The relationship between self efficacy, general self disease management strategies in coping with pain and quality of life in migraine patients: Testing a theoretical method<p>Migrenli hastalarda öz yeterlik, ağrıyla başa çıkmada kendi genel yönetim stratejileri ve yaşam kalitesi arasındaki ilişkinin incelenmesi: Teorik bir modelin test edilmesi

Authors

Keywords:

Migraine, Self-Disease Management Strategies, Self-Efficacy, Structural Equity Model (SEM), Quality Of Life, Migren, Kendi Kendine Hastalık Yönetim Stratejileri, Öz Yeterlik, Yapısal Eşitlik Modeli, Yaşam Kalitesi.

Abstract

This study was designed to test a causality-based model in the context of relationships based on social cognitive theory and the literature for the purpose of examining how self-efficacy directly affects the quality of life of migraine patients through self- disease management skills. The sample of the study consisted of 343 migraine patients selected from a neurology outpatient clinic. The data were collected with self-report method using Self-Disease Management Strategies Scale in Migraine Patients developed by the researcher, the interview form, Quality of Life Scale in Migraine Patients and Self-Efficacy for Managing Chronic Disease 6-Item Scale, SEMCD developed by Stanford Patient Education Research Center. In order to test construct validity of scales, explanatory factor analysis and varimax axis rotation basic component analysis were applied. Cronbach's alpha values were calculated by analyzing the internal consistency for all the items in the scales and each subscale of the scale. The model proposed in the study was tested by using Structural Equation Model (SEM)-path analysis with latent variables in lisrel program. In SEM application, direct effect of self-efficacy on quality of life and indirect effect on self-disease management strategies were found to be statistically significant.  Based on these results, self-efficacy can be thought to be a determinant of self-efficacy, quality of life of the patient and the patient’s skills of using self-disease management strategies. In order to improve the quality of life of migraine patients, their self-efficacy on disease management should be assessed and nursing practices should be planned to increase their confidence in the ability of preventing and managing migraine attacks.

Extended English abstract is in the end of PDF (TURKISH) file.

 

Özet

Bu araştırma, öz yeterliğin migrenli hastaların yaşam kalitesini doğrudan ve kendi kendine hastalık yönetimi becerileri aracılığı yoluyla ne kadar etkilediğini incelemek amacıyla, sosyal bilişsel teoriden temel alarak ve literatüre dayalı ilişkiler bağlamında nedensellik temelli bir modeli test etmek amacıyla planlanmıştır. Araştırmanın örneklemini bir nöroloji polikliniğinden seçilen 343 migren hastası oluşturmuştur. Veriler, görüşme formu, araştırmacı tarafından geliştirilen Migrenli Hastalarda Kendi Kendine Hastalık Yönetim Stratejileri Ölçeği, Migrenli Hastalarda Yaşam Kalitesi Ölçeği ve Standford Hasta Eğitim Araştırma Merkezi tarafından geliştirilen[WK1] [Mh2]  Kronik Hastalıkları Yönetimde Öz Yeterlik Ölçeği (Self-Efficacy for Managing Chronic Disease 6-Item Scale, SEMCD) kullanılarak öz bildirim yöntemi ile toplanmıştır. Ölçeklerin yapı geçerliliğini test etmek için açıklayıcı faktör analizi ve varimaks’ eksen döndürme temel bileşenler analizi uygulanmıştır. Ölçeklerde yer alan maddelerin tamamı ve ölçeğin her bir alt boyutu için, iç tutarlık analizi yapılarak, Cronbach Alfa değerleri hesaplanmıştır. Araştırmada ileri sürülen model, lisrel programında Yapısal Eşitlik Modeli (YEM)-örtük değişkenlerle yol analizi yapılarak test edilmiştir. YEM uygulamasında öz yeterliğin yaşam kalitesi üzerine doğrudan etkisi ve kendi kendine hastalık yönetim stratejileri üzerinden dolaylı etkisi istatiksel olarak anlamlı bulunmuştur. Bu sonuçlara dayanarak; öz yeterlik, hastanın yaşam kalitesini, kendi kendine hastalık yönetim stratejilerini kullanma becerisinin bir belirleyicisi olarak düşünülebilir. Migrenli hastaların yaşam kalitesini artırmak için migrenli hastaların hastalık yönetimi konusundaki öz yeterlikleri değerlendirilmeli, hemşirelik uygulamaları hastaların migren atağını önleme ve yönetme becerileri konusundaki kendilerine olan güvenini artıracak şekilde planlanmalıdır.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Author Biographies

