Volume 7, Issue 1 (fall 2020)                   IJRN 2020, 7(1): 33-43 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Safian A, Davodvand S, Masoudi R, Sedehi M, Tahmasebian S, Jivad N. The effect of mobile-based self-care program on balance of people with Multiple Sclerosis. IJRN. 2020; 7 (1) :33-43
URL: http://ijrn.ir/article-1-499-en.html
Assistant Professor, Community- Oriented Nursing Midwifery Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
Abstract:   (307 Views)
Introduction: Nowadays the use of mobile health technology to improve health is a great opportunity for developing countries, to have a more efficient health system by telemedicine education. So the purpose of this study was to investigate the effect of mobile-based self-care application on the balance of people with multiple sclerosis.
Methods: The present study is a clinical trial study performed in Chaharmahal and Bakhtiari province in 2019. The study units were selected by convenience sampling and were divided into two groups of experimental and control. At first, balance level of the patients was measured by Tinetti (Tinetti Performance Oriented Mobility Assessment) questionnaire. Then, for the experimental group, the self-care application was installed on their cell phone and for two months was used by patients. The control group received no intervention during this period. The application usage rate was measured by self-report checklists. After two months balance level was again measured in both groups. Data were analyzed by using SPSS-21 software and chi-square and independent and paired t-test.
Results: Participants in two groups had no significant difference in terms of demographic characteristics and underlying variables including: Age (P = 0.736), age groups (P = 0.955), gender (P = 0.722), education (P = 0.880), marital status (P = 0.358), and occupation (P = 0.172). Before intervention, the mean of balance score was 10.61 ± 3.78 in the control group and 10.55 ± 2.96 in the experimental group, that was not statistically significant (P = 0.945). It was while, two months after intervention the mean balance score in the control group was 10.52 ± 3.63 and in the experimental group was 12.00 ± 2.47 and the difference was statistically significant (P = 0.049).
Conclusions: The results show that implementation mobile-based self-care applications is effective in improving the balance of the patients with multiple sclerosis. Therefore, mobile applications of this supportive method could be useful to manage their disease and to obtain self-care skills.
Full-Text [PDF 1242 kb]   (114 Downloads)    
Type of Study: Research |
Received: 2019/09/8 | Accepted: 2020/01/15 | Published: 2020/09/20

References
1. Karimi S, Javadi M, Jafarzadeh F. Economic Burden and Costs of Chronic Diseases in Iran and the World. Health Information Management. 2012;8(7):984-96.
2. Massoudi R. Explanation of caring process of multiple sclerosis patients and designed an appropriate caring model. Ahvaz Jundishapur University of Medical Sciences & Health Services. Thesis for PhD degree:Nursing. 2013;1-10.
3. Ajalli A, Fallahi Khoshknab M. Tele nursing care in chronic patients/a systematic review. Iranian Journal of Rehabilitation Research in Nursing. 2015;1(3):76-86.
4. Lassmann H, van Horssen J, Mahad D. Progressive multiple sclerosis: pathology and pathogenesis. Nature Reviews Neurology. 2012;8(11):647-56. [DOI:10.1038/nrneurol.2012.168] [PMID]
5. Döring A, Pfueller C F, Paul F, Dörr J. Exercise in multiple sclerosis - an integral component of disease management. The EPMA Journal. 2012;3(2):1-13. [DOI:10.1007/s13167-011-0136-4] [PMID] [PMCID]
6. Chiu C, Bishop M, Pionke JJ, Strauser D, Santens RL. Barriers to the accessibility and continuity of health-care services in people with multiple sclerosis. International Journal of MS Care. 2017;19(6):313-21. [DOI:10.7224/1537-2073.2016-016] [PMID] [PMCID]
7. Rice L, Kalron A, Berkowitz SH, Backus D. Fall prevalence in people with multiple sclerosis who use wheelchairs and scooters. Medicine. 2017;96(35):1-7. [DOI:10.1097/MD.0000000000007860] [PMID] [PMCID]
8. Mousavizadeh A, Dastoorpoor M, Naimi E, Dohrabpour K. Time-trend analysis and developing a forecasting model for the prevalence of multiple sclerosis in Kohgiluyeh and Boyer-Ahmad Province , southwest of Iran. Public Health. 2018;154:14-23. [DOI:10.1016/j.puhe.2017.10.003] [PMID]
9. Khodadadi E. The Adaptation Process in Family Caregivers of Patients with Multiple Sclerosis. A grounded theory study. Tabriz University of Medical Sciences Nursing & Midwifery FacultyDissertation Submitted for the Degree of Doctor Philosophy in Nursing (PhD). 2017;1-8.
