Conclusion
fatigue
The findings of this study showed that the distance nurse-led fatigue management can improve fatigue, sleep quality, and self -efficacy in patients with MS. These findings showed the important role of nurses in community-oriented care of patients with MS. Since nurses can play an effective role in the management of patients with MS, they should pay more attention to the patients’ fatigue. Moreover, it is necessary for them to learn fatigue reduction skills and include them in patient care protocols. We recommend teaching these skills to nursing students and including these skills in the nursing continuing education. In addition, we recommend the inclusion of nurse-led fatigue management as an inexpensive non-pharmacological intervention in the management of patients with MS. The distance nature of similar interventions provides the possibility of access to the people in remote areas, as well as providing services to patients in situations such as the COVID-19 pandemic. We recommend further research with a longer follow-up period on the effectiveness of similar interventions.