Ethics approval and consent to participate
Every method was used following the pertinent rules and regulations of the Helsinki Declaration (DoH-Oct2008). The Research Ethics Committee (Institutional Review Board) of the Faculty of Nursing at Alexandria University in Egypt provided the formal approval and authority to perform the study (IRB: IRB00013620-50–9-2022). The study was registered as a randomized clinical trial reference number, NCT05721339, available at: 