Effect of Self- Care Management Strategy on SelfEfficacy for Patients with Myasthenia Gravis

Myasthenia gravis (MG) is a chronic, auto-immune disease of the neuromuscular
junction. The incidence is estimated to be 30 per 1,000,000 people per year
worldwide. Aim: the study aimed to evaluate the effect of self- care management
strategy on self- efficacy for patients with myasthenia gravis. Design: Quasi
experimental design was utilized in this study .Setting :The study was carried out
at the neurological departments and neurology outpatient clinic at Benha University
Hospital during the period from the beginning of june2019 to the end of june2020.
Sample :purposive sample of 50 patients. Tools: four tools used to collect the
study data .These are structured interview questionnaire to assess patients'
knowledge regarding myasthenia gravis, MG Activities of Daily Living Scale,
fatigue severity scale and general self-efficacy scale Results :showed that the
majority of the study sample were females , married , were living in rural area with
family and half of them have secondary education, statistically significant
difference in term of increased in mean score of total knowledge among study
sample, as well as a decrease in total mean score of MG activity of daily living,
besides, lower degree of fatigue and improve level of self –efficacy for MG patient
after self –care management strategy implementation .Conclusion :Implementing
a self-care management strategy for patients with myasthenia gravis was effective
in improving knowledge, MG activity of daily living score, self-efficacy and
decrease level of fatigue. Recommendation : Replication of the current study on
larger probability sample is recommended to achieve generalizability and broader
utilization of the designed program