Nursing Intervention for Empowering Quality of Life for Adolescents with Multiple Sclerosis: A quasi –experimental study
Main Article Content
Keywords
Empowering, Quality life, Multiple Sclerosis, Adolescents
Abstract
Background: Adolescents with multiple sclerosis report lower health-related quality of life as compared to general and other chronic disease populations. The aim of the study was to evaluate the effect of nursing intervention for adolescents with multiple sclerosis on empowering their quality of life.
Methods: 50 adolescents suffered from multiple sclerosis took part in the study. The study was A quasi –experimental design. Data was gathered in multiple sclerosis unit at Ain Shams University Hospital as purposive sample. Data was gathered on Structure interview questionnaire included demographic characteristics and adolescent's knowledge. Medical record and Multiple Sclerosis Quality of Life for Adolescents (MSQOL)-54 (pre-post). Frequencies (f) of categories of dependent and independent variables were determined. The chi-squared test (χ2) and Cronbach's Alpha coefficient test were applied. The level of statistical significance was set at α=.05
Results: there was positive statistically significant correlation regarding total score level of knowledge of studied adolescents with multiple sclerosis disease and their total score level quality of life scores pre and post nursing intervention.
Conclusion: the majority of studied adolescents had unsatisfactory knowledge in pre nursing intervention meanwhile the most of them had satisfactory knowledge in post nursing intervention. In addition, more than three quarters of studied adolescents had best level score for quality-of-life post nursing intervention compared with the minority pre intervention. Recommendation: It is recommended to provide continuous education training program for adolescents with multiple sclerosis disease.
References
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9. Claflin, S., Klekociuk, S., Fair, H., Bostock, E., Farrow, M., Doherty, K., & Taylor, B., (2022). Assessing the Impact of Online Health Education Interventions From 2010-2020: A Systematic Review of the Evidence. American Journal of Health Promotion, 36(1), 201-224.
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12. Fasczewski, K., Rothberger, S. & Gill, D. (2017). Assessing Self-Report Physical Activity Behavior and Quality of Life in Individuals with Multiple Sclerosis. SAGE journal, 25(7): 964-975. https://doi.org/10.1177/ 1359105317739965. Accessed date: 6/10/2020.
13. Flemmen, H.., Simonsen, C., Berg-Hansen, P., Moen, S., Kersten, H., Heldal, K., & Celius, E. (2020). Prevalence of multiple sclerosis in rural and urban districts in Telemark county, Norway. Multiple Sclerosis and Related Disorders, 45, 102352.
14. Goverover, Y., Chen, M. H., Botticello, A., Voelbel, G. T., Kim, G., DeLuca, J., & Genova, H. M. (2022). Relationships between changes in daily occupations and health-related quality of life in persons with multiple sclerosis during the COVID-19 pandemic. Multiple sclerosis and related disorders, 57, 103339.
15. Habibi H, Sedighi B, Jahani Y, Hasani M, & Iranpour A., (2021). Self-Care Practices and Related Factors in Patients with Multiple Sclerosis (MS) Based on the Health Belief Model. Scand J Caring Sci. 10(2):78.
16. Harvie, D., (2021). Immersive Education for Chronic Condition Self-Management. Front. Virtual Real. 2: 657761. doi: 10.3389/frvir.
17. Hassani, S., Tizdast, T., & Zarbakhsh, M., (2021). The Role of Self-compassion and Hope in the Relationship Between Psychological Wellbeing, Maladaptive Schemas, Resilience, and Social Support in Women With Multiple Sclerosis. Journal of Client-Centered Nursing Care, 7(3), 195-204.
18. Ibrahim, M., Hegazy, M., & Khalfallah, H. (2020). Effect of Nursing Guidelines Regarding Safety Measures on Occurrence of Injuries among Adolescents with Multiple Sclerosis. Egyptian Journal of Health Care, 2020 EJHC Vol. 11. No.1. 1067- 1084.
19. Khedr, M., El Sayed, H., & El Wakil, (2022). Perceived stress in multiple sclerosis patients: Relationship with mood states and pain experience. Multiple Sclerosis and Related Disorders, 59, 103650.
20. Kidd, T., Carey, N., Mold, F., Westwood, S., Miklaucich, M., Konstantara, E., & Cooke, D. (2017). A systematic review of the effectiveness of self-management interventions in people with multiple sclerosis at improving depression, anxiety and quality of life. PloS one, 12(10), e0185931.
21. Mohamadirizi, S., Shaygannejad, V., Mohamadirizi, S., & Tolou-Ghamari, Z. (2017). The effect of electronic education on knowledge of patients with multiple sclerosis. Journal of Education and Health Promotion, 6.