10. Sahebi R, Amiri M, Jami M-S. Multiple Sclerosis in Iran. International Journal of Epidemiologic Research. 2017;5(1):30-33. [DOI:10.15171/ijer.2018.07]
11. Shahrjerdi S, Golpayegani M , Faraji F , Masoumi M. Effect of eight week yoga and core stabilization exercises on balance in women with multiple sclerosis. Razi Journal of Medical Sciences. 2016;22(140):32-42.
12. Farsi A, Shahidian Akbar P, Vaez Mosavi MK, Ashraf Jamshidi A. Effect of Pilates Training Based on Core Stability on Balance and Electromyography of Women with Multiple Sclerosis. Journal of Rehabilitation Medicine. 2017;6(3):165-73.
13. Soleimani E, Habibi M, Basharpuor S. Effectiveness of self-control training on dimensions of quality of life in multiple sclerosis patients. J Res Behav Sci. 2013;10(7):746-56.
14. Habibnia M, Safavi M, Farahani H. The Effect of Self-Care Education on the Performance of Multiple Sclerosis Patients : a Randomised Control Trial. Scientific Journal of Hamadan Nursing & Midwifery Faculty. 2018;25(5):208-16. [DOI:10.30699/sjhnmf.26.5.7]
15. Bagheri Saweh MI, Ashketorab T. The study of self-care behaviors and its related factors in patients with congestive heart failure hospitalized in cardiology wards of Tohid Hospital in Sanandaj city. Scientific Journal of Nursing & Midwifery and Paramedical Faculty. 1394;1(2):1-11. [DOI:10.29252/sjnmp.1.3.1]
16. Maftoon F, Sharifan M, Naghizadeh Moghari F. Self-care in health system: Prevention and management dimensions. Journal of the Iranian Institute for Health Sciences Research. 2018;17(4):361-70.
17. Morowati Sharifabad MA, Momeni Z , Eslami MH , Dehghani Tafti A, Hakimzadeh A. Study of Factors Associated with Self-Care Behaviors in Patients with Multiplesclerosis in Yazd City Based on Health Belief Model. ShahidSadoughi University of Medical Sciences. 2016;15(2):82-93.
18. Khodaveisi M , Rahmati M , Fallahinia GH, Karami M. The Effects of Applying Orem's Self-Care Model on Mental Aspect of Quality of Life in Patients with Multiple Sclerosis. Scientific Journal of Hamadan Nursing & Midwifery Faculty. 2015;23(2):24-51.
19. Demaille-Wlodyka S, Donze C, Givron P, Gallien P. Self care programs and multiple sclerosis: Physical therapeutics treatment - literature review. Annals of Physical and Rehabilitation Medicine. 2011;54(2):109-28. [DOI:10.1016/j.rehab.2011.01.003] [PMID]
20. Ghazisaeedi M, Shahmoradi L, Ranjbar A, Sahraei Z, Tahmasebi F. Designing a Mobile-Based Self-Care Application for Patients with Heart Failure. Journal of Health and Biomedical Informatics. 2016;3(3):195-204.
21. Hooshmandja M, Aliabadi Kh, Nili M R, Mohammadi A, Delavar A. Designing and Validation of Mobile-based Instruction Model For Diabetes Self-care. Education Strategies in Medical. 2017;10(4):312-21.
22. Moghaddasi H, Mehdizadeh H. Mobile Health for Diagnosis and Management of Skin Lesions. Journal of Health and Biomedical Informatics Medical Informatics Research Center. 2016;3(2):155-65.
23. Ahmadizad A, Varmaghani M, Varmaghani S. Mobile health services: past, present, future. Education Strategies in Medical. 2017;10(3):233-46.
24. Rahnavard S, Elahi N, Rokhafroz D, Haghighizadeh M H, Zakerkish M. Comparision of the effect of group based and mobile based education on self-care behaviors in type 2 diabetic patients. Iranian Journal of Diabetes and Metabolism. 2019;18(2):55-63.
