Table 2 Factors, items and factor loadings of the questionnaire of factors affecting self-care in multiple sclerosis patients (QFASMS)

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