22. Momenabadi, V., Kaveh, M., Nakhaee, N., Shirazi, K., Dastoorpoor, M., & Sedighi, B. (2019). Effect of Educational Intervention Based on Health-Promoting Self-Care Behaviors Model on Quality of Life, Resilience, and Sense of Coherence in Patients with Multiple Sclerosis: A Randomized Controlled Trial. Iranian Red Crescent Medical Journal, 21(12). e97240.
23. Mousaei, F., Zendehtalb, H., Zare, M., & Behnam Vashani, H. (2021). Effect of Family-centered Empowerment Model on Self-care Behaviors of Patients with Multiple sclerosis. Evidence Based Care, 11(3), 35-43.
24. Mrosková, S., Klímová, E., Majerníková, Ľ., & Tkáčová, Ľ. (2021). Quality of Life of Children and Adolescents with Multiple Sclerosis—A Literature Review of the Quantitative Evidence. International Journal of Environmental Research and Public Health, 18(16), 8645.
25. Odgers, C. L., & Jensen, M. R. (2022). Adolescent development and growing divides in the digital age. Dialogues in clinical neuroscience, 15(2), 2-8.
26. Omer, Ä., & PaÅ, Z. (2022). Cognitive performance and quality of life in patients with multiple sclerosis. Acta Medica Saliniana, 51(1-2). 23- 29.
27. Ow, N., Mozafarinia, M., & Mayo, N. E. (2021). Quality of life measures in pediatric multiple sclerosis: a systematic review and meta‐analysis. Developmental Medicine & Child Neurology, 63(9), 1051-1058.
28. Penwell-Waines, L., Lewis, K., Valvano, A., Smith, S., Rahn, R., & Stepleman, L. (2017). Testing the health promotion model for adherence and quality of life in individuals with multiple sclerosis. Psychology, health & medicine, 22(2), 205-211
29. Saad, M., & Abo Elfetoh, E. (2021). Self-Management Program to Adapt with Multiple Sclerosis Problems and Enhance Quality of Life. Assiut Scientific Nursing Journal, 9(26), 34-54.
30. Salter, A., Cutter, G., Marrie, A., Nichol K., Steinerman, R., Smith, M., & Fox, J. (2022). Sources of Cannabis Information and Medical Guidance for Neurologic Use: NARCOMS Survey of People Living With Multiple Sclerosis. Neurology: Clinical Practice. DOI: 10.1212/CPJ.0000000000001155.
31. Sharafi, O., & Seydi, J. (2021). Investigating the effect of evidence-based education on self–care in patients with multiple sclerosis referred to the Sanandaj MS society in 2019. Scientific Journal of Nursing, Midwifery and Paramedical Faculty, 7(1), 60-68.
32. Shawli, A. Abdulmutalib I, & Al Nagshabandi, E, (2019). Fatigue and Self management among Multiple Sclerosis Patients.” American Journal of Nursing Research, vol. 7, no. 4: 550-560. doi: 10.12691/ajnr-7-4-17.
33. Stephens, S., Berenbaum, T., Finlayson, M., Motl, R. W., & Yeh, E.A. (2021). Youth with multiple sclerosis have low levels of fitness. Multiple Sclerosis Journal, 27(10), 1597-1605.
34. Torpil, B., & Pekçetin, S. (2022). Effectiveness of Client-Centered Training on Percieved Occupational Performance and Satisfaction in People with Multiple Sclerosis. Gazi Sağlık Bilimleri Dergisi, 7(1), 65-74.
35. Wallin, M., Culpepper, J., Nichols, E., Bhutta, A., Gebrehiwot, T., Hay, I., & Murray, J. (2019). Global, regional, and national burden of multiple sclerosis 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet Neurology, 18(3), 269-285.
36. Zadeh, H., Pirzadeh, F., & Monjazebi, F. (2022). Sense of coherence among patients with multiple sclerosis and its relevant factors. British Journal of Neuroscience Nursing, 18(Sup1), S26-S30.
2. Abdallah, Z.., Mohammed, A., & Rabee, M. (2022). Assessment Of Health Related Quality Of Life Among Patients With Multiple Sclerosis At Minia University Hospital. Minia Scientific Nursing Journal, 11(1), 48-55.
3. Abdulla, F. Albagmi, F., & Al-Khamis, F., (2021). Factors that influence quality of life in patients with multiple sclerosis in Saudi Arabia. Disability and rehabilitation, 1-9.
4. Acquadro, C., Lafortune, I., & Mear, I. (2003). Quality of life in multiple selerosis: translation in French Canadian of the MSQoL-54, Health and quality of life outcomes; 1(1): 70.
5. Afrasiabifar, A., Mehri, Z., & Ghaffarian Shirazi, H. (2020). Orem’s self-care model with multiple sclerosis patients’ balance and motor function. Nursing Science Quarterly, 33(1), 46-54.
6. Bessing, B., van der Mei, I., Taylor, B., Honan, C., Blizzard, L., & Claflin, S. (2022). Evaluating the impact of the Understanding Multiple Sclerosis online course on participant MS knowledge, health literacy, resilience, self-efficacy, quality of life, and MS symptom severity. Multiple Sclerosis and Related Disorders, 60, 103717.
7. Bijani, M., Niknam, M., Karimi, S., Naderi, Z., & Dehghan, A. (2022). The effect of peer education based on Pender’s health promotion model on quality of life, stress management and self-efficacy of patients with multiple sclerosis: a randomized controlled clinical trial. BMC neurology, 22(1), 1-9.
8. Borimnejad, L., Parvizy, S., Haghaani, H., & Sheibani, B. (2018). The effect of family-centered empowerment program on self-efficacy of adolescents with thalassemia major: A randomized controlled clinical trial. International journal of community based nursing and midwifery, 6(1), 29.
9. Claflin, S., Klekociuk, S., Fair, H., Bostock, E., Farrow, M., Doherty, K., & Taylor, B., (2022). Assessing the Impact of Online Health Education Interventions From 2010-2020: A Systematic Review of the Evidence. American Journal of Health Promotion, 36(1), 201-224.
10. El-Kattan, B., & El-Zayat, O. (2019). Effects of Self-Care Education Program on Quality of Life of Patients with Multiple Sclerosis,IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-ISSN: 2320–1959.p- ISSN: 2320–1940 Volume 8, Issue 3 Ser. VII., PP 76-88. Available at: www.iosrjournals.org.
11. Faraji, F., Khosravi, S., Sajadi, M., Farahani, Z., & Rafiei, F. (2018). Effect of self-care education on social adaptability in patients with multiple sclerosis. Iran Red Crescent Med J. 2018 January; 20(1): e55634.
12. Fasczewski, K., Rothberger, S. & Gill, D. (2017). Assessing Self-Report Physical Activity Behavior and Quality of Life in Individuals with Multiple Sclerosis. SAGE journal, 25(7): 964-975. https://doi.org/10.1177/ 1359105317739965. Accessed date: 6/10/2020.
13. Flemmen, H.., Simonsen, C., Berg-Hansen, P., Moen, S., Kersten, H., Heldal, K., & Celius, E. (2020). Prevalence of multiple sclerosis in rural and urban districts in Telemark county, Norway. Multiple Sclerosis and Related Disorders, 45, 102352.
14. Goverover, Y., Chen, M. H., Botticello, A., Voelbel, G. T., Kim, G., DeLuca, J., & Genova, H. M. (2022). Relationships between changes in daily occupations and health-related quality of life in persons with multiple sclerosis during the COVID-19 pandemic. Multiple sclerosis and related disorders, 57, 103339.
15. Habibi H, Sedighi B, Jahani Y, Hasani M, & Iranpour A., (2021). Self-Care Practices and Related Factors in Patients with Multiple Sclerosis (MS) Based on the Health Belief Model. Scand J Caring Sci. 10(2):78.
16. Harvie, D., (2021). Immersive Education for Chronic Condition Self-Management. Front. Virtual Real. 2: 657761. doi: 10.3389/frvir.
17. Hassani, S., Tizdast, T., & Zarbakhsh, M., (2021). The Role of Self-compassion and Hope in the Relationship Between Psychological Wellbeing, Maladaptive Schemas, Resilience, and Social Support in Women With Multiple Sclerosis. Journal of Client-Centered Nursing Care, 7(3), 195-204.
18. Ibrahim, M., Hegazy, M., & Khalfallah, H. (2020). Effect of Nursing Guidelines Regarding Safety Measures on Occurrence of Injuries among Adolescents with Multiple Sclerosis. Egyptian Journal of Health Care, 2020 EJHC Vol. 11. No.1. 1067- 1084.
19. Khedr, M., El Sayed, H., & El Wakil, (2022). Perceived stress in multiple sclerosis patients: Relationship with mood states and pain experience. Multiple Sclerosis and Related Disorders, 59, 103650.
20. Kidd, T., Carey, N., Mold, F., Westwood, S., Miklaucich, M., Konstantara, E., & Cooke, D. (2017). A systematic review of the effectiveness of self-management interventions in people with multiple sclerosis at improving depression, anxiety and quality of life. PloS one, 12(10), e0185931.
