Volume 7, Issue 1 (Summer 2021)                   SJNMP 2021, 7(1): 60-68 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Sharafi O, Seydi J, Rokhzadi M Z. Investigating the effect of evidence-based education on self–care in patients with multiple sclerosis referred to the Sanandaj MS society in 2019. SJNMP 2021; 7 (1) :60-68
URL: http://sjnmp.muk.ac.ir/article-1-377-en.html
1- Student Research Committee, Kurdistan University of Medic Sciences, Sanandaj, Iran
2- Clinical Care Research Center, Health Development Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran
3- clinical Care Research Center, Health Development Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran , zahed.rpkhzadi@gmail.com
Abstract:   (1459 Views)
Background & Aim: Multiple Sclerosis is a progressive and degenerative disease of the myelin sheath of cover cells in the central nervous system, required to evidence based self-care includes inferring and wisely using the best available scientific in combination with the patient’s condition.
Materials & Methods: this is an interventional clinical trial study. 90 patients affected MS referred to Multiple Sclerosis Association in Tohid hospital were selected by convenience sampling method and then randomly assigned to two groups of 45 people. Data collection tools was demographic information, clinical characteristics and self-care questionnaire of Morovati Sharifabad and et al (2016). The first pretest was performed in two groups and then 7 training sessions, two sessions per week each session for 30 to 45 minutes in classes of Multiple Sclerosis Association was performed. First a general need assessment was performed on patients, then we compared and matched it with evidence and texts, and finally we considered the content of our educational care for patients according to up-to-date and valid evidence. After the intervention, posttest was performed in two groups at a distance for 4 weeks.   Shapro- wilk test was used to evaluate the normality of valuables and independent t-test and paired- test were used to compare the two groups.
Results: the mean score of pre-intervention self-care behaviors in two groups was not significantly different (p= 0.892). The mean score of self –care behaviors in the control group before the intervention was 3.17±0.380 which increased to 3.19±0.372 after the intervention. According to the result of paired t-test, statistical difference was not significant (p=.0.675). The mean score of self –care behaviors in the intervention group before the intervention before the intervention was 3.16±0.458, which after intervention was increased to 3.84±0.267. According to the result of paired t-test, statistical difference was significant (p=0.001). the mean score of self-care behaviors after intervention in two groups was significant (p=0.001).
Conclusion: The result of this study showed that evidence based education has a significant effect on self-care of patient with multiple sclerosis and the use of up-to-date and appropriate evidence could increase impact of education on self-care behaviors.
Full-Text [PDF 669 kb]   (1097 Downloads)    
Type of Study: Research | Subject: Special
Received: 2020/12/5 | Revised: 2021/09/13 | Accepted: 2021/01/1 | Published: 2021/09/1 | ePublished: 2021/09/1