İlknur Özkan, Akdeniz University

Yrd. Doç. Dr., Akdeniz Üniversitesi, Kumluca Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü

Nermin Olgun, Hasan Kalyoncu University

Prof. Dr., Hasan Kalyoncu Üniversitesi, Sağlık Bilimleri Yüksekokulu, Hemşirelik Bölümü

References

Bandura, A.(1977). Self-efficacy: Toward a unifying theory of behavior change, Psychological Review 84: 191-215.

Bandura, A.(2004). The primacy of self-regulation in health promotion, Int Rev Appl Psychol, 54(2):245-254.

Brna, P., Gordon, K. & Dooley, J. (2006). Health-related quality of life among Canadians with migraine. J Headache Pain 8:43–48. DOI: 10.1007/s10194-007-0320-4

Bromberg, J.,H., Wood, M.E., Black, R.A., Surette, D.A., Zacharoff, K.L. &Chiauzzi, E.J. (2012). Randomized Trial of a Web-Based Intervention to Improve Migraine Self-Management and Coping, Headache; 52, 2012, 244-261.

Dursun Y. & Kocagöz E. (2010).Yapısal eşitlik modellemesi ve regresyon: karşılaştırmalı bir analiz. Erciyes Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi. 35:1-17

Duru, G., Auray, J.P. & Gaudin A.F. (2004) Impact of headache on quality of life in a general population survey in France (GRIM 2000 Study). Headache 44:571–580. DOI: 10.1111/j.1526-4610.2004.446005.x

Ertas, M., Baykan, B., Orhan, E.K., Zarifoglu M., Karli, N., Saip S., Onal, A.E. & Siva, A. (2012). One-year prevalence and the impact of migraine and tension-type headache in Turkey: a nationwide home-based study in adults. J Headache Pain 13:147–157. DOI: 10.1007/s10194-011-0414-5. Epub 2012 Jan 14.

French, D.J., K.A. Holroyd, K.A., Pinell, C. & et al.(2000).Perceived selfefficacy and headache-related disability, Headache 40: 647–656. DOI: 10.1046/j.1526-4610.2000.040008647.x

Hansen JS, Bendtsen L, Jensen R. (2009). Psychometric properties of the Danish versions of Headache-Specific Locus of Control Scale and Headache Management Self-Efficacy Scale. J Headache Pain, 10:341–347.

Haugland, T., Wahl, A.K., Hofoss, D. & DeVon H.A. (2016). Association between general self-efficacy,social support, cancer-related stress and physical health-related quality of life: a path model study in patients with neuroendocrine tumors. Health and Quality of Life Outcomes 14:11 DOI: 10.1186/s12955-016-0413-y

Headache Classification Committee of the International Headache Society (1988). Classifacation and diagnostic criteria forheadcahe disorders, cranial neuralgias and facial pain. Cephalalgia 8(7), Norwegian Press.

Headache Classification Committee of the International Headache Society (2013). The International Classification of headache disorders, 3rd edition (beta version). Cephalalgia 33(9):629–808. DOI:10.1177/0333102413485658

Hunt, C.W, Wilder, B., Steele, M.M. & et al. (2012). Relationships amongself-efficacy, social support, social problem solving, and self-management in a rural sample living with type 2 diabetes mellitus. Res Theory Nurs Pract; 26: 126–141.

İlhan M. & Bayram, Ç. (2014) Lısrel ve Amos programları kullanılarak gerçekleştirilen yapısal eşitlik modeli (yem) analizlerine ilişkin sonuçların karşılaştırılması. Journal of Measurement and Evaluation in Education and Psychology 5(2):26-42.

Kleiboer, A.K., Sorbi, M.J., Van, S.H.G., & et al. (2014). Shortterm effectiveness of an online behavioral training in migraine self-management: A randomized controlled trial.Behav Res Ther 61: 61–69 DOI: 10.1016/j.brat.2014.07.009. Epub 2014 Jul 27.

