Self-efficacy in Patients with Multiple Sclerosis: A Model Test Study
محل انتشار: مجله مراقبت مبتنی بر شواهد، دوره: 9، شماره: 4
سال انتشار: 1399
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 384
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شناسه ملی سند علمی:
JR_EBCJ-9-4_004
تاریخ نمایه سازی: 31 تیر 1399
چکیده مقاله:
Background: Multiple Sclerosis (MS) is a common disease among youngsters and self-efficacy is a crucial factor in these patients. Various variables, including demographic characteristics and disease symptoms, affect self-efficacy. Therefore, it is necessary to assess the relationship between these factors using a clear and comprehensive model. Aim: this study aimed to investigate the self-efficacy model for MS patients. Method: This descriptive-correlational study was performed on 203 patients referring to the Iran MS Society. Data collection tools entailed Rigby Multiple Sclerosis Self-efficacy Scale, Krupp Fatigue Severity Scale, and Rosenberg Self-Esteem Scale. Data were analyzed by the SPSS 24 and LISREL 8.8. Results: The mean scores of self-efficacy, fatigue, and self-esteem were found as 39.6±9.1, 38.1±14.4, and 19±7.6, respectively. The model fit indices, including the goodness of fit index, comparative fit index, root mean square error of approximation, normalized fitness index, non-normalized fitness index, and the degree of freedom for the Chi-square were obtained as 0.9, 1, 0.002, 0.9, 0.9, and 1.03, respectively. Results indicated an appropriate prediction for the paths considered to determine the relationship between variables. Our findings demonstrated a significant correlation between self-efficacy and self-esteem (r=0.2), fatigue and self-esteem (r=-0.1) (P<0.001), as well as family support and self-esteem. Moreover, fatigue was observed to have a significant relationship with marital status, hospitalization, and exercise. However, no significant relationship was observed between fatigue and self-efficacy (r=0.02) (P> 0.05). Implications for Practice: The results showed that the Bandura model of self-efficacy can be used for the demographic and clinical variables of MS patients. Findings of this study can be helpful in developing and implementing instructional plan to improve self-efficacy in these patients.
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نویسندگان
Niloofar Hejazizadeh
MSc in Nursing, Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Marzieh Pazokian
Assistant Professor, Department of Nursing, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Malihe Nasiri
Assistant professor, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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