[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Volume 8, Issue 3 (Military Caring Sciences 2021) ::
MCS 2021, 8(3): 299-308 Back to browse issues page
The Effect of Participation Care Model on Mental Health of Patients with Multiple Sclerosis  
Saeed Nazari1 , Zahra Farsi2 , Afzal Shamsi * 3
1- PhD. Student of Health in Disasters and Emergencies, Faculty of Nursing, Aja University of Medical Sciences, Tehran, Iran.
2- Ph.D., Medical-Surgical Nursing, Professor, Research and Community Health Departments, Faculty of Nursing, Aja University of Medical Sciences, Tehran, Iran.
3- Ph.D. Medical-Surgical Nursing, Assistant Professor, Nursing and Midwifery Care Research Center, Anesthetics Department, Faculty of Allied Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Abstract:   (218 Views)

Introduction: Patients’ participation in care programs is a key component of their empowerment used to upgrade patients’ lives. The participatory care model creates an effective, balanced and ongoing relationship between the treatment team and patients.
Objective: The aim of this study was to determine the effect of the participatory care model on the mental health of patients with multiple sclerosis.
Materials and Methods: In this randomized controlled trial, 100 patients with multiple sclerosis were selected by convenience sampling and randomly assigned to the intervention and control groups. Data were collected using a demographic information questionnaire and a mental health questionnaire (GHQ-28) before and after the test in both groups. The test was performed based on the stages of the participatory care model (motivation, preparation, involvement and evaluation) for six months in the intervention group. Thetraining sessions were scheduled based on the participatory care model. The validity of the educational content was reviewed and confirmed by five relevant professors and the research team. Then, the data were analyzed using descriptive and inferential statistical tests.A value of P<0.05 was considered as a significant level.
Results: Independent t-test showed a significant difference general health scores and all its subscales between the intervention and control groups after implementing the participatory care model (P<0.001, T=5.10). Mental health in the experimental group improved significantly after the test (17.1±3.86) than-before test (30.1±4.18) (P<0.001).
Discussion and Conclusion: Mental health of patients trained according to the participatory care model had significantly improved in all dimensions than before the intervention. It is recommended to implement this model to improve the mental health of these patients.

