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Barriers to and Facilitators of Adjustment Among Iranian Multiple Sclerosis Patients

A Qualitative Study

Bibliographic Data

ID4634657
AuthorsSoghra Goliroshan (Student Research Committee, Semnan University of Medical Sciences, Semnan, Iran), Hassan Babamohamadi (0000-0003-3786-7348, Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran), Eesa Mohammadi (0000-0001-6169-9829, Tarbiat Modares University), Seyed Mohammad Baghbanian (0000-0002-8138-7504, Mazandaran University of Medical Sciences), Mohammad Reza Asgari (0000-0003-0263-7614, Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran, corresponding author)
Year2023
Volume33
Issue12
Pages1068-1079
Publication date2023-10-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/10497323231196521
PMID37635305
OpenAlexW4386209707
LanguageEN
Citations received1
References cited24

Patients with multiple sclerosis (MS) experience various physical symptoms and psychosocial problems that disrupt their normal life, and adapting to these conditions is vital for them. Many factors that serve as facilitators of and barriers to achieving adjustment should be identified to be able to help the patients. This study was conducted to explain the experiences of patients with MS regarding the facilitators of and barriers to adjustment using conventional content analysis. The participants consisted of 18 patients, one nurse, one physician, and one patient companion, who were selected from the Multiple Sclerosis Clinic of BouAli, northern Iran, through purposive sampling. Data were collected through individual, in-depth, and semi-structured interviews and analyzed using the method recommended by Elo and Kyngäs (2008). The data analysis generated five subcategories as facilitators and five subcategories as barriers. The subcategories of facilitators included family's appropriate behavior with the patient, occupation, studying and information gathering, religious beliefs, and turning attitude into disease simplification and optimism. The subcategories of barriers were concerns about the uncertain future of the disease, physicians' poor communication and behavior, society's poor attitude, economic problems, and unsatisfactory support by the government and insurance companies. The results showed that a set of individual, environmental, and social factors serves as facilitators of or barriers to the process of adjustment to MS in patients. Gaining knowledge about these factors in congruence with the sociocultural context of the society, as derived from people's real experiences, can help healthcare staff and the family of these patients provide more efficient assistance to the patients for achieving adjustment earlier

Content analysis · Family medicine · Nonprobability sampling · Optimism · Population · Psychiatry · Psychosocial · Qualitative research · Social support · Family Support in Illness · Medicine · Multiple Sclerosis Research Studies · Nursing · Optimism, Hope, and Well-being · Psychology · Social Psychology

  • Living With Multiple Sclerosis

    Open Access•Leily Zare, Nahid Dehghan‐nayeri et al.•Health Expectations•2024

  • The qualitative content analysis process

    Open Access•Satu Elo, Helvi Kyngäs•Journal of Advanced Nursing•2008

  • Loss, Trauma, and Human Resilience

    George A Bonanno•American Psychologist•2004

  • Qualitative content analysis in nursing research

    Open Access•Ulla Hällgren Graneheim, B Lundman•Nurse Education Today•2004

  • Three Approaches to Qualitative Content Analysis

    Open Access•Hsiu-Fang Hsieh, Sarah E Shannon•Qualitative Health Research•2005

Unique citing works1
Citations per year0,5
Citation span2024 - 2024 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1
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