بررسي رابطه سطح عزت نفس با ميزان بكارگيري روشهاي مقابله اي و برنامه خود مراقبتي در بيماران مبتلا به مولتيپل اسكلروزيس (MS) تحت پوشش انجمن MS ايران در سال 1383

Relations between self-esteem and applying coping mechanism and self-care program in multiple sclerosis (MS) patients

Introduction: Multiple sclerosis (MS) is a chronic and incurable disease of central nervou s system that lead s to decrease self-esteem in such patients, and they should cope with disability of this chronic disease. The purpose of this study was to determine any relations between the level of self-esteem and applying coping mechanisms and selfcare programs by multiple sclerosis patients (MS) in Tehran. Materials & methods: This study has a semi-experimental design accomplished in an acces sible method in Iranian MS Society (2002-3). 38 educated patients (between 15-50 year s old) with signs of this disease were selected . The data were collected via personal questionnaires, problems list, Cooper and smith standard questi onnaires for self-e steem , Jalowice standard coping scale and self-report checklists that before and after interventions were completed by the patients. Self-care program was taught and performed for one month period, then the data before and after interventions were analyzed by applied SPSS soft ware , descriptive statistics and paired t-test, Wilcoxon, Chi-square and independent T test s. Findings: The paired T-test showed significant difference between self-esteem of patients before and after education,(p=O IOOO). Data analysis showed that before and after intervention, patients with higher self-e steem used more problem-focused coping than the patients with lower self-esteem (P=OIOOl) , and patients with lower self-esteem used more affective-focused coping (P=OIOOO). Also, patients with higher self-esteem applied more self-care program in order to solve their problems, (P=O/OOl ) . Conclusion: According to these findings, self-care education improves self-esteem in patients and self-esteem promotion in multiple sclerosis (MS) patients has a direct relation with an increase in applying problem-focused coping and self-care programs by them .