实施自我管理计划对多发性硬化症患者家庭照顾者自我概念的影响

Soheila Banitalebi, S. Etemadifar, S. Kheiri, Reza Masoudi
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引用次数: 2

摘要

背景与目的多发性硬化症患者的护理给家庭护理人员带来了许多问题和挑战。自我管理干预可以促进护理过程,提高患者护理质量。因此,本研究的目的是探讨自我管理计划对多发性硬化症患者家庭照顾者自我概念的影响。方法本准实验研究于2018年在Shahrekord多发性硬化症治疗中心进行。采用方便抽样法选取样本。首先采用分层随机抽样的方法将参与者分为男女两组,然后将男女随机分为干预组(n=35)和对照组(n=35)。对于干预组,自我管理计划每周实施两次,共8次。在干预前、干预后和干预后三个月采用Coopersmith自我概念量表进行数据收集。数据采用SPSS 16.0进行分析。结果干预组和对照组在干预前的自我概念平均分分别为72.6±9.1分和72±10.6分。干预前自我概念平均分与对照组比较,差异无统计学意义(P > 0.05)。两组患者干预后即刻自我概念平均得分分别为86.4±9.2分和73±10.6分,干预3个月后分别为103±7.4分和73.9±10.5分。干预组自我概念得分显著提高(P<0.001)。此外,独立t检验显示两组在干预后立即和干预后3个月有显著差异(P<0.001)。结论自我管理方案提高了多发性硬化症(MS)患者照护者的自我概念。因此,自我管理在提高家庭照顾者的生活质量和应对与其照顾角色相关的身心压力方面发挥着至关重要的作用
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The effect of implementing self-management plan on selfconcept of family caregivers of multiple sclerosis patients
Background and aimsCaring for patients with multiple sclerosis causes family caregivers many problems and challenges. Self-management interventions can facilitate the caring process and increase the quality of patient care. Therefore, the aim of this study was to investigate the effect of a self-management program on Self-concept of the family caregivers of multiple sclerosis patients.MethodsThis quasi-experimental study was conducted in 2018 at the MS Treatment Center of Shahrekord. The samples were selected through convenience sampling method. First, participants were assigned to two groups of men and women by stratified random sampling, and then men and women were assigned randomly to intervention (n=35) and control (n=35) groups. For the intervention group, the self-management program was implemented twice a week in 8 sessions. Data collection was performed using the Coopersmith self-concept Inventory in two groups before, immediately after, and three months after the intervention. Data were analyzed by SPSS version 16.0.ResultsThe mean scores of self-concept in the intervention and control groups before the intervention were 72.6±9.1 and 72±10.6, respectively. There was no significant difference between the mean score of self-concept between the intervention and control groups before the intervention (P > 0.05). The mean scores of self-concept immediately after the intervention in the two groups were 86.4±9.2 and 73±10.6, and three months after the intervention, they were 103±7.4 and 73.9±10.5, respectively. A significant increase in the scores of self-concept in the intervention group (P<0.001) was observed. Moreover, the independent t test showed a significant difference in the two groups immediately after and three months after the intervention (P<0.001).ConclusionSelf-management program increased the self-concept of multiple sclerosis (MS) patients’ caregivers. Therefore, self-management can play a critical role in improving the quality of life of family caregivers and coping with the physical and psychological stress related to their caring role
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