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Articles
VIEWS: 6
Published: 2025-03-31

Assessment of Nurses’ Knowledge of Multiple Sclerosis in Morocco

Faculty of Sciences and Techniques, University Sultan Moulay Slimane, Béni Mellal 23000, Morocco
Faculty of Sciences and Techniques, University Sultan Moulay Slimane, Béni Mellal 23000, Morocco
Faculty of Sciences Ben M’sik, Hassan II University, Casablanca 20670, Morocco
Faculty of Sciences and Techniques, University Sultan Moulay Slimane, Béni Mellal 23000, Morocco
Faculty of Sciences and Techniques, University Sultan Moulay Slimane, Béni Mellal 23000, Morocco
knowledge Morocco multiple sclerosis nurse

Abstract

Nurses are essential in early detection, education, symptom management, treatment administration, and care coordination for patients with multiple sclerosis (MS). This role requires both theoretical and practical knowledge. This study evaluates the knowledge level among nurses regarding multiple sclerosis in Morocco. We conducted this cross-sectional study on 326 nurses in Morocco using a purposive sampling method, which involves selecting nursing specialties that have direct contact with patients with MS, aiming to target the most relevant professionals for the study. The data are collected using an anonymous questionnaire distributed individually to participants. We opted for multivariable logistic regression models to analyze the data. The results highlighted a significant deficit in nurses’ knowledge of MS. Only 28.8% recognized it as a chronic disease, while nearly half identified it as autoimmune, inflammatory, or neurodegenerative. Commonly reported symptoms included sphincter abnormalities (56.4%), visual disorders (44%), spasticity (27.6%), sexual problems (26%), and cognitive issues (23.9%). Concerning risk factors, 46% attributed MS primarily to genetics, while 40% were unaware of any factors. Nearly half (47%) believed MS therapy is symptomatic, and only 33% were familiar with disease-modifying therapies (DMTs). 90% of nurses lacked continuous MS training. The study found significant associations between nurses’ knowledge and variables such as department of work (p = 0.045), gender (p = 0.041), and profile (p = 0.039). Lack of knowledge about MS may negatively influence early diagnosis and management of MS. To address this issue, we recommend improving the foundational training of healthcare professionals and introducing continuous education programs.

Keywords: knowledge, Morocco, multiple sclerosis, nurse

 

Abstrak

Menilai Pengetahuan Perawat tentang Multiple Sclerosis di Maroko. Perawat berperan penting dalam deteksi dini, pendidikan, manajemen gejala, pemberian pengobatan, dan koordinasi perawatan untuk pasien dengan multiple sclerosis (MS). Peran ini membutuhkan pengetahuan teoritis dan praktis. Penelitian ini menilai pengetahuan perawat tentang MS di Maroko. Kami melakukan studi cross-sectional ini pada 326 perawat di Maroko dengan menggunakan metode purposive sampling, yang melibatkan pemilihan spesialisasi keperawatan yang kemungkinan memiliki kontak langsung dengan pasien MS, dengan tujuan untuk menargetkan profesional yang paling relevan untuk penelitian ini. Data dikumpulkan dengan menggunakan kuesioner anonim yang didistribusikan secara individual kepada peserta. Kami memilih model regresi logistik multivariabel untuk menganalisis data. Penelitian ini menyoroti kekurangan yang signifikan dalam pengetahuan perawat tentang MS. Hanya 28,8% yang mengenali MS sebagai penyakit kronis, sementara hampir separuhnya mengidentifikasinya sebagai autoimun, inflamasi, atau neurodegeneratif. Gejala yang umum dilaporkan termasuk kelainan sfingter (56,4%), gangguan penglihatan (44%), spastisitas (27,6%), masalah seksual (26%), dan gangguan kognitif (23,9%). Mengenai faktor risiko, 46% mengaitkan MS terutama dengan faktor genetik, sementara 40% tidak mengetahui faktor apapun. Hampir setengah (47%) meyakini terapi MS bersifat simtomatik, dan hanya 33% yang akrab dengan disease-modifying therapies (DMT). Lebih jauh lagi, 90% perawat tidak memiliki pelatihan MS berkelanjutan. Penelitian ini menemukan hubungan yang signifikan antara pengetahuan perawat dan variabel seperti departemen kerja (p = 0,045), jenis kelamin (p = 0,041), dan profil (p = 0,039). Kurangnya pengetahuan tentang MS dapat berdampak negatif pada diagnosis dini dan manajemen penyakit ini. Untuk mengatasi masalah ini, kami merekomendasikan untuk meningkatkan pelatihan dasar bagi para profesional kesehatan dan memperkenalkan program pendidikan berkelanjutan.

