Volume 3, Issue 4 (Spring 2018)
SJNMP 2018, 3(4): 24-35 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Khodaveisi M, Rahmati M, Falahinia G, Karami M, Molavi Vardanjani M. The Effect of Orem’s Self Care Model on Physical Quality Of Life in Patients with Multiple Sclerosis. SJNMP 2018; 3 (4) :24-35
URL: http://sjnmp.muk.ac.ir/article-1-140-en.html
URL: http://sjnmp.muk.ac.ir/article-1-140-en.html
The Effect of Orem’s Self Care Model on Physical Quality Of Life in Patients with Multiple Sclerosis
Masoud Khodaveisi1 
, Marzieh Rahmati1 , Gholamhosein Falahinia * 1, Manoucher Karami2 , Mehdi Molavi Vardanjani1
, Marzieh Rahmati1 , Gholamhosein Falahinia * 1, Manoucher Karami2 , Mehdi Molavi Vardanjani1
1- Hamadan University of Medical Sciences
2- hamadan university of medical sciences
2- hamadan university of medical sciences
Abstract: (4201 Views)
Background & Aim: Multiple sclerosis (MS) is a progressive disease of the central nervous system, which has effects on the quality of life of the patients due to its various physical complications. The present study aimed to assess the effects of using Orem’s self-care model on the physical dimensions of quality of life in MS patients.
Materials & Methods: This quasi-experimental study was conducted on 74 patients with MS referring to the MS Association in Hamedan, Iran in 2014. The patients were selected via convenience sampling and randomly allocated to two groups of intervention and control. Data were collected using MSPHQOL-54 in the study groups. In addition, a training program was implemented 2-4 sessions based on the extracted needs of the patients in the intervention group. After two months of the self-care program in the intervention group, MSPHQOL-54 was completed again by the two groups. Data analysis was performed using Chi-square, paired t-test, and independent t-test.
Results : Mean quality of life in all the physical dimensions was 57.2±20.5 in the intervention group before the training program, which significantly increased to 67.5±15.3 (P=0.001). However, no such difference was observed in the control group.
Conclusion: According to the results, Orem’s self-care model could improve the physical dimensions of quality of life in MS patients. Therefore, it is recommended that this model be applied to enhance the physical dimensions of quality of life in these patients.
Materials & Methods: This quasi-experimental study was conducted on 74 patients with MS referring to the MS Association in Hamedan, Iran in 2014. The patients were selected via convenience sampling and randomly allocated to two groups of intervention and control. Data were collected using MSPHQOL-54 in the study groups. In addition, a training program was implemented 2-4 sessions based on the extracted needs of the patients in the intervention group. After two months of the self-care program in the intervention group, MSPHQOL-54 was completed again by the two groups. Data analysis was performed using Chi-square, paired t-test, and independent t-test.
Conclusion: According to the results, Orem’s self-care model could improve the physical dimensions of quality of life in MS patients. Therefore, it is recommended that this model be applied to enhance the physical dimensions of quality of life in these patients.
Type of Study: Research |
Subject:
Special
Received: 2018/08/7 | Revised: 2019/06/11 | Accepted: 2019/10/24 | Published: 2019/10/24 | ePublished: 2019/10/24
Received: 2018/08/7 | Revised: 2019/06/11 | Accepted: 2019/10/24 | Published: 2019/10/24 | ePublished: 2019/10/24
References
1. Brass SD, Duquette P, Proulx-Therrien J, Auerbach S. Sleep disorders in patients with multiple sclerosis. Sleep medicine reviews. 2010;14(2):121-9. [DOI:10.1016/j.smrv.2009.07.005]
2. Da Silva AM, Vilhena E, Lopes A, Santos E, Gonçalves MA, Pinto C, et al. Depression and anxiety in a Portuguese MS population: associations with physical disability and severity of disease. Journal of the neurological sciences. 2011;306(1):66-70. [DOI:10.1016/j.jns.2011.03.042]
3. Zabihi A, Ebrahimi H, Rashid-Farrokhi F, Ramezani A. The relationship between multiple sclerosis and various class I HLAs. Medicine Journal. 2004:13-4. [Persian].
4. Dennison L, Moss-Morris R, Chalder T. A review of psychological correlates of adjustment in patients with multiple sclerosis. Clinical psychology review. 2009;29(2):141-53. [DOI:10.1016/j.cpr.2008.12.001]
5. Hauser S, Goodin D, Longo D. Multiple sclerosis and other demyelinating diseases, Harrison's principles of internal medicine. New York: McGraw Hill; 2012.
