EFFECTIVENESS OF CLIENT-CENTERED INTERVENTION ON PERCIEVED OCCUPATIONAL PERFORMANCE AND SATISFACTION IN PEOPLE WITH MULTIPLE SCLEROSIS

Giriş: Multipl Skleroz’lu (MS) bireyler, fiziksel, bilişsel, sosyal, çevresel gibi faktörlerin olumsuz etkilenmesi nedeniyle günlük yaşam aktivitelerinde algılanan aktivite performans ve memnuniyet düzeyinde problem yaşamaktadır. Amaç: Bu çalışma, MS bireylere yönelik kişi merkezli eğitimin algılanan aktivite performans ve memnuniyet üzerