Concept analysis of coping with multiple sclerosis

Objective: The concept of coping with disease appears frequently in the literature; however, there is no precise definition of coping. The aim of this study is to clarify coping concept, and to identify its attributes, antecedents, and consequences in patients with multiple sclerosis. Methods: Rodgers' evolutionary method of concept analysis was used to clarify the concept of coping. A literature review was conducted with key terms ‘multiple sclerosis’, ‘coping’, ‘adjustment’, and ‘deal with’. After searching databases, 1370 papers were found for the period 1995–2017. Finally, 55 articles and texts were selected for analysis. Data analysis was carried out using thematic analysis. An independent researcher checked the process to ensure credibility and reduce personal bias. Results: Coping with multiple sclerosis is a multidimensional concept with three main attributes: maintenance of emotional balance, acceptance of the disease, and self-regulation. Social support, awareness toward the disease, attitude toward the disease, and religious-spiritual beliefs were found as antecedents. Health promotion, adherence to treatment regimen, independence in personal life and social relationships, and improvement of family relationships were found as consequences of these attributes. Conclusion: These findings not only add to the body of knowledge in health science, but also serve as an important motivation for further theory development and research in this context. Nurses and health professions can also benefit from a deeper understanding of coping concept in providing and planning healthcare for these patients. Keywords: Concept analysis, Coping, Evolutionary method, Multiple sclerosi

Effect of continuous care model on lifestyle of patients with myocardial infarction

BACKGROUND: Myocardial infarction (MI) is a life threatening disease that influences the physical, psychological and social dimensions of the individual. Improper lifestyle is one of the causes of this disease. The use of nursing models could be one of the important and fundamental steps in changing the risk factors associated with MI. This study was carried out to evaluate the effect of continuous care model on the lifestyle of patients with MI. METHODS: This randomized clinical trial was carried out on 70 patients with MI in coronary care units of hospitals affiliated to Shiraz University of Medical Sciences. Enrolled patients were randomly assigned to intervention or control groups using a randomization list (random permutated blocks with length 4). The continuous care model was used for 35 patients in the intervention group for a period of 3 months and in the control group, the usual cares were applied for 35 patients. Data were collected through lifestyle questionnaire before the intervention and 3 months after. The data were analyzed using chi-square, independent t-test and paired t-test. RESULTS: Patients in the intervention group showed significant improvements in lifestyle (125.6 &plusmn; 15.4 vs. 180.1 &plusmn; 19.9). Moreover, the lifestyle score of intervention group was significantly better than that of the control group (117.9 &plusmn; 22.0 vs. 180.1 &plusmn; 19.9; P &lt; 0.001) after three months. CONCLUSION: Applying a continuous care model had positive effects on the lifestyle of patients with Myocardial Infarction. In order to reduce the risk factors and improve the lifestyle of patients with MI, nurses could use this model to create an effective change. &nbsp; Keywords: Myocardial Infarction, Lifestyle, Continuous Care Model&nbsp; </p