MULTİPLE SKLEROZ HASTALARININ YAŞAM KALİTESİ VE RUHSAL DURUMLARI
ÖZETAmaç: Bu çalışma, bir araştırma ve uygulama hastanesi’nde
tedavi görmekte olan Multiple Skleroz hastalarında yaşam kalitesi, ruhsal durumları ve etkileyen faktörleri
belirlemek amacı ile tanımlayıcı olarak yapılmıştır. Yöntem: Çalışmanın örneklemini bir Araştırma ve Uygulama
Hastanesi Nöroloji Hastalıkları Kliniğinde tedavi görmekte olan ve poliklinikte
takip edilen MS tanısı olan çalışmaya katılmayı kabul eden 45 hasta
oluşturmuştur. Veri toplama aracı olarak Kısa Form SF-36 ve Genel Sağlık Anketi
- 12 kullanılmıştır. Verilerin analizinde tanımlayıcı istatistikler, bağımsız
gruplarda t testi, Mann Whitney U testi yapılmıştır. Bulgular: Çalışmaya katılan hastaların %64.6’sı kadın, %64.4’ü
evli, %44.4’ü çalışmamaktadır. Hastaların %11.1’inin ailelerinde MS öyküsü olup
%13.3’ü yardımcı alet kullanmaktadır. Çalışan hastaların yaşam kalitesi ölçeği fiziksel rol
alt boyutu puan ortalaması ve çocuğu olmayanların fiziksel fonksiyon alt boyutu
puan ortalaması anlamlı bir şekilde yüksek çıkmıştır (p<0.05). Hastaların %26.8’inin yüksek
ruhsal sorun yaşama riskine sahip oldukları saptanmıştır. Yardımcı alet kullanan hastaların Genel Sağlı Anketi-12
ölçek puan ortalamaları anlamlı bir şekilde yüksek çıkmıştır (p<0.05).Sonuç: Çalışma
sonuçlarına göre MS hastalarının yaşam kalitesinin düşük olduğu, hastaların
yarıya yakınının ruhsal durumunun iyi olmadığı saptanmıştır. Anahtar Kelimeler: Multiple skleroz; yaşam kalitesi; mental durum;
hemşirelik.
ABSTRACTLife
Quality and Mental States of Patients with Multiple Sclerosis Objective: This descriptive study was conducted for the purpose
of determining the affecting factors and life quality, mental states in
patients with Multiple Sclerosis receiving treatment at a research and practice
hospital. Methods: The study sample consisted of 45 patients diagnosed
with MS that were receiving treatment at Harran University Medical Faculty
Research and Application Hospital Neurological Diseases Clinic, were followed
in polyclinics and accepted to participate in the study. The data were analyzed
by using descriptive statistics, independent samples t-test and Mann Whitney U
test. Results: Among the patients who
participated in the study; 64.6% were women, 64.4% married
and 44.4% unemployed. 11.1% of patients had MS history in their families
and 13.3% used assistive devices. Employed patients
obtained significantly higher scores from the lower dimension of physical
role of the Life Quality Scale and patients who had no children obtained
significantly higher scores from the lower dimension of physical function (p<0.05). It was determined that 26.8% of
patients had a high risk of mental problems. It was observed that patients
using assistive devices obtained significantly higher scores from
the General Health Questionnaire-12 scales (p<0.05).Conclusion: As a result of the study, it was determined that MS patients had a
lower life quality and almost half of patients had the symptoms of mental
problems.
Keywords: Multiple sclerosis; life quality; mental states; nursing.
Life Quality And Depressıon in Patients With Multiple Sclerosis Receiving Treatment at Harran University
Objective: This descriptive study was conducted
for the purpose of determining the life quality and depression in patients with
Multiple Sclerosis receiving treatment at Harran University. Methods: The study sample consisted of 45
patients diagnosed with MS that were receiving treatment at Harran University
Medical Faculty Research and Application Hospital Neurological Diseases Clinic,
were followed in polyclinics and accepted to participate in the study. The data were analyzed by using descriptive statistics, independent
samples t-test and Mann Whitney U test. Results: There was a significant difference between the score averages
in the lower dimension of physical role according to the working conditions of
patients, the score averages in the lower dimension of physical function
according to the state of having children and the score averages in the
mental health (p < 0.05).Evaluating in terms of depression;
it was determined that 42.2% of patients had the risk of depression. Besides,
there was a significant difference between the score averages of the GSA-12
Scale according to patients using and not using subsidiary tools(p˂0.05).
Conclusion: As a result of the study, it was
determined that MS patients had a lower life quality and almost half of
patients had the symptoms of mental problems.
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