6. Shahbeigi. S. 7th International Congress of Multiple Sclerosis. 2010 November 4. [Persian]
7. Etemadifar M, Sajjadi S, Nasr Z, Firoozeei TS, Abtahi S-H, Akbari M, et al. Epidemiology of multiple sclerosis in Iran: A systematic review. European neurology. 2013;70(5-6):356-63. [Persian]. [DOI:10.1159/000355140]
8. Saman-Nezhad B, Rezaee T, Bostani A, Najafi F, Aghaei A. Epidemiological Characteristics of Patients with Multiple Sclerosis in Kermanshah, Iran in 2012. J Mazandaran Univ Med Sci. 2013;23(104):97-101. [Persian].
9. Broekmans T, Roelants M, Alders G, Feys P, Thijs H, Eijnde BO. Exploring the effects of a 20-week whole-body vibration training programme on leg muscle performance and function in persons with multiple sclerosis. Journal of Rehabilitation Medicine. 2010;42(9):866-72. [DOI:10.2340/16501977-0609]
10. Yazdani M, Hemayattalab R, Sheikh M, Etemadifar M. The Effect of a Selected Aquatic Exercise on Balance in Subject With Multiple Sclerosis (MS). Journal of Research in Rehabilitation Sciences. 2013;9(2):143-52. [Persian].
11. Davis WM. Multiple sclerosis: continuing mysteries and current management. Drug Topics. 2000;144(12):93-102.
12. Brunner L, Suddarth D. Text book of medical -surgical nursing. 11 ed. Philadelphia: J.B: Lippincott; 2010.
13. NikBakht H, Ebrahim K, RezaeShirazi R, MasuodiNezhad M. Effects of selected combined training on muscle strength in Multiple Sclerosis patients. HealthMED. 2012;6(1):96-102. [Persian].
14. Shamili F, Zare H, Oraki M. The Predicting Quality of Life Based on Illness Perception in Multiple Sclerosis Patients. Urmia Medical Journal. 2013;24(6):379-92. [Persian].
15. Group E-BMW, Rennie D, Guyatt GH. Fayers PM, Machin D. Quality of life: assessment, analysis and interpretation. New York: Wiley; 2000.
16. Polonsky WH. Understanding and assessing diabetes-specific quality of life. Diabetes spectrum. 2000;13(1):36-41.
17. Goodin D, Frohman E, Garmany G, Halper J, Likoski W, Lublin F. Disease modifying therapies in multiple sclerosis. Neurology. 2002; 58 (2): 169-78. [DOI:10.1212/WNL.58.2.169]
18. Freeman J, Thompson A, Fitzpatrick R, Hutchinson M, Miltenburger C, Beckmann K, et al. European Study Group Interferon-beta1b in Secondary Progressive MS: Interferon-β 1b in the treatment of secondary progressive MS. Impact on quality of life. Neurology. 2001;57:1870-5. [DOI:10.1212/WNL.57.10.1870]
19. Mohammad Hassani M, Farahani B, Zohour A, Panahi Azar R. Self-care ability based on Orem's theory in individuals with coronary artery disease. Iranian Journal of Critical Care Nursing. 2010;3(2):87-91. [Persian].
20. Connell M. Self care is hairpin indigent patients with heart failure. Eur J Cardiovasc Nurs. 2008;23(3):223-30. [DOI:10.1097/01.JCN.0000317427.21716.5f]
21. Memarian R. Application of nursing concepts and theories: Tehran: Tarbiat Modares University; 2011. [Persian].
22. Vasilieva IA. Quality of life in chronic hemodialysis patients in Russia. Hemodialysis International. 2006;10(3):274-8. [DOI:10.1111/j.1542-4758.2006.00108.x]
23. Orem's Self-Care Framework [Internet]. 2010. Available from: http://proquest.umi.com .
24. Mahmoudi A. The Effect of Self-care Program on Foot Healing in Diabetic Patients. Shahrekord University of Medical Sciences Journal. 2005. [Persian].
25. Hashemi F, Dolatabad FR, Yektatalab S, Ayaz M, Zare N, Mansouri P. Effect of Orem Self-Care Program on the Life Quality of Burn Patients Referred to Ghotb-al-Din-e-Shirazi Burn Center, Shiraz, Iran: A Randomized Controlled Trial. International Journal of Community Based Nursing and Midwifery. 2013;2(1):40-50. [Persian].
