Momenabadi Victoria, Kaveh Mohammad Hossein, Nakhaee Nouzar, Karimzadeh Shirazi Kambiz, Sedighi Behnaz, Tabatabaei Seyyed Hamid Reza
Department of Health Education & Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran.
Basic Clin Neurosci. 2020 Sep-Oct;11(5):687-699. doi: 10.32598/bcn.11.5.1670.1. Epub 2020 Sep 1.
Promoting self-care practice, as a critical strategy for enhancing the quality of life in patients with Multiple Sclerosis (MS) is a challenging issue. This study aimed to propose a model of health-promoting self-care behaviors in MS patients.
In this cross-sectional study, 200 patients with MS, who had referred to the Hospital for Special Diseases in Kerman City, Iran, were chosen. The main data collection instruments were the multiple sclerosis knowledge questionnaire, the Rosenberg self-esteem scale, multiple sclerosis self-efficacy scale, questionnaire of perceived barriers and benefits of self-care behaviors, social support, the health promotion lifestyle profile II, and resilience and sense of coherence scale. Data analysis was conducted in SPSS V. 22 and AMOS18 software. The Structural Equation Modeling (SEM) was also used for further analysis of data.
The model explained 82% of variance in Health-Promoting self-care Behavior (HPB). The results of the final model obtained from the SEM showed that self-efficacy (β=0.53, SE=0.04, P= 0.007), self-esteem (β=0.39, SE=0.04, P=0.005), social support (β=0.36, SE=0.04, P=0.009), sense of coherence (β=0.34, SE=0.07, P=0.006), resilience (β=0.33, SE=0.07, P=0.018), and perceived benefits (β=0.25, SE=0.05, P=0.009) had a positive and significant relationship with HPB.
The self-care empowerment model in patients with MS presented in this study can be used as a framework for designing health promotion interventions to improve the quality of life of patients with MS.
促进自我护理实践作为提高多发性硬化症（MS）患者生活质量的关键策略，是一个具有挑战性的问题。本研究旨在提出一个MS患者健康促进自我护理行为的模型。
在这项横断面研究中，选取了200名转诊至伊朗克尔曼市特殊疾病医院的MS患者。主要的数据收集工具包括多发性硬化症知识问卷、罗森伯格自尊量表、多发性硬化症自我效能量表、自我护理行为的感知障碍和益处问卷、社会支持、健康促进生活方式概况II以及复原力和连贯感量表。数据分析在SPSS V. 22和AMOS18软件中进行。还使用了结构方程模型（SEM）对数据进行进一步分析。
该模型解释了健康促进自我护理行为（HPB）中82%的方差。从SEM获得的最终模型结果表明，自我效能（β=0.53，SE=0.04，P = 0.007）、自尊（β=0.39，SE=0.04，P=0.005）、社会支持（β=0.36，SE=0.04，P=0.009）、连贯感（β=0.34，SE=0.07，P=0.006）、复原力（β=0.33，SE=0.07，P=0.018）和感知益处（β=0.25，SE=0.05，P=0.009）与HPB呈正相关且具有显著关系。
本研究中提出的MS患者自我护理赋权模型可作为设计健康促进干预措施的框架，以改善MS患者的生活质量。
