ABSTRACT
Objective: Stroke is a major event in one's life, and patients will inevitably require the use of coping strategies in order to try to reestablish acceptable life equilibrium. Due to the extensive role that nurses can be active members in the patient's rehabilitation plan, the Mauk model is a model that focuses on stroke patients. For each stage of this model, Mauk has developed appropriate rehabilitation nursing interventions. This study aimed to analyze the effect of implementation of the Mauk nursing rehabilitation model [Agonizing phase, Fantasy phase, Realizing phase] on the coping strategies of stroke patients
Methods: This study is a quasi-experimental one-group pre-test - post-test study. The interventions are identified and coping strategies for patients based on the Mauk model have been trained. Convenience sampling has been done in Imam Khomeini hospital and Tabassom rehabilitation center in 1392. Data collection instruments included a demographic questionnaire and a coping strategies questionnaire for stroke patients. The educational program was implemented in sessions of 45 minutes. The patients' coping strategies, before and after training, were assessed. Data was statistically analyzed using descriptive and inferential tests in SPSS software 16
Results: The mean score for coping strategies before intervention was 111.42 +/- 11.71, and after intervention was 102.14 +/- 12.45 [P<0.05]. The physical, mental and social dimensions in the coping strategies showed significant differences before and after intervention
Discussion: Using the rehabilitation program interventions for effectively dealing with stress, changing and unpredictable behavior patterns in chronic patients is an important component of the treatment protocol, and helps deliver an increase in coping strategies for stroke patients
ABSTRACT
Impaired quality of life [QOL] is an issue considered in patients with multiple sclerosis [MS]. There are limited studies evaluated poor sleep and impaired QOL in these cases. The aim of this study was to evaluate quality of sleep and poor sleep in Iranian patients with MS and the relationship between Pittsburgh Sleep Quality Index [PSQI] score and QOL subscales. One-hundred and fourteen cases with definite MS due to MC Donald criteria enrolled who referred to MS clinic of Sina and Imam Hospitals were enrolled. Patients asked to fill valid and reliable Persian versions of PSQI and MSQOL-54 questionnaires. Demographic data [sex, age], duration of the disease, education level and marital status were extracted from patients medical files. After neurological examination, Kurtzke Expanded Disability Status Scale [EDSS] was assessed. Ninety-one [79.8%] patients were female and 23 [20.2%] were male. Mean age and EDSS was 34.7 +/- 9.6 years and 2.3 [median: 1.5]. Mean PSQI score and overall QOL score were 4.5 and 57. Sixty-seven cases were good sleepers [PSQI 5]. Except five subscales, all others were significantly different between good and poor sleepers. There was significant positive correlation between PSQI score and EDSS [r = 0.24, P < 0.001] and negative correlation between EDSS and physical and mental health [r = -0.48, P < 0.001, r = -0.43, P < 0.001]. EDSS and total PSQI score were independent predictors of physical and mental health composites. Sleep quality as a factor which affecting QOL should be considered and evaluated properly in MS patients