Repository of Research and Investigative Information

Repository of Research and Investigative Information

Ahvaz Jundishapur University of Medical Sciences

Effect of a Program Based on the Orem Self-Care Model on Sleep Quality of Patients With Multiple Sclerosis

Dahmardeh, Haniyeh and Vagharseyyedin, Seyyed Abolfazl and Rahimi, Hossein and Amirifard, Hamed and Akbari, Omolbanin and Sharifzadeh, Gholamreza (2016) Effect of a Program Based on the Orem Self-Care Model on Sleep Quality of Patients With Multiple Sclerosis. Jundishapur Journal of Chronic Disease Care. ., 5 (3).


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Background: Many patients with multiple sclerosis (MS) have a type of sleep disorder. Objectives: The current study aimed to investigate the effect of implementing a program based on the Orem self-care model on sleep quality of patients with MS. Patients and Methods: Seventy eight patients referred to the multiple sclerosis association of Zahedan city, Iran, enrolled in the current randomized controlled trial conducted in 2015. The demographics form and Pittsburgh sleep quality index were completed by the patients. The selected patients were then randomly allocated into intervention and control groups (n = 39 for each group). An instructional program consisted of nine, 45 minutes sessions was performed in the intervention group. Afterwards, a three-month follow-up was performed after intervention. When the follow-up ended, the two groups completed the Pittsburgh sleep quality index again. Descriptive statistical tests, independent t-test, Chi-square test and paired t-test were used to analyze the data. Results: Before the intervention, there was no significant difference between the two groups with regard to mean scores of sleep quality (P = 0.22). Both groups reported a significant improvement in sleep quality three months after intervention (P < 0.05). However, mean score changes of sleep quality before and three months after the intervention were significantly higher in the intervention group than the control group (P = 0.004), indicating a greater sleep quality improvement in the intervention than the control group. Conclusions: The Orem-based self-care model program can be a useful tool to improve sleep quality of patients with MS. Future studies can be directed to investigate the effects of such interventions on other common problems of patients.

Item Type: Article
Keywords: Multiple Sclerosis; Sleep; Self-Care
Subjects: R Medicine > R Medicine (General)
R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Divisions: Faculty of Medicine, Health and Life Sciences > School of Medicine
Depositing User: آقای بهرام سوسنی غریب وند
Date Deposited: 24 Feb 2018 07:00
Last Modified: 24 Feb 2018 07:00

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