Self-efficacy in Patients with Multiple Sclerosis: A Model Test Study

Q3 Medicine

Evidence Based Care Journal Pub Date : 2020-01-01 DOI:10.22038/EBCJ.2020.45326.2230

Niloofar Hejazizadeh, M. Pazokian, M. Nasiri

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引用次数: 2

Abstract

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 0.05). 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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多发性硬化症患者自我效能感的模型检验研究

背景:多发性硬化症(MS)是青少年常见病，自我效能感是影响多发性硬化症患者的重要因素。包括人口统计学特征和疾病症状在内的各种变量都会影响自我效能感。因此，有必要使用一个清晰而全面的模型来评估这些因素之间的关系。目的:探讨多发性硬化症患者的自我效能感模型。方法:对伊朗多发性硬化症协会的203例患者进行描述性相关研究。数据收集工具包括Rigby多发性硬化症自我效能量表、Krupp疲劳严重程度量表和Rosenberg自尊量表。数据采用SPSS 24和LISREL 8.8进行分析。结果:患者自我效能、疲劳和自尊的平均得分分别为39.6±9.1分、38.1±14.4分和19±7.6分。拟合优度指数、比较拟合指数、近似均方根误差、归一化适应度指数、非归一化适应度指数和卡方自由度分别为0.9、1、0.002、0.9、0.9和1.03。结果表明，适当的预测路径考虑确定变量之间的关系。研究结果显示，自我效能感与自尊(r=0.2)、疲劳感与自尊(r=-0.1)存在显著相关(P < 0.05)。实践启示:本研究结果显示，Bandura自我效能模型可用于MS患者的人口学和临床变量。本研究结果可为改善自我效能感之教学计划之制定与实施提供参考。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Evidence Based Care Journal Medicine-Health Policy

CiteScore

2.00

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： The Evidence Based Care Journal (EBCJ) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of patient care. The primary aim is to promote a high standard of clinically related scholarship which advances and supports patient care in practice. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, EBCJ seeks to enrich insight into clinical needs and the implications for patient care intervention and models of service delivery. Emphasis is placed on clinical practicality of research findings and strength of study design. EBCJ is essential reading for anyone involved in healthcare professions, whether clinicians, researchers, educators, managers, policy makers, or students. Contributions are welcomed from other health professionals on issues that have a direct impact on patient care.