25. Cui M, Wu X, Mao J, Wang X, Nie M. T2DM Self-Management via Smartphone Applications : A Systematic Review and Meta- Analysis. PLoS ONE. 2016;11(11):1-15. [DOI:10.1371/journal.pone.0166718] [PMID] [PMCID]
26. Salimzadeh Z, Damanabi Sh, Kalankesh L, Ferdousi R. Mobile Applications for Multiple Sclerosis : a Focus on Self-Management. Acta Informatica Medica. 2019;27(1):12-18. [DOI:10.5455/aim.2019.27.12-18] [PMID] [PMCID]
27. Giunti G, Fernández EG, Zubiete ED, Romero OR. Supply and Demand in mHealth Apps for Persons With Multiple Sclerosis : Systematic Search in App Stores and Scoping Literature Review Corresponding Author : JMIR Mhealth and Uhealth. 2018;6(5):1-14. [DOI:10.2196/10512] [PMID] [PMCID]
28. Winberg C, Kylberg M, Pettersson C, Harnett T, Hedvall PO, Mattsson T, Månsson Lexell E. The use of apps for health in persons with M ultiple sclerosis , Parkinson ' s disease and stroke - barriers and facilitators. Stud Health Technol Inform. 2017;242:638-41.
29. Masoudi R, Kheiri F, Ahmadi F, Mohammadi I. The Effect of Self- Care Program Base on the Orem Frame Work on Fatigue and Activity of Daily Living in Multiple Sclerosis Patients. Tavanbakhshi. 1388;10(3):43-52.
30. Khodadadi M, Rahnama N. The Effect of Frenkel's Training With and Without Suit Therapy on Fatigue and Balance of Multiple Sclerosis Patients. Iranian Journal of Rehabilitation Research in Nursing. 2017;3(3):24-31.
31. Maleki M, Imanian Kh, Safavi Bayat Z, Mehrabi Y. Assessment of the risk of falls related to imbalance among patients with multiple sclerosis referred to the ms society of Tehran in 2014. Journal of Research in Nursing and Midwifery Faculty of Dermatology University of Medical Sciences Aani Shahid Beheshti. 2014;25(90):1-9.
32. Taheri H, Pejhan A, Taherzadeh J, Seyedahmadi M, Keavanloo F. Effect of a Physical Therapy Program Based on Balance and Gait in Patients with Parkinson. Journal of Isfahan Medical School. 2011;29(153):1277-1285.
33. Kafame F, Mohadi F, Norouzi K, Rahgozar M. The Effect of Self-Management Program on the Health Status of Multiple Sclerosis Patients. Journal of Research Development in Nursing & Midwifery. 1391;9(1):24-33.
34. Parsayimanesh E, Mahdavi M, Moghadam S. The effect of self-care educational program on sleep quality in patients with Multiple Sclerosis. Journal of Education and Ethics in Nursing. 2014;3(4):9-13.
35. KhorshidSokhangu M, Rahnama N, Etemadifar M, Rafeii M. The Effect of Neuromuscular Exercise on balance and motor functional in Woman with Multiple Sclerosis. The Journal of Urmia University of Medical Sciences. 2018;29(5):362-71.
36. Dahmardeh H, Kianian T, Vagharseyyedin SA. Effect of Orem-based self-care education program on disease-related problems in patients with multiple sclerosis : A clinical trial. Medical - Surgical Nursing Journal. 2017;6(1):14-20.
37. Yazdani M, Hemayattalab R, Sheikh M, Etemadifar M. The effect of a selected aquatic exercise on balance in subject with Multiple Sclerosis. Res Rehabil Sci. 2013;9(2):143-52.
38. Roshandelpour Z, Abedanzadeh R. The Effect of 12 Weeks of Training Pilates on Balance and Fatigue in Women with Multiple Sclerosis. Journal of Student Research Committee. 2018;20(64):1-12.
39. Learmonth YC, Paul L, Miller L, Mattison P, AK McFadyen. The effects of a 12-week leisure centre-based, group exercise intervention for people moderately affected with multiple sclerosis: a randomized controlled pilot study. Clin Rehabil. 2012;26:579-93. [DOI:10.1177/0269215511423946] [PMID]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


© 2020 All Rights Reserved | Iranian Journal of Rehabilitation Research

Designed & Developed by : Yektaweb