Volume 20, Issue 8 (November 2022)
Nursing and Midwifery Journal 2022, 20(8): 619-625 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Jasemi M, Eghtedar S, Alinegad V, Valinasab Z. THE EFFECT OF SELF-MANAGEMENT PROGRAM BASED ON VIRTUAL GROUP DISCUSSION ON SLEEP QUALITY IN MULTIPLE SCLEROSIS PATIENTS. Nursing and Midwifery Journal 2022; 20 (8) :619-625
URL: http://unmf.umsu.ac.ir/article-1-4772-en.html
URL: http://unmf.umsu.ac.ir/article-1-4772-en.html
1- Associate Professor of Nursing Education, Urmia University of Medical Sciences, Urmia Faculty of Nursing and Midwifery, Urmia, Iran
2- Assistant Professor of Nursing, Urmia University of Medical Sciences, Urmia Faculty of Nursing and Midwifery, Urmia, Iran
3- Assistant Professor of Biostatistics, Urmia University of Medical Sciences, Urmia, Iran
4- Master's student in nursing, Urmia Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran (Corresponding Author) ,Zahra.valinasab20@gmail.com
2- Assistant Professor of Nursing, Urmia University of Medical Sciences, Urmia Faculty of Nursing and Midwifery, Urmia, Iran
3- Assistant Professor of Biostatistics, Urmia University of Medical Sciences, Urmia, Iran
4- Master's student in nursing, Urmia Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran (Corresponding Author) ,
Abstract: (1172 Views)
Background & Aim: Multiple sclerosis is one of the most common chronic and debilitating diseases of the nervous system. Sleep disorder is one of the most important complications of this disease that affects the patient's quality of life. This study was conducted with the aim of investigating the effect of a self-management program based on virtual group discussion on sleep quality in the patients with multiple sclerosis patients.
Materials & Methods: The current research is a semi-experimental study with a pre-post-test design, conducted with the participation of 60 patients referred to the Urmia MS association in 2021, who were selected by convenient sampling and divided randomly into control and experimental groups (30 patients in each group). Patients of the intervention group received the educational content of self-management program through discussions with other group members on WhatsApp during 6 sessions and for one month. Patients of the intervention group received the educational content of the self-management program through discussions with other group members on WhatsApp during 6 sessions and for one month. Patients in the control group did not receive any training. Pittsburgh sleep quality questionnaire (PSQI) and demographic questionnaires were completed by the patients before and after the intervention. The collected data were analyzed using descriptive and inferential statistics by SPSS version 22 statistical software.
Results: The study groups were homogeneous in terms of demographic variables there was no significant difference between them (p>0.05). The results of the paired t-test showed that, unlike the control group, the mean score of sleep quality decreased significantly after the intervention (p = 0.001). Also, the results showed that the average score of sleep quality after the intervention had a statistically significant difference between the groups, so that after the implementation of the self-management program, sleep quality improved significantly in the intervention group (p<0.05).
Conclusion: The results of the study showed that the implementation of a self-management program based on group discussion in a virtual way has an effect on the sleep quality of multiple sclerosis patients and so could be used as one of the methods to improve the symptoms and improve the sleep quality in this patients.
Materials & Methods: The current research is a semi-experimental study with a pre-post-test design, conducted with the participation of 60 patients referred to the Urmia MS association in 2021, who were selected by convenient sampling and divided randomly into control and experimental groups (30 patients in each group). Patients of the intervention group received the educational content of self-management program through discussions with other group members on WhatsApp during 6 sessions and for one month. Patients of the intervention group received the educational content of the self-management program through discussions with other group members on WhatsApp during 6 sessions and for one month. Patients in the control group did not receive any training. Pittsburgh sleep quality questionnaire (PSQI) and demographic questionnaires were completed by the patients before and after the intervention. The collected data were analyzed using descriptive and inferential statistics by SPSS version 22 statistical software.
Results: The study groups were homogeneous in terms of demographic variables there was no significant difference between them (p>0.05). The results of the paired t-test showed that, unlike the control group, the mean score of sleep quality decreased significantly after the intervention (p = 0.001). Also, the results showed that the average score of sleep quality after the intervention had a statistically significant difference between the groups, so that after the implementation of the self-management program, sleep quality improved significantly in the intervention group (p<0.05).
Conclusion: The results of the study showed that the implementation of a self-management program based on group discussion in a virtual way has an effect on the sleep quality of multiple sclerosis patients and so could be used as one of the methods to improve the symptoms and improve the sleep quality in this patients.
References
1. Huang WJ, Chen WW, Zhang X. Multiple sclerosis: pathology, diagnosis and treatments. Exp Therapeut Med 2017;13(6):3163-6. [DOI:10.3892/etm.2017.4410] [PMID] [PMCID]
2. Lassmann H. Multiple sclerosis pathology. Cold Spring Harbor perspectives in medicine. 2018;8(3):a028936. [DOI:10.1101/cshperspect.a028936] [PMID] [PMCID]
3. Gianfrancesco MA, Barcellos LF. Obesity and multiple sclerosis susceptibility: a review. J Neurol Neuromed 2016;1(7):1. [DOI:10.29245/2572.942X/2016/7.1064] [PMID] [PMCID]
4. Hosseinzadeh A, Baneshi M, Sedighi B, Kermanchi J, Haghdoost A. Incidence of multiple sclerosis in Iran: a nationwide, population-based study. Pub Health 2019;175:138-44. [DOI:10.1016/j.puhe.2019.07.013] [PMID]
5. Birnbaum GL. Multiple sclerosis: Clinician's guide to diagnosis and treatment: Oxford University Press; 2013. [Google Scholar]
6. Jonason PK, Jones A, Lyons M. Creatures of the night: Chronotypes and the Dark Triad traits. Pers Individ Differ 2013;55(5):538-41. [DOI:10.1016/j.paid.2013.05.001]
7. Fleming WE, Pollak CP, editors. Sleep disorders in multiple sclerosis. Seminars in neurology; 2005: Copyright© 2005 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New …. [Google Scholar]
8. Tabrizi FM, Radfar M. Fatigue, sleep quality, and disability in relation to quality of life in multiple sclerosis. Int J MS Care 2015;17(6):268-74. [DOI:10.7224/1537-2073.2014-046] [PMID] [PMCID]
9. Clark CM, Fleming JA, Li D, Oger J, Klonoff H, Paty D. Sleep disturbance, depression, and lesion site in patients with multiple sclerosis. Arch Neurol 2017;49(6):641-3. [DOI:10.1001/archneur.1992.00530300077013] [PMID]
10. Søarensen K, Alslev T, Christensen S, Jensen N, Ørskov H. CSF somatostatin in multiple sclerosis: reversible loss of diurnal oscillation in relapses. Neurology 2016;37(6):1050. [DOI:10.1212/WNL.37.6.1050] [PMID]
11. Salomè A, Sasso D'Elia T, Franchini G, Santilli V, Paolucci T. Occupational therapy in fatigue management in multiple sclerosis: an umbrella review. Mult Scler Int 2019;2019. [DOI:10.1155/2019/2027947] [PMID] [PMCID]
12. Packer T, Brink N, Sauriol A. Managing fatigue: a six-week course for energy conservation: Therapy Skill Builders; 1995. [URL]
13. Mulligan H, Wilkinson A, Barclay A, Whiting H, Heynike C, Snowdon J. Evaluation of a fatigue self-management program for people with multiple sclerosis. Int J MS Care 2016;18(3):116-21. [DOI:10.7224/1537-2073.2015-019] [PMID] [PMCID]
14. Plow M, Finlayson M, Liu J, Motl RW, Bethoux F, Sattar A. Randomized controlled trial of a telephone-delivered physical activity and fatigue self-management interventions in adults with multiple sclerosis. Arch Physic Med Rehab 2019;100(11):2006-14. [DOI:10.1016/j.apmr.2019.04.022] [PMID]
15. Masoudi R, Kheiri F, Ahmadi F, Mohammadi E. The effect of self-care program base on the Orem frame work on fatigue and activity of daily living in multiple sclerosis patients. Arch Rehab 2009;10(3). [Google Scholar]
16. Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 1989;28(2):193-213. [DOI:10.1016/0165-1781(89)90047-4] [PMID]
17. Soleimany M, Ziba FN, Kermani A, Hosseini F. Comparison of sleep quality in two groups of nurses with and without rotation work shift hours. Iran J Nurs 2007;20(49):29-38. [Google Scholar]
18. Parsaei Manesh E, Mahdavi M, Moghadam S. The effect of self-care educational program on sleep quality in patients with Multiple Sclerosis. J Educ Ethics Nurs 2014;3(4):9-13. [URL]
19. Nociti V LF, Gnoni V, Losurdo A, Testani E, Vollono C, Frisullo G, Brunetti V, Mirabella M, Della Marca G. The effect of self-care educational program on sleep quality in patients with Multiple Sclerosis J Educ Ethics Nurs 2017;3(4):9-13.
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Contact Information
Address: Urmia University of Medical Sciences, Deputy of Research and Technology,Djahad Ave.,
Urmia-5714783734, IRAN
P.O. Box: 1138,
Tel: 044 - 331937224
Fax: 044 - 32240642
E-Mail:
j.nur.mid
gmail.com, unmfumsu.ac.ir