Kata Kunci: Maroko, multiple sclerosis, pengetahuan, perawat

References

  1. Amezcua, L., & McCauley, J.L. (2020). Race and ethnicity on MS presentation and disease course. Multiple Sclerosis Journal, 26 (5), 561–567. doi: 10.1177/1352458519887328.
  2. Bargiela, D., & Chinnery, P.F. (2019). Mitochondria in neuroinflammation—Multiple sclerosis (MS), leber hereditary optic neuropathy (LHON), and LHON-MS. Neuroscience Letters, 710, 132932. doi: 10.1016/j.neulet.2017.06.051.
  3. Evripidou, M., Charalambous, A., Middleton, N., & Papastavrou, E. (2019). Nurses’ knowledge and attitudes about dementia care: Systematic literature review. Perspectives in Psychiatric Care, 55 (1), 48–60. doi: 10.1111/ppc.12291.
  4. Gavasso, S., Kråkenes, T., Olsen, H., Evjenth, E.C., Ytterdal, M., Haugsøen, J.B., & Kvistad, C.E. (2024). The therapeutic mechanisms of mesenchymal stem cells in MS—A review focusing on neuroprotective properties. International Journal of Molecular Sciences, 25 (3), 1365. doi: 10.3390/ijms25031365.
  5. Giordano, A., Uccelli, M.M., Pucci, E., Martinelli, V., Borreani, C., Lugaresi, A., Trojano, M., Granella, F., Confalonieri, P., Radice, D., Solari, A., & SIMS-Trial group. (2010). The multiple sclerosis knowledge questionnaire: A self-administered instrument for recently diagnosed patients. Multiple Sclerosis Journal, 16 (1), 100–111. doi: 10.1177/1352458509352865.
  6. Hobart, J., Bowen, A., Pepper, G., Crofts, H., Eberhard, L., Berger, T., Boyko, A., Boz, C., Butzkueven, H., Celius, E.G., Drulovic, J., Flores, J., Horáková, D., Lebrun-Frénay, C., Marrie, R.A., Overell, J., Piehl, F., Rasmussen, P.V., Sá, M.J., … & Giovannoni, G. (2019). International consensus on quality standards for brain health-focused care in multiple sclerosis. Multiple Sclerosis Journal, 25 (13), 1809‑1818. doi: 10.1177/1352458518809326.
  7. Lassmann, H. (2018). Multiple sclerosis pathology. Cold Spring Harbor Perspectives in Medicine, 8 (3), a028936. doi: 10.1101/cshperspect.a028936.
  8. Leary, A., Mynors, G., & Bowen, A. (2015). Modelling the complex activity of multiple sclerosis specialist nurses in England. British Journal of Neuroscience Nursing, 11 (4), 170–176. doi: 10.12968/bjnn.2015.11.4.170.
  9. Lotfi, R., Chigr, F., & Najimi, M. (2022a). Sociodemographic characteristics of patients with multiple sclerosis disease in Morocco. Multiple Sclerosis and Related Disorders, 59, 103571. doi: 10.1016/j.msard.2022.103571.
  10. Lotfi, R., Chigr, F., & Najimi, M. (2022b). The impact of sociodemographic characteristics on diagnosis and access to disease-modifying treatment for patients with multiple sclerosis in Morocco. Multiple Sclerosis and Related Disorders, 67, 104193. doi: 10.1016/j.msard.2022.104193.
  11. Lotfi, R., Chigr, F., & Najimi, M. (2023a). Assessment of the pathological fatigue in patients with multiple sclerosis in Morocco. Multiple Sclerosis and Related Disorders, 71, 104294. doi: 10.1016/j.msard.2022.104294.
  12. Lotfi, R., Chigr, F., & Najimi, M. (2023b). The use of complementary medicine for patients with multiple sclerosis in Morocco. Multiple Sclerosis and Related Disorders, 71, 104293. doi: 10.1016/j.msard.2022.104293.
  13. Manuli, A., Maggio, M.G., Tripoli, D., Gullì, M., Cannavò, A., La Rosa, G., Sciarrone, F., Avena, G., & Calabrò, R.S. (2020). Patients’ perspective and usability of innovation technology in a new rehabilitation pathway: An exploratory study in patients with multiple sclerosis. Multiple Sclerosis and Related Disorders, 44, 102312. doi: 10.1016/j.msard.2020.102312.