 
Keywords: Iran, Multiple Sclerosis, Mental Health, Nursing, Participation Care
Full-Text [PDF 565 kb]   (105 Downloads)    
Type of Study: Research | Subject: Nursing education
Received: 2021/10/11 | Accepted: 2021/10/17 | Published: 2021/12/31
References
1. Guan Y, Jakimovski D, Ramanathan M, Weinstock-Guttman B, Zivadinov R. The role of epstein-barr virus in multiple sclerosis: From molecular pathophysiology to in vivo imaging. Neural Regen Res. 2019; 14(3): 373-86. [DOI] [PubMed]
2. Dilokthornsakul P, Valuck RJ, Nair KV, Corboy JR, Allen RR, Campbell JD. Multiple sclerosis prevalence in the United States commercially insured population. Neurology. 2016; 86(11): 1014-21. [DOI] [PubMed]
3. Azami M, Khorshidi A. Epidemiology of multiple sclerosis in Iran: A systematic review and meta-analysis. Technology and Research Information System Ilam University of Medical Sciences 2019; 2(1): 1-8. (Persian)
4. Andersen JB, Moberg JY, Niclasen J, Laursen B, Magyari M. Mental health among children of mothers with multiple sclerosis: A danish cohort and register‐based study. Brain and behav. 2018; 8(10): e01098. [DOI] [PubMed]
5. Jameson JL, Fauci AS, Kasper DL, Hauser SL, Longo DL, Loscalzo J. Harrison’s principles of internal medicine. 20TH ed. Vol 1. New York, McGraw-Hill Edu / Medical. 2018.
6. Boeschoten RE, Braamse AMJ, Beekman ATF, Cuijpers P, Van Oppen P, Dekker J, et al. Prevalence of depression and anxiety in multiple sclerosis: A systematic review and meta‐analysis. J Neurol Sci. 2017; 372: 331-41. [DOI]
7. Anna LK, Dawn ME, Marisol AH, Mark PJ, Travis LO, George HK. A cross-sectional examination of the associations between symptoms, community integration, and mental health in multiple sclerosis. Arch Phys Med Rehabil. 2016; 97(3): 386–94. [DOI] [PubMed]
8. Kiani J, Pakizeh A, Ostovar A, Namazi S. Effectiveness of cognitive behavioral group therapy (C.B.G.T) in increasing the self esteem & decreasing the hopelessness of β-thalassemic adolescents. Iranian South Medical Journal (ISMJ). 2010; 13(4):241- 52. (Persian)
9. Pakbaz Z, Treadwell M, Yamashita R, Quirolo K, Foote D, Quill L, et al. Quality of life in patients with thalassemia intermedia compared to thalassemia major. Ann N Y Acad Sci. 2005; 1054(1): 457- 61. [DOI] [PubMed]
10. 10- Alijany-Renany H, Tamaddoni A, Haghighy-zadeh M, Pourhosein S. The effect of using partnership care model on the quality of life in the school-age children with β-thalassemia. J Shahrekord Univ Med Sci. 2012; 14 (1): 41-9. (Persian)
11. 11- Khoshab H, Bagheryan B, Abbaszadeh A, Mohammadie E, Kohan S, Samareh rad H. The effect of partnership care model on depression and anxiety in the patients with heart failure. Evidence Based Care. 2012; 2(2): 37- 46. (Persian)
12. Nayyeri S, Golafrooz M, Sadeghi H, Amini S, Zarrabi L, Rakhshani MH. The effect of the partnership care model on the quality of sleep among patients with heart failure. Journal of Sabzevar University of Medical Sciences. 2015; 22 (3): 289-99. (Persian)
13. 13- Mirlohi E S, Keshvari M, Mohammadi E. Effect of a collaborative care training program on fear of falling in the elderly. Salmand: Iranian Journal of Ageing. 2021; 16(2): 288-303. (Persian) [DOI]
14. Shamsi A, Amiri F, Ebadi A, Ghaderi M. The effect of partnership care model on mental health of patients with thalassemia major. Depress Res Treat. 2017; 3685402. [DOI] [PubMed]
15. 15- Daneshi F, Sabzevari S, Pooraboli B, ShojaeiShahrokhababdi M. The effect of partnership care model on the quality of life of adults with asthma. Iran Journal of Nursing. 2014; 27(88): 1-10. (Persian) [DOI]
16. Rezaei M, Mirbagher-Ajorpaz N. The effect of Hajat prayer on the mental health of patients with multiple sclerosis. Feyz. 2020; 23 (7): 706-13 (Persian)
17. Rahimi E, Abyar Z, Homam Zakeri langroudi A, Zamani N. Comparison of general health, mental health and coping strategies among patients with diabetes type 1, 2 and patients with multiple sclerosis. hrjbaq. 2017; 2 (1): 33-41. (Persian) [DOI]
18. Hosseinzadegan F, Radfar M, Shafiee A, Sheikhi N. The relationship between individual characteristics and mental health with the amount of hypnotic susceptibility in women with multiple sclerosis. Iranian Journal of Psychiatric Nursing (IJPN). 2015; 3 (3):76-83. (Persian)
19. Goldberg DP. The detection of psychiatric illness by questionnaire. London: Oxford University Press; 1972. 96-101.
20. 20- Taghvi M R. Validity and reliability of the General Health Questionnaire (GHQ-28) in college students of Shiraz University. Journal of Psychology. 2002; 5(4): 381-98. (Persian)
21. 21- Norbala AA, Bagheri Yazdi S A, Mohammad K. The validation of general health questionnaire- 28 as a psychiatric screening tool. Hakim Research Journal. 2009; 11(4): 47- 53. (Persian)
22. Karimisani P, Mahdilou S, Mansouri S, Sajjadizadeh Z. The effect of psychological first aid in improving multidimensional pain symptoms and the way of coping with stress on women suffering M.S. Shenakht Journal of Psychology and Psychiatry. 2018; 5(4): 87-98. (Persian)
23. 23- Mahmoodi Gh, Nasiri E, NiazAzari K. Evaluating mental (psychological) health in MS patients from mozandran province in 2007. J Mazandaran Univ Med Sci. 2009; 18 (68): 70-3. (Persian)
24. Ghavidel F, Mohammadzadeh Sh, Pirasteh H, Alavi Majd H. Effect assessment of applying the partnership care model on quality of life in hemodialysis patient’s referring to Be’ sat Hospital of IRI Air Force. Ebnesina Journal. 2009; 12(2-3): 22-7. (Persian)
25. Khoshnevis MA, Javadinasab M, Ghanei M, Hoseini S, Karimi Zarchi AA, Ebadi A. Effect of using collaborative care model on life quality of chemical injuries with bronchiolitis. Journal of Critical Care Nursing. 2009; 2(2): 47-50. (Persian)
26. Mamene M, Lakdizaji S, Rahmani A, Behshid M. The effect of teaching based collaborative care model on diet habits in diabetes type II: A clinical trial study. Avicenna Journal of Nursing and Midwifery Care. 2014; 22 (1):41-51. (Persian)
27. Parvinian Nasab AM, Rosta S, Vojdani MA, Dehghani A, Keshtkaran Z, Shamsizade M, et al. The effect of partnership care Model on depression of adolescents with β-thalassemia. Iranian Journal of Psychiatric Nursing. 2014; 1(4): 25-35. (Persian)
28. Maleki F, Hemmati Maslakpak M, Khalkhali H. Study the effect of performance roy adaptation model on intensity, and effects of fatigue in multiple sclerosis patients. Nursing and Midwifery Journal. 2016; 14 (6):571-79. (Persian)
29. Rashvand F, Moshtagh Eshgh Z, Soleimani M A, Abtahi M, Nasiri M, Madani H. Effects of designed feeding patterns on fatigue in multiple sclerosis patients. Journal of Shahrekord University of Medical Sciences. 2013; 15 (2):77-85. (Persian)
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA

Research code: 595317
Ethics code: IR.AJAUMS.REC.1396.115
Clinical trials code: IRCT20180227038888N1


XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Nazari S, Farsi Z, Shamsi A. The Effect of Participation Care Model on Mental Health of Patients with Multiple Sclerosis  . MCS. 2021; 8 (3) :299-308
URL: http://mcs.ajaums.ac.ir/article-1-496-en.html


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 8, Issue 3 (Military Caring Sciences 2021) Back to browse issues page
مجله علوم مراقبتی نظامی Military Caring Sciences Journal
Persian site map - English site map - Created in 0.07 seconds with 29 queries by YEKTAWEB 4410