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Effect of Tele Nursing on Health Outcomes of Children with Rheumatic Arthritis and Satisfaction of Their Caregivers during Covid-19 Pandemic

Rheumatoid arthritis (RA) is autoimmune illness which mostly affects the joints. Access to care and rheumatic arthritis outcomes and satisfaction may be improved by utilizing the tele-nursing especially during the outbreak of COVID-19. Aim : To investigate the effect of tele nursing on health outcomes of children with rheumatic arthritis and satisfaction of their caregivers during Covid 19 pandemic. Design : A quasi experimental research design. Setting : Three out patients’ clinics of rheumatology were selected from; Menoufia University hospital, Teaching hospital and school health insurance clinics. Subjects : A purposive sample of 120 students were selected and divided equally to study and control group. Instruments: Data was collected using The Arabic form of The Juvenile Arthritis Multidimensional Assessment Report & Client Satisfaction Questionnaire-8. Results :The health outcomes of children with RA, including functional abilities, pain intensity, joint pain and swelling, joint stiffness, medication adherence, disease status and disease course, and general well-being, showed statistically significant differences between the study group and control group following the intervention. Moreover, there was a significance improvement in the levels of the quality of life (physical and psychological) on post intervention among study group than control group. Additionally, for the study group, there was a statistically significant improvement in the caregivers' satisfaction with the health services they received. Conclusion : Tele-nursing intervention is a significant method of health care delivery and has a positive impact on health outcomes of children with RA and increases the caregivers' satisfaction especially after arising the era of COVID 19 Pandemic. Recommendations : High-quality researches incorporating other undiscovered health outcomes and satisfaction are required to establish the benefit of tele-nursing in enhancing patient care.