  14. McGinley, M.P., Goldschmidt, C.H., & Rae-Grant, A.D. (2021). Diagnosis and treatment of multiple sclerosis: A review. JAMA, 325 (8), 765–779. doi: 10.1001/jama.2020.26858.
  15. Meehan, M., & Doody, O. (2020). The role of the clinical nurse specialist multiple sclerosis, the patients’ and families’ and carers’ perspective: An integrative review. Multiple Sclerosis and Related Disorders, 39, 101918. doi: 10.1016/j.msard.2019.101918.
  16. Ministère de la santé. (2019). Health in figures 2019. Moroccan Ministry of Health. Retrieved from: https://www.sante.gov.ma/Documents/2021/12/Sante%20en%20chiffres%202019%20.pdf
  17. Multiple Sclerosis International Federation (MSIF). (2020). Atlas of MS: Mapping multiple sclerosis around the world key epidemiology findings (3rd Ed.). Retrieved from: https://www.msif.org/wp-content/uploads/2020/10/Atlas-3rd-Edition-Epidemiology-report-EN-updated-30-9-20.pdf
  18. Multiple Sclerosis International Federation (MSIF). (2023). Treatments and therapies. MS International Federation. Retrieved from: https://www.msif.org/living-with-ms/treatments/?lang=en/feed/feed/feed/feed/feed/feed/feed/feed/feed/feed/feed/feed/feed/feed/feed/feed/
  19. Oh, J., Alikhani, K., Bruno, T., Devonshire, V., Giacomini, P.S., Giuliani, F., Nakhaipour, H.R., Schecter, R., & Larochelle, C. (2019). Diagnosis and management of secondary-progressive multiple sclerosis: Time for change. Neurodegenerative Disease Management, 9 (6), 301–317. doi: 10.2217/nmt-2019-0024.
  20. Raymond, M.J., Ray, P., Kaur, G., Fredericks, M., Singh, A.V., & Wan, L.Q. (2017). Multiaxial polarity determines individual cellular and nuclear chirality. Cellular and Molecular Bioengineering, 10 (1), 63–74. doi: 10.1007/s12195-016-0467-2.
  21. Sorensen, P.S., Giovannoni, G., Montalban, X., Thalheim, C., Zaratin, P., & Comi, G. (2019). The multiple sclerosis care unit. Multiple Sclerosis Journal, 25 (5), 627–636. doi: 10.1177/1352458518807082.
  22. Vejux, A., Ghzaiel, I., Nury, T., Schneider, V., Charrière, K., Sghaier, R., Zarrouk, A., Leoni, V., Moreau, T., & Lizard, G. (2021). Oxysterols and multiple sclerosis: Physiopathology, evolutive biomarkers, and therapeutic strategy. The Journal of Steroid Biochemistry and Molecular Biology, 210, 105870. doi: 10.1016/j.jsbmb.2021.105870.
  23. Waubant, E., Lucas, R., Mowry, E., Graves, J., Olsson, T., Alfredsson, L., & Langer-Gould, A. (2019). Environmental and genetic risk factors for MS: An integrated review. Annals of Clinical and Translational Neurology, 6 (9), 1905–1922. doi: 10.1002/acn3.50862.
  24. World Health Organization (WHO). 2020)‎). State of the world's nursing 2020: Executive summary. Retrieved from: https://iris.who.int/handle/10665/331673
  25. World Health Organization (WHO). (2022). Health workforce: Nursing and midwifery personnel. Retrieved from: https://www.who.int/data/gho/data/themes/topics/indicator-groups/indicator-group-details/GHO/nursing-and-midwifery-personnel
  26. Yamout, B., Sahraian, M., Bohlega, S., Al-Jumah, M., Goueider, R., Dahdaleh, M., Inshasi, J., Hashem, S., Alsharoqi, I., Khoury, S., Alkhawajah, M., Koussa, S., Al Khaburi, J., Almahdawi, A., Alsaadi, T., Slassi, E., Daodi, S., Zakaria, M., & Alroughani, R. (2020). Consensus recommendations for the diagnosis and treatment of multiple sclerosis: 2019 revisions to the MENACTRIMS guidelines. Multiple Sclerosis and Related Disorders, 37, 101459. doi: 10.1016/j.msard.2019.101459.

How to Cite

Lotfi, R., Amgharia, H. B., Chikhaoui, M., El Kardoudi, A., & Chigr, F. (2025). Assessment of Nurses’ Knowledge of Multiple Sclerosis in Morocco . Jurnal Keperawatan Indonesia, 28(1), 1–11. https://doi.org/10.7454/jki.v28i1.1310