Table 2.
Factors, items and factor loadings of the questionnaire of factors affecting self-care in multiple sclerosis patients (QFASMS)
| Subscales | Items | Factor loadings | CVR | CVI |
|---|---|---|---|---|
| B1:Understanding the disease symptoms | Q1: The manifestation of disease symptoms, such as double vision and blurred vision, is important in adopting self-care behaviors | 0.516 | 1 | 1 |
| Q2: The manifestation of disease symptoms, such as dizziness, numbness, and Speech disorders, are important in adopting self-care behaviors | 0.459 | 1 | 1 | |
| Q3: Errors in doing tasks, slowing of movements and slowing down in doing things are important in adopting self-care behaviors | 0.502 | 1 | 1 | |
| Q4: Neglecting initial symptoms leads to the progression of the disease | 0.578 | 0.8 | 1 | |
| Q5: Ignoring the symptoms of the disease delays taking care measures | 0.575 | 0.8 | 0.90 | |
| Q6: Accepting the existence of the disease is crucial in taking effective diagnostic measures to provide care | 0.736 | 0.8 | 0.91 | |
| Q7: To obtain information about an illness, doctors can provide suitable information | 0.544 | 0.8 | 0.96 | |
| Q8: Economic status is effective in adopting diagnostic measures | 0.346 | 0.8 | 0.91 | |
| Q9: The support and understanding of those around you is effective in taking diagnostic measures | 0.364 | 1 | 1 | |
| B2: Tendency to conscious and targeted care | Q10: Accepting the disease of MS and understanding its chronicity is effective in controlling it | 0.301 | 0.8 | 0.91 |
| Q11: The use of warm-natured foods can be effective in controlling MS disease | 0.593 | 1 | 1 | |
| Q12: The use of strengthening and complementary medicines can be effective in controlling the disease | 0.452 | 0.6 | 0.91 | |
| Q13: To control the illness, I use water with a balanced temperature for bathing | 0.366 | 0.8 | 0.91 | |
| Q14: Practicing yoga and meditation help to keep the illness under control | 0.487 | 0.8 | 0.91 | |
| Q15: I control my illness by listening to motivational messages, reading books, and attending various classes | 0.609 | 0.6 | 0.78 | |
| Q16: To prevent my condition from worsening, I refrain from getting hungry | 0.368 | 0.6 | 0.80 | |
| Q17: I decide what treatment methods to use | 0.369 | 0.8 | 0.91 | |
| Q18: I walk in nature to control my illness | 0.335 | 0.6 | 0.80 | |
| Q19: The ability to control thoughts and emotions is important in preventing the recurrence of illness | 0.645 | 1 | 1 | |
| Q20: I control my anger in the face of violent situations | 0.391 | 0.6 | 0.91 | |
| Q21: I avoid stressful situations to control my illness | 0.574 | 0.6 | 0.91 | |
| Q22: Due to the effect of the complications on reduction of sexual desires, I perform the relevant care and treatment measures | 0.544 | 1 | 1 | |
| Q23: To control the disease, I use the supplements recommended by the doctor, such as vitamin D, etc | 0.411 | 1 | 0.93 | |
| Q24: I follow the doctor's recommendations regarding medication use | 0.440 | 0.6 | 0.78 | |
| Q25: I think positively about my illness | 0.453 | 1 | 0.96 | |
| Q26: In order not to be a burden, I take care measures | 0.349 | 1 | 1 | |
| Q27: I avoid crowded places | 0.429 | 0.6 | 0.80 | |
| Q28: Using television and radio programs, you can obtain useful care informations | 0.331 | 1 | 0.93 | |
| Q29: By avoiding negative messages and news, I control my illness | 0.383 | 0.6 | 0.96 | |
| Q30: I have control over my thoughts | 0.387 | 0.8 | 0.93 | |
| B3:Laziness in care | Q31: The difficulty of taking preventive measures is effective in reducing self-care motivation | 0.543 | 0.8 | 1 |
| Q32: Confusion in receiving Medical services reduces self-care motivation | 0.478 | 1 | 0.96 | |
| Q33: The time-consuming nature of caregiving actions diminishes motivation for self-care | 0.396 | 0.8 | 0.91 | |
| Q34: The fact that some patients did not achieve any results from performing preventive measures reduces self-care motivation | 0.438 | 0.6 | 0.78 | |
| Q35: Family pressure is effective in taking preventive measures | 0.669 | 0.8 | 0.91 | |
| Q36: The pressure of illness is effective in taking preventive measures | 0.552 | 0.8 | 0.90 | |
| Q37: Medical costs are one of the barriers to self-care behaviors | 0.439 | 1 | 1 | |
| Q38: The high cost of sports makes self-care more difficult | 0.489 | 0.6 | 0.80 | |
| B4:Tendency to receive therapy services | Q39: Decreasing care measures causes the disease to progress | 0.512 | 1 | 0.96 |
| Q40: The feeling of drug dependence increases the tendency to receive medical services | 0.583 | 0.8 | 0.91 | |
| Q41: The prolongation of MS desease causes lifestyle changes | 0.718 | 1 | 0.93 | |
| Q42: Reducing attacks by taking therapeutic measures is important in the willingness to receive medical services | 0.818 | 0.8 | 1 | |
| Q43: To control the attacks of the disease, I resorted to therapeutic interventions | 0.582 | 1 | 0.93 | |
| Q44: The chronicity of the disease makes me diligent in receiving medicine | 0.652 | 1 | 1 | |
| Q45: The unknown and unclear complications of MS reduce the tendency to receive therapy services | 0.636 | 1 | 0.96 | |
| Q46: I have the ability to make decisions regarding the recommended treatment methods | 0.632 | 0.6 | 0.91 | |
| Q47: Fear and uncertainty about the effectiveness of therapeutic interventions delay the acceptance process | 0.426 | 0.6 | 0.78 |