[ effect of Orem based self-care program on physical quality of life in multiple sclerosis patients]

ABSTRACT

Multiple sclerosis is a chronic, progressive and degenerative myelin sheath of the central nervous system. Which significantly affects quality of life? The aim of this study was to assess the effect of Orem based self-care program on physical quality of life in multiple sclerosis. In this clinical trial a total of 70 patients with multiple sclerosis with age range 20-40 years, [members of multiple sclerosis association] were randomly divided into two groups of experimental and control [35 patients in each group]. The experimental group was treated with self-care program based on Orem self-care frame work compared to the control group. Data were analyzed using x[2], t, and paired t tests. There was no significant difference in the cases of quality of life and demographic characteristics of patients in the control and test groups, before intervention. The mean score of life quality, after intervention, in the test group [66.5 +/- 41.8] was more than that [43.24 +/- 12.79] in the control group [P<0.001]. In the test group and after the intervention, life quality was significantly increased [P<0.001], but no significant difference was seen in the control groups. Drawing and utilizing self care program base on the Orem frame work on physical quality of life in the multiple sclerosis patients would be beneficial. This is a non-invasive intervention and is safe, inexpensive and is complementary to medical intervention that can be used in the multiple sclerosis centers