21. Mohamadirizi, S., Shaygannejad, V., Mohamadirizi, S., & Tolou-Ghamari, Z. (2017). The effect of electronic education on knowledge of patients with multiple sclerosis. Journal of Education and Health Promotion, 6.
22. Momenabadi, V., Kaveh, M., Nakhaee, N., Shirazi, K., Dastoorpoor, M., & Sedighi, B. (2019). Effect of Educational Intervention Based on Health-Promoting Self-Care Behaviors Model on Quality of Life, Resilience, and Sense of Coherence in Patients with Multiple Sclerosis: A Randomized Controlled Trial. Iranian Red Crescent Medical Journal, 21(12). e97240.
23. Mousaei, F., Zendehtalb, H., Zare, M., & Behnam Vashani, H. (2021). Effect of Family-centered Empowerment Model on Self-care Behaviors of Patients with Multiple sclerosis. Evidence Based Care, 11(3), 35-43.
24. Mrosková, S., Klímová, E., Majerníková, Ľ., & Tkáčová, Ľ. (2021). Quality of Life of Children and Adolescents with Multiple Sclerosis—A Literature Review of the Quantitative Evidence. International Journal of Environmental Research and Public Health, 18(16), 8645.
25. Odgers, C. L., & Jensen, M. R. (2022). Adolescent development and growing divides in the digital age. Dialogues in clinical neuroscience, 15(2), 2-8.
26. Omer, Ä., & PaÅ, Z. (2022). Cognitive performance and quality of life in patients with multiple sclerosis. Acta Medica Saliniana, 51(1-2). 23- 29.
27. Ow, N., Mozafarinia, M., & Mayo, N. E. (2021). Quality of life measures in pediatric multiple sclerosis: a systematic review and meta‐analysis. Developmental Medicine & Child Neurology, 63(9), 1051-1058.
28. Penwell-Waines, L., Lewis, K., Valvano, A., Smith, S., Rahn, R., & Stepleman, L. (2017). Testing the health promotion model for adherence and quality of life in individuals with multiple sclerosis. Psychology, health & medicine, 22(2), 205-211
29. Saad, M., & Abo Elfetoh, E. (2021). Self-Management Program to Adapt with Multiple Sclerosis Problems and Enhance Quality of Life. Assiut Scientific Nursing Journal, 9(26), 34-54.
30. Salter, A., Cutter, G., Marrie, A., Nichol K., Steinerman, R., Smith, M., & Fox, J. (2022). Sources of Cannabis Information and Medical Guidance for Neurologic Use: NARCOMS Survey of People Living With Multiple Sclerosis. Neurology: Clinical Practice. DOI: 10.1212/CPJ.0000000000001155.
31. Sharafi, O., & Seydi, J. (2021). Investigating the effect of evidence-based education on self–care in patients with multiple sclerosis referred to the Sanandaj MS society in 2019. Scientific Journal of Nursing, Midwifery and Paramedical Faculty, 7(1), 60-68.
32. Shawli, A. Abdulmutalib I, & Al Nagshabandi, E, (2019). Fatigue and Self management among Multiple Sclerosis Patients.” American Journal of Nursing Research, vol. 7, no. 4: 550-560. doi: 10.12691/ajnr-7-4-17.
33. Stephens, S., Berenbaum, T., Finlayson, M., Motl, R. W., & Yeh, E.A. (2021). Youth with multiple sclerosis have low levels of fitness. Multiple Sclerosis Journal, 27(10), 1597-1605.
34. Torpil, B., & Pekçetin, S. (2022). Effectiveness of Client-Centered Training on Percieved Occupational Performance and Satisfaction in People with Multiple Sclerosis. Gazi Sağlık Bilimleri Dergisi, 7(1), 65-74.
35. Wallin, M., Culpepper, J., Nichols, E., Bhutta, A., Gebrehiwot, T., Hay, I., & Murray, J. (2019). Global, regional, and national burden of multiple sclerosis 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet Neurology, 18(3), 269-285.
36. Zadeh, H., Pirzadeh, F., & Monjazebi, F. (2022). Sense of coherence among patients with multiple sclerosis and its relevant factors. British Journal of Neuroscience Nursing, 18(Sup1), S26-S30.
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Apr 15, 2023
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Mona Ibrahim Mohamed, Nahed S. El-Naggar, & Mohamed M. Fouad. (2023). Nursing Intervention for Empowering Quality of Life for Adolescents with Multiple Sclerosis: A quasi –experimental study. Journal of Population Therapeutics and Clinical Pharmacology, 30(7), 379–399. https://doi.org/10.47750/jptcp.2023.30.07.043
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