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001). Moreover, patient outcomes in the intervention group were associated with greater improvements in quality of life than those in the control group (P  0.001), especially for social conditions (P  0.001), emotional health (P  0.001), functional status (P  0.001), and additional attention (P = 0.001). Finally, compared with the control group, significant improvements were observed in self-care abilities in the intervention group (P = 0.002), mainly regarding general self-care abilities (P = 0.016) and development self-ca