1. Corry M, While A, Neenan K, Smith V. A systematic review of systematic reviews on interventions for caregivers of people with chronic conditions. Journal of advanced nursing. 2015; 71(4):718-34. [DOI:10.1111/jan.12523]
2. He Y, Yue Y, Zheng X, Zhang K, Chen S, Du Z. Curcumin, inflammation, and chronic diseases: how are they linked?. Molecules. 2015; 20(5):9183-213. [DOI:10.3390/molecules20059183]
3. Shafee A, Radfar M, Sheikhi N. The Relationship between Individual Characteristics and Mental Health with the amount of Hypnotic Susceptibility in Women with Multiple Sclerosis. Nursing Psychiatric of Journal. 2015; 3(3): 78-85. [Persian]
4. Tardieu M, Banwell B, Wolinsky JS, Pohl D, Krupp LB. Consensus definitions for pediatric MS and other demyelinating disorders in childhood. Neurology. 2016; 87(9Supplement2):8-11. [DOI:10.1212/WNL.0000000000002877]
5. National MS Society. Theinformation sourcebook [Internet]. 2005 [cited 2013 Nov 11]. Availablefrom:http://www.nationalmssociety.org/searchresults/index.aspx?q=Theinformation+sourcebook &x=0&y=0&start=0&num=20, 2013.
6. Heydari Z. Relationship between specific cognitive components with functional balance and function in women with multiple sclerosis in Kerman, Master's thesis. Shahid Bahonar University of Kerman, 2016. [Persian]
7. Ghafoori F, Dehghan Nayeri N, Khakbazan Z, Hedayatnejad M & Nabavi SM. Pregnancy and Motherhood Concerns Surrounding Women with Multiple Sclerosis: A Qualitative Content Analysis. International Journal of Community Based Nursing & Midwifery. 2020; 8(1): 2-11.
8. Masoodi R, Alhani F, Moghadassi J, Ghorbani M. The effect of family-centered empowerment model on skill, attitude, and knowledge of multiple sclerosis caregivers. J Birjand Univ Med Sci. 2010; 17(2):87-97. [Persian]
9. Neustein J, Rymaszewska J. Psychological consequences of multiple sclerosis and assistance possibilities. Physiotherapy. 2017; 25(1):8-12. [DOI:10.1515/physio-2016-0013]
10. Famil Sharifian Y, Khalili M, Hasanzadeh Pashang S, Kamarzarin H, Taghizadeh ME. The study of effectiveness of cognitive-behavioral therapy in Group on mental health among primary MS patients. J Urmia Univ Med Sci. 2013; 24(9):652-64. [Persian]
11. Avazeh M, Babaei N, Farhoudi S, Kalteh E.A & Gholizadeh B. The Study of Self-care and Related Factors in the Elderly with Chronic Diseases in 2018. Journal of Health and Care. 2019; 21(2): 135-44. [DOI:10.29252/jhc.21.2.135]
12. Lynning M, Hanehøj K, Knudsen AK, Skovgaard L. Self-care activities among people with multiple sclerosis in Denmark: use and user characteristics. Complementary medicine research. 2017; 24(4):240-45. [DOI:10.1159/000478262]
13. Mahdi H, Maddah SMB, Mahammadi F. The Effectiveness of Self-Care Training on Quality of Life among Elderlies with Diabetes. IJRN. 2016; 2(4):32-39. [Persian] [DOI:10.21859/ijrn-02045]
14. Parsaei Manesh E, Mahdavi M, Moghadam S. The effect of self-care educational program on sleep quality in patients with Multiple Sclerosis. J Educ Ethics Nurs. 2014; 3(4):9-13. [Persian]
15. MorowatiSharifabad M, Momeni Z, Eslami M, Dehghani Tafti A, Hakimzadeh A. Study of Factors Associated with Self-Care Behaviors in Patients with Multiplesclerosis in Yazd City Based on Health Belief Model. TB. 2016; 15(2):82-93. [Persian]
16. Dahmardeh H, Vagharseyyedin SA. Effect of Orem-based self-care education program on disease-related problems in patients with multiple sclerosis: A clinical trial. Medical-Surgical Nursing Journal. 2017; 6(1):14-20. [Persian]
17. Ilic D. Teaching evidence-based practice: perspectives from the undergraduate and post-graduate viewpoint. Annals Academy of Medicine Singapore. 2009; 38(6):559.
18. Azrami S, Aliiari S, Farsi Z. Evidence Based Approach in Medical Sciences with Emphasis on Its Importance in Nursing Education, Journal of Educational Studies. 2013; 2(2): 10-17.
19. Dahmardeh H, Vagharseyyedin SA. Effect of Orem -Based self-care education program on disease-related problems in patient with multiple sclerosis: Aclinical Trial. Medical-Surgical Nursing Journal. 2017; 6(1):14-20. [Persian]
20. Lai NM, Teng CL, Lee ML. The place and barriers of evidence based practice: Knowledge and perceptions of medical, nursing and allied health practitioners in Malaysia. BMC Res Notes. 2010; 4(3):279-87. [DOI:10.1186/1756-0500-3-279]
21. Ozturk C, Muslu GK, Dicle A. A comparison of problembased and traditional education on nursing students' critical thinking dispositions. Nurse Educ Today. 2008; 28(5):627-32. [DOI:10.1016/j.nedt.2007.10.001]
22. Kabirian A, Abedian Z, Mazloum S R, Kabirian M. The effect of self-care behaviors based on evidence-based education on the severity of dysmenorrhea amongst girls. Journal of Torbat Heydariyeh University of Medical Sciences. 2017; 5(1):26-31. [Persian]
23. Ghazagh M, Zadhasan Z. The Effect of Group Mindfulness-Based Stress Reduction Program on the Quality of Life and Fatigue in Patients with Multiple Sclerosis. Avicenna J Nurs Midwifery care. 2019; 27(1): 35-44. [DOI:10.30699/ajnmc.27.1.35]
24. Farahani Z. The effectiveness of self-care education on the adaptability of patients with multiple sclerosis. Master's Thesis. Arak University of Medical Sciences and Health Services. 2016. [Persian]
25. Kabirian A, Abedian Z, Mazloum S R, Kabirian M. The effect of self-care behaviors based on evidence-based education on the severity of dysmenorrhea amongst girls. Journal of Torba Heydariyeh University of Medical Sciences. 2017; 5(1):26-31. [Persian]
26. Firooz M, Mazlom R, Hoseini J, Hasanzadeh F, Kimiae A. Comparison between the effect of group education and group counseling on emotional self-care in type II diabetics. J Birjand Univ Med Sci. 2015; 22 (4):293-303. [Persian]
27. Afrasiabifar A, Mehri Z, Ghaffarian Shirazi HR. Orem's Self-Care Model with Multiple Sclerosis Patients' Balance and Motor Function. Nursing Science Quarterly. 2020; 33(1): 46-54. [DOI:10.1177/0894318419881792]
28. Xie J, Zhu T, Lu Q, Xu X, Cai Y, & Xu Z. The effects of add-on self-care education on quality of life and fatigue in gastrointestinal cancer patients undergoing chemotherapy. BMC Complementary Medicine and Therapies. 2020; 20(1): 15-22. [DOI:10.1186/s12906-019-2800-5]
29. Habibnia M, Safavi M, Farahani H. The Effect of Self-Care Education on the Performance of Multiple Sclerosis Patients: a Randomised Control Trial. Sci J Hamadan Nurs Midwifery Fac. 2018; 25(5):208-16. [Persian] [DOI:10.30699/sjhnmf.26.5.7]

Add your comments about this article : Your username or Email:

Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2023 CC BY-NC 4.0 | Scientific Journal of Nursing, Midwifery and Paramedical Faculty

Designed & Developed by : Yektaweb