Landy, S.H., Runken, M.C., Bell, C.F., Higbie, R.L. & Haskins, L.S. (2011). Assessing the impact of migraine onset on work productivity. JOEM 53(1) :74-81 DOI: 10.1097/JOM.0b013e31812006365

MacCallum, R.C. & Austin, J.T. (2000). Applications of structural equation modeling in psychological research. Annu Rev Psychol 51:201-26 DOI: 10.1146/annurev.psych.51.1.201

Marks, R., Allegrante, J., & Lorig, K.(2005). A review and synthesis of research evidence for self-efficacy-enhancing interventions for reducing chronic disability: Implications for health education practice. Health Promote Pract. 6: 37–43. DOI: 10.1177/1524839904266790

Mennini, F.S., Gitto, L. & Martelletti P. (2008).Improving care through health economicsanalyses: cost of illness and headache. J Headache Pain 9:199–206 DOI:10.1007/s10194-008-0051-9. Epub 2008 Jul 5

Nash JM, Bach AK. (2000). Self- efficacy account for levels of headache disability? Headache, 40:422.

Seng, E.K. & Holroyd, K.A.(2010). Dynamics of change in selfefficacy and locus of control expectancies in the behavioral and drug treatment of severe migraine. Ann Behav Med 40: 235– 247 DOI: 10.1007/s12160-010-9223-3.

Smitherman, T.A., Burch, R., Sheikh, H. & Loder, E. (2013). The prevalence, impact, and treatment of migraine and severe headaches in the United States: a review of statistics from national surveillance studies. Headache 53(3):427–436. doi:10.1111/head. 12074.Epub2013Mar7

Steiner, T.J., Stovner, L.J. & Gretchen, L.B. (2013) Migraine: the seventh disabler. J Headache Pain 14(1):1. DOI: 10.1186/1129-2377-14

Stovner, L.J. & Andree, C. (2010). Prevalence of headache in Europe: a review for the Eurolight project. J Headache Pain 11:289–299. DOI:10.1007/s10194-010-0217-0

Şimşek, Ö.F. (2007). Yapısal eşitlik modellemesine giriş, temel ilkeler ve lisrel uygulamaları. Ekinoks Yayınları, Ankara, 212 s.

Vladetic, M., Janculjak, D., Soldo, S.B., Krali, K. & Buljan, K. (2017). Health-related quality of life and ways of coping with stress in patients with migraine. Neurol Sci 38:295–301 DOI: 10.1007/s10072-016-2759-7

Voerman, J.S. Klerk, C. & et al.(2014). Long-term follow-up of home-based behavioral management training provided by migraine patients. Cephalalgia 34: 357–364 DOI: 10.1177/0333102413515337. Epub 2013 Dec 10.

Willis, E. (2016). Patients’ self-efficacy within online health communities: facilitating chronic disease self-management behaviors through peer education, Health Communıcatıon, 31(3): 299–307 DOI: 10.1080/10410236.2014.950019. Epub 2015 Sep 1.

Wilski, M., & Tasiemski, T. (2016). Health-related quality of life in multiple sclerosis: role of cognitive appraisals of self, illness and treatment. Qual Life Res 25:1761–1770 DOI 10.1007/s11136-015-1204-3

Yeung, N.C.Y. & Lu, Q. (2014) Affect as a mediator between self-efficacy and quality of life among Chinese cancer survivors in China. European Journal of Cancer Care 23:149–155 DOI: 10.1111/ecc.12123

Downloads

Additional Files

Published

2017-11-24

How to Cite

Özkan, İlknur, & Olgun, N. (2017). The relationship between self efficacy, general self disease management strategies in coping with pain and quality of life in migraine patients: Testing a theoretical method&lt;p&gt;Migrenli hastalarda öz yeterlik, ağrıyla başa çıkmada kendi genel yönetim stratejileri ve yaşam kalitesi arasındaki ilişkinin incelenmesi: Teorik bir modelin test edilmesi. Journal of Human Sciences, 14(4), 3389–3404. Retrieved from https://www.j-humansciences.com/ojs/index.php/IJHS/article/view/4787

Issue

Section

Nursing and Midwifery