26. Baraz S, Rostami M, Farzianpor F, Rasekh A. Effect of Orem Self Care Model on ederies' quality of life in health care centers of Masjed Solaiman in 2007-2008. Arak Medical University Journal. 2009;12(2):51-9. [Persian].
27. Naji H, Nikhbakht Nasrabadi A, Shaban M, Saebnia R. The effect of using Orem's model of self-care on recovery of patients with heart failure. Iranian Journal of Nursing and Midwifery Research. 2010;14(4):174-9. [Persian].
28. Tepavcevic D, Kostic J, Basuroski I, Stojsavljevic N, Pekmezovic T, Drulovic J. The impact of sexual dysfunction on the quality of life measured by MSQoL-54 in patients with multiple sclerosis. Multiple sclerosis. 2008; 14 (8): 131-36. [DOI:10.1177/1352458508093619]
29. Turpin K, Carroll L, Cassidy J, Hader W. Deterioration in the health-related quality of life of persons with multiple sclerosis: the possible warning signs. Multiple Sclerosis. 2007;13(8):1038-45. [DOI:10.1177/1352458507078393]
30. Masoudi R, Mohammadi I, Nabavi S, Ahmadi F. The effect of Orem based self-care program on physical quality of life in multiple sclerosis patients. Shahrekord University of Medical Sciences Journal. 2008. [Persian].
31. Taraghi Z, Ilali E, Abedini M, Zarvani A, Khoshnama I, Mohammadpour R, et al. Quality of life among multiple sclerosis patients. Iran Journal of Nursing. 2007;20(50):51-9. [Persian].
32. Sureshjani SH, Eslami A, Hassanzadeh A. The Quality of Life among Multiple Sclerosis Patients in Isfahan, Iran. Journal of Health Systems Research. 2012;7(5):571-79. [Persian].
33. Haresabadi M, monghi HK, Foroughipoor M, Mazloum R. Quality of Life among Multiple Sclerosis Patients in mashhad 2009. Journal of North Khorasan University of Medical Sciences 2010;2(4):7-12. [Persian]. [DOI:10.29252/jnkums.2.4.7]
34. Masoudi R, Mohammadi E, Nabavi M, Ahmadi F. The effect of Orem's self-care theory on the quality of life in multiple sclerosis pations. Shahrkord University of Medical Sciences. 2008;10(2):21-9. [Persian].
35. Naji A, Naroie S, Abdeyazdan G, Dadkani E. Effect of applying self-care orem model on quality of life in the patient under hemodialysis. Zahedan Journal of Research in Medical Sciences. 2012;14(1):8-12. [Persian].
36. Rahimi A, Salehi S, Afrasiabifar A. The Effect of Orem's Self-Care Model on Quality Of Life of Patients with Hypothyroid Goiter. Armaghane-danesh, Yasuj University of Medical Sciences Journal. 2012;17(5):398-406. [Persian].
37. Petajan JH, Gappmaier E, White AT, Spencer MK, Mino L, Hicks RW. Impact of aerobic training on fitness and quality of life in multiple sclerosis. Annals of neurology. 1996;39(4):432-41. [DOI:10.1002/ana.410390405]
38. Hazrati M, Zahmatkeshan N, Dejbakhsh T, Nikseresht A, Zeyghami B. The effect of rehabilitation process on the quality of life in multiple sclerosis patients. Armaghan-e-Danesh. 2005;10(3):53-64.
39. Zalewski K. Exploring barriers to remaining physically active: a case report of a person with multiple sclerosis. Journal of Neurologic Physical Therapy. 2007;31(1):40-5. [DOI:10.1097/01.NPT.0000260570.69863.da]
40. Rampello A, Franceschini M, Piepoli M, Antenucci R, Lenti G, Olivieri D, et al. Effect of aerobic training on walking capacity and maximal exercise tolerance in patients with multiple sclerosis: a randomized crossover controlled study. Physical therapy. 2007;87(5):545-55. [DOI:10.2522/ptj.20060085]
41. O'Hara L, Cadbury H, De Souza L, Ide L. Evaluation of the effectiveness of professionally guided self-care for people with multiple sclerosis living in the community: a randomized controlled trial. Clinical Rehabilitation. 2002;16(2):119-28. [DOI:10.1191/0269215502cr478oa]
42. Solari A, Filippini G, Gasco P, Colla L, Salmaggi A, La Mantia L, et al. Physical rehabilitation has a positive effect on disability in multiple sclerosis patients. Neurology. 1999;52(1):57-60. [DOI:10.1212/WNL.52.1.57]
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
