The Effectiveness of Self-care Program on the Life Quality of Patients with Multiple Sclerosis in 2015

2018 ◽  
Vol 110 (1) ◽  
pp. 65-72 ◽  
Author(s):  
Kimia Seifi ◽  
Hossein Ebrahimi Moghaddam
Keyword(s):  
Multiple Sclerosis ◽  
Life Quality ◽  
Self Care ◽  
Care Program

scholarly journals Effects of Orem’s Self-Care Model on the Life Quality of Elderly Patients with Hip Fractures

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Xiaodong Xu ◽  
Jun Han ◽  
Yajia Li ◽  
Xichun Sun ◽  
Peng Lin ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Hip Fractures ◽  
Barthel Index ◽  
Life Quality ◽  
Self Care ◽  
Care Program ◽  
Control Group ◽  
Care Model ◽  
Old Patients

Background. Hip fractures of elderly patients are a public health problem worldwide, mostly lying in bed for a long time; therefore, the importance of life quality in such patients is an issue beyond question. Orem’s self-care model is a nursing pattern which is introduced with the purpose of improving the self-care ability of individuals, especially the patients suffering from diseases with limits on activity. Objective. The aim of this study was to determine the effects of Orem’s self-care program on life quality of senile patients with hip fractures. Methods. A randomized clinical trial study was conducted on 130 eligible old patients suffering from hip fractures who were selected using easy sampling methods and allocated randomly into two groups of experiment and control. The data were collected through validated questionnaires including visual analogue scale (VAS) and Barthel index for them. The experiment group was treated according to Orem’s self-care model, and the control group was treated on the basis of the traditional care model. The data of complications including pneumonia, deep venous thrombosis, urinary infection, wound problem, and bedsore were also gathered. Results. As revealed, mean scores of VAS and Barthel index one week after operation in the experiment group were significantly different from the control one (P<0.05, P≤0.001). The changes of VAS and Barthel index six weeks postoperatively of the two groups were also statistically significant (P<0.05, P≤0.001). Compared with the control group, the difference of complications reduced significantly in the experiment group (P<0.05). Accordingly, educational intervention according to Orem’s self-care model seemed to be effective in promoting self-care ability for these senile patients. Conclusions. According to the obtained results, a self-care program based on Orem’s model for elderly patients with hip fractures can improve life quality and reduce perioperative complications significantly. Therefore, it is recommended that this nursing program should be taken into account as a part of treatment measures for these patients.

Effect of Self - Care Program on the Self- Esteem of Multiple Sclerosis Patients

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
H. Madani ◽  
H. Navipoor ◽  
P. Roozbayani
Keyword(s):  
Multiple Sclerosis ◽  
Self Care ◽  
Care Program ◽  
Self Esteem ◽  
The Self ◽  
Self Report ◽  
The Mean ◽  
Muscular Spasm ◽  
Multiple Sclerosis Patients ◽  
Paired T Test

Aims:According to decreased self- esteem in multiple sclerosis (MS) patients, it is necessary to utilize appropriate methods in order to improve self- esteem in MS patients. So this study was conducted on patients with MS supported by the Iranian MS society for determining the effect of self - care program on their self- esteem.Method:In this semi - experimental study 34 patients with MS who were not in the acute phase of disease were selected. The data were collected via personal questionnaires, problem list, Cooper and smith standard questionnaire for self- esteem and self report check lists. Self - care program(self - care for muscular spasm, fatigue, constipation and amnesia and …) was educated, then it was performed for one month period and the data were analyzed using paired t- test, wilcoxon, croscal - wallis and manwithney tests.Results:Application of self - care program improve the self- esteem and reduced some symptoms such as muscular spasm, fatigue, constipation and amnesia in MS patients. The mean valve of self- esteem increased from 54 before performing the program to 68 after the program ( p < 0.05).Conclusion:Using self-care program can be an effective method for improving self- esteem of MS patients.

scholarly journals The effect of a self-care program based on the teach back method on the postpartum quality of life

10.19082/4180 ◽  
2017 ◽  
Vol 9 (4) ◽  
pp. 4180-4189 ◽  
Author(s):  
Fatemeh Ghiasvand ◽  
Hedyeh Riazi ◽  
Sepideh Hajian ◽  
Elahe Kazemi ◽  
Armin Firoozi
Keyword(s):  
Quality Of Life ◽  
Self Care ◽  
Care Program

scholarly journals A home-based comprehensive care model in patients with Multiple Sclerosis: A study pre-protocol

F1000Research ◽  
2015 ◽  
Vol 4 ◽  
pp. 872 ◽  
Author(s):  
Lufei Young ◽  
Kathleen Healey ◽  
Mary Charlton ◽  
Kendra Schmid ◽  
Rana Zabad ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Intervention Group ◽  
Care Program ◽  
Comprehensive Care ◽  
Care Model ◽  
Patient Centered ◽  
Home Based ◽  
Comprehensive Care Model

Background Disability is prevalent in individuals with multiple sclerosis (MS), leading to difficulty in care access, significant caregiver burden, immense challenges in self-care and great societal burden.  Without highly coordinated, competent and accessible care, individuals living with progressive MS experience psychological distress, poor quality of life, suffer from life-threatening complications, and have frequent but avoidable healthcare utilizations. Unfortunately, current healthcare delivery models present severe limitations in providing easily accessible, patient-centered, coordinated comprehensive care to those with progressive MS. We propose a home-based comprehensive care model (MAHA) to address the unmet needs, challenges, and avoidable complications in individuals with progressive MS with disabling disease.Objective The article aims to describe the study design and methods used to implement and evaluate the proposed intervention.  Method The study will use a randomized controlled design to evaluate the feasibility of providing a 24-month, home-based, patient-centered comprehensive care program to improve quality of life, reduce complications and healthcare utilizations overtime (quarterly) for 24 months. A transdisciplinary team led by a MS-Comprehensivist will carry out this project. Fifty MS patients will be randomly assigned to the intervention and usual care program using block randomization procedures. We hypothesize that patients in the intervention group will have fewer complications, higher quality of life, greater satisfaction with care, and reduced healthcare utilization. The proposed project is also expected to be financially sustainable in fee-for-service models but best suited for and gain financial success in valued-based care systems.  Discussion This is the first study to examine the feasibility and effectiveness of a home-based comprehensive care management program in MS patients living with progressive disability. If successful, it will have far-reaching implications in research, education and practice in terms of providing high quality but affordable care to population living with severe complex, disabling conditions.

Effect of Self-Care Program based on Orem's Model on Complications of Disease in Patients with Multiple Sclerosis

2017 ◽  
Vol 8 (1) ◽  
pp. 337
Author(s):  
Hanieh Dahmardeh ◽  
Raziyeh Sadat Bahador ◽  
Farzaneh Barati ◽  
Hosien Shahdadi ◽  
Abbas Balouchi
Keyword(s):  
Multiple Sclerosis ◽  
Self Care ◽  
Care Program

scholarly journals Dynamics of quality of life indicators at a multiple sclerosis

2010 ◽  
Vol 9 (4) ◽  
pp. 63-69
Author(s):  
V. N. Karnaukh ◽  
Yu. A. Lugovtsova ◽  
I. A. Barabash
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Clinical Course ◽  
Life Quality ◽  
Immunomodulatory Therapy ◽  
Quality Factors ◽  
Quality Of Life Indicators ◽  
Sf 36 ◽  
Multiple Sclerosis Patients

The study explored the life quality of 94 multiple sclerosis patients in comparison to healthy respondents and in dependence to different parameters of the disease with the use of SF-36 questionnaire. The study has discovered a decline of all the factors of life quality and their dependence on disablement intensity, clinical course and duration of the disease. Immunomodulatory therapy contributed to the improvement of life quality factors.

Effect of Continuing Nursing on Self-Care Ability and Nursing Satisfaction of Patients with Rectal Cancer Undergoing Colostomy

2021 ◽  
Vol 7 (5) ◽  
pp. 2513-2521
Author(s):  
Wenlong Sheng ◽  
Jimei An
Keyword(s):  
Mental Health ◽  
Rectal Cancer ◽  
Nursing Care ◽  
Life Quality ◽  
Self Care ◽  
Care Group ◽  
Nursing Satisfaction ◽  
Group A ◽  
Group B

To determine the effect of continuing nursing on self-care ability and nursing satisfaction of patients undergoing resection of rectal cancer (RC), a total of 130 patients undergoing resection of RC who were diagnosed and treated in our hospital from April 2018 to May 2019 were enrolled. Among them, 62 patients nursed under the routine nursing mode for advanced RC were assigned to Group A, and other 68 patients nursed under continuing nursing mode based on the routine nursing for patients undergoing resection of RC were assigned to Group B. The two groups were compared in mental health, emotional state, life quality, and self-care ability before and after nursing care during hospitalization and after 2 months of follow-up visit, and they were also compared in nursing satisfaction, status on discharge, and complications. After nursing care. Group B got notably lower scores of self-rating anxiety scale (SAS) ans self-rating depression scale (SDS) than Group A (both P<0.001), and showed much better compliance than Group A (P<0.001). The quality of life scale (QOL-C30) scores in physical health, mental health, material life, and social function of Group B were all notably higher than those of Group A (all P<0.001). Additionally, after nursing care. Group B got notably higher scores of self-care ability than Group A (all P<0.001), and showed notably higher nursing satisfaction than Group A (P<0.05). Group B experienced shorter hospitalization than Group A, but there was no significant difference between them during the periods of 10 d-15 d, 16 d-21 d and 22 d-3 Od (all P>0.05). Moreover, after nursing care, the incidence of complications in Group B was notably lower than that in Group A (P<0.05). Continuing nursing can provide better results of improving the emotion and life quality of patients undergoing resection of RC based on routine nursing, and it can reduce the occurrence of postoperative complications on such patients to a certain extent.

scholarly journals Empowerment-based interventions in people with multiple sclerosis: a review study

2019 ◽  
Author(s):  
Sajjad Saadat ◽  
Mehrdad Kalantari ◽  
Mohammad Bagher Kajbaf ◽  
Mozaffar Osseininezhad
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Chronic Disease ◽  
Self Care ◽  
Self Management ◽  
Iranian Studies ◽  
Male Patients ◽  
Review Study

Introdution: Multiple sclerosis is a chronic disease in the nervous system; It has many problems due to its chronic and promising nature. The treatment of this disease includes medical care and empowerment interventions for symptom management. The purpose of this study was to review the empowerment interventions in these patients. Methods: This study was conducted in a Systematic Reviewperiod from January 2000 to June 2018. On indexing sites “Magiran, PubMed, Google Scholar and Science Direct” searched the key words of Multiple Sclerosis, Chronic Disease, Quality of Life, Self-care, Self-management, Rehabilitation, Empowerment, Psychotherapy, Psychological interventions, Clinical Trials, and Randomized Clinical Trial. Out of 1855 articles found, 33 articles were selected for review. Results: The results of this study showed that empowerment interventions in people with MS can be divided into four categories of self-care, self-management, rehabilitation and psychotherapy interventions. Lack of attention to empowerment interventions in people with MS, especially in the Iran, low attention to male patients in implementing interventions, failure to consider the theoretical framework in the formulation of interventions, lack of follow-up test and non-use of virtual intervention methods (Such as using DVDs, consulting and telephone training, etc.) in Iranian studies, is one of the most respected points in previous studies. Conclusion: Empowerment studies have provided significant results in reducing symptoms and improving the quality of life of patients, which can help improve these interventions by considering some of the points.

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