their family for
carrying out their daily routine activities. The aim of the present study was to evaluate
the effect of an educational program on fatigue level among multiple sclerosis patients.
A quasi-experimental one-group pretest-posttest design was used in the current study.
The study was conducted in MS Outpatient Clinic in Kasr Al-Aini University Hospital.
A convenient sample of 250 MS patients was recruited for this study. Six tools were
used in this study including; Structured MS patient Dietary Knowledge Questionnaire,
24 hour Dietary Recall Sheet, the Arabic version of Perceived Stress Scale, the Arabic
version of the International Physical Activity, the Arabic version of Pittsburgh Sleep
Quality Index, and the Arabic version of the Modified Fatigue Impact Scale. The current
results showed that, majority of MS patients had satisfactory levels of dietary
knowledge in the post and follow-up tests as compared to fewer cases in pre-test.
Moreover, there was a statistically significant change in physical, cognitive, and
psychological fatigue subscales in post program and in follow-up compared to pre program (p=.001, p=.0001, and p=.0001 respectively). There was a highly statistically
negative correlation between dietary knowledge mean score and cognitive, psychosocial
fatigue score among MS patients (p=0.01). The study concluded that, MS patients’
dietary knowledge improved after implementation of the educational program as well
as there was a decline in MS patients’ fatigue level with statically significance
differences between pre, post and follow-up tests. The study recommended that,
replication of the study with a larger probability sample from different geographical
areas in Egypt to validate and generalize the findings.