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1- Department of Health Education and Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
2- Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran.
3- Department of Health Education and Promotion, School of Health and Nutrition Sciences,
4- Associate Professor of Neurology, Neurological Diseases Research Center
5- Assistant Professor of Epidemiology Research Center for Health Sciences, Epidemiology Dept., School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
Abstract:  
Background and objective: Promoting self-care practice, as a critical strategy for enhancing quality of life in MS patients is a challenging issue. The purpose of this study was to propose a model of health-promoting self-care behavior in MS patients.    
 Methods: this cross-sectional study was performed on 200 patients with MS in Kerman.Data collection tools included:The Multiple Sclerosis Knowledge Questionnaire, the Rosenberg Self-Esteem Scale, self-efficacy in MS patients, perceived barriers, perceived benefits, Resilience scale, Sense of coherence scale, social support and the Health Promoting Lifestyle Profile II . Data were analyzed using SPSS and AMOS18 software. To further analyze the data Structural equation modeling was used.
Results: The mean age of the participants was 29.9 ± 8.3. In the study of the relationship between the constructs of the proposed model and health-promoting self-care behaviors, the results of the final model obtained the SEM showed that self-esteem variables (β = 0.39, SE = 0.04, P = 0.005), social support (β = 0.36, SE = 0.04, P = 0.009), perceived benefits (β = 0.25, SE = 0.05, P = 0.009), self-efficacy (β = 0.53, SE = 0.04, P, 0.007), resilience (β = 0.33, SE = 0.07, P = 0.018) and sense of coherence (β = 0.34, SE = 0.07, P = 0.006) have a positive and significant relationship with health-promoting self-care behavior.
Conclusion The proposed model showed that self-esteem,social support, perceived benefits, self-efficacy, resilience and sense of coherence are the main predictors of health-promoting self-care behavior. Therefore,this model can be used In designing self-care training programs in MS patients.
Type of Study: Original | Subject: Clinical Neuroscience
Received: 2019/01/7 | Accepted: 2019/09/15 | Published: 2018/03/15

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