بررسی تاثیر برنامه خود مدیریتی برخودکارآمدی و وضعیت سلامت بیماران مبتلا به مولتیپل اسکلروزیس مراجعه کننده به انجمن اماس ایران
[پایاننامه]
study the effect of self management program on self efficacy & health status of multiple sclerosis patients referred to M.S society
علوم بهزیستی وتوانبخشی university of social welfare and rehabilitation))
، ۱۳۸۸
م،۱۲۷ص.
پیوست
چاپی
کارشناسی ارشد
پرستاری nursing
علوم بهزیستی وتوانبخشی university of social welfare and rehabilitation))
Purpose: This study was performed to determine the effects of self management program on self efficacy and health status of patients with multiple sclerosis (MS).Method: This study was an experimental one, carried on with two groups of before and after, on 82 patients with MS in Iranian society of MS during 1378 and 1388.Our sample was selected via available sampling method and assigned into two groups of case and control using random blocks. Further follow up was accomplished for two more months. Data collection was done by demographic questionnaire, self efficacy questionnaire including(exercise,sign management, disease management, activity of daily living, information obtaining method, relationship with physician, seeking help)and health status questionnaire including (General health, activity of daily living, pain, energy consumption, social function, emotional well being, personal perception).Intervention included training of self management program related to MS during 6 sessions which focused on increase of knowledge related to disease management, ,problem solving, relaxation techniques consist of mussels relaxation and deep breathing, exercise for balance, energy consumption technique and relationship with family and professional members of health care team(doctor, nursing,.) through group discussion, problem solving and participation clients. Self efficacy and health status was measured before,after intervention and two months later. Data were analyzed by using SPSS software and statistical tests of chi-square, Manwitney Independent t test and analysis of variances with repeated measures Findings: Data analysis showed that there is no significant difference between mean of total self efficacy and its subscales and also health status. subscales between two groups before intervention (P 0.05), while there was a significant difference in total self efficacy and its subscales (except asking for others. help and relationship with physician) and health status. subscales (except pain and social function) between tow groups after intervention and follow up(p 0/05). Furthermore, analysis of ANOVA indicated a significant difference in mean of self efficacy and its subscales (except asking for others.help and relationship with physician) and health status. subscales (except pain and social function) between two groups among three steps of measurement (P 0/05).Conclusion: According to the results performing self efficacy program is effective on increasing of self efficacy and health status improvement among patients with MS. therefore, application of these supportive and educational methods can be useful and appropriate to disease management and empowermenting of patients with M.S.Key words: Multiple sclerosis, Self efficacy, Health status, Self- management program.
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study the effect of self management program on self efficacy & health status of multiple sclerosis patients referred to M.S society