Hemmatpoor Behzad, Gholami Ali, Parnian Shima, Seyedoshohadaee Mahnaz
Clinical Research Development Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Department of Medical-Surgical Nursing, Iran University of Medical Sciences, Tehran, Iran.
J Med Life. 2018 Oct-Dec;11(4):387-393. doi: 10.25122/jml-2018-0044.
Training sessions are the most common framework used to provide self-management for patients with multiple sclerosis This study was conducted to determine the effect of life skills training on the self-management of patients with multiple sclerosis. Findings showed that life skills training had a significant effect on the overall self-management score; thus, self-management of patients increased after training life skills (F = 25.1821, P <0.01). This semi-experimental study was conducted on 80 subjects with MS in the MS Society in Tehran (Iran) in 2016. The experimental group received four one-hour sessions of life skills training. The control group received routine care. Patients of both groups filled MS self-management (MSSM) scales at baseline and a month after the last training session. Independent t-test was used to compare findings between the two groups; pairwise t-test was used to compare results before and after the test. Covariance test was used to present the research results and data was analyzed by using SPSS21. Mean and standard deviation of age were 32.22±8.88 and 33.02±10.34 in the control and experimental groups, respectively. Comparison of total self-management showed a significant difference between the control and experimental groups after receiving life skill training (P<0.01). Moreover, there was a significant difference in the mean of total self-management in the experimental group before and after the intervention; self-management increased after intervention (p-value<0.001). This study showed the positive effect of life skills training because its main goal is to prepare and help patients solve problems and deal with difficulties resulting from the disease. Therefore, life skill training is suggested for patients suffering from MS.
培训课程是为多发性硬化症患者提供自我管理的最常用框架。本研究旨在确定生活技能培训对多发性硬化症患者自我管理的影响。研究结果表明,生活技能培训对总体自我管理得分有显著影响;因此,在接受生活技能培训后,患者的自我管理能力有所提高(F = 25.1821,P <0.01)。这项半实验性研究于2016年在伊朗德黑兰的多发性硬化症协会对80名多发性硬化症患者进行。实验组接受了四次为时一小时的生活技能培训课程。对照组接受常规护理。两组患者在基线时以及最后一次培训课程结束后一个月填写多发性硬化症自我管理(MSSM)量表。使用独立t检验比较两组的研究结果;使用配对t检验比较测试前后的结果。使用协方差检验呈现研究结果,并使用SPSS21对数据进行分析。对照组和实验组的年龄均值和标准差分别为32.22±8.88和33.02±10.34。接受生活技能培训后,对照组和实验组在总体自我管理方面的比较显示出显著差异(P<0.01)。此外,实验组在干预前后的总体自我管理均值也存在显著差异;干预后自我管理能力有所提高(p值<0.001)。本研究显示了生活技能培训的积极效果,因为其主要目标是帮助患者做好准备并解决因疾病产生的问题和应对困难。因此,建议对患有多发性硬化症的患者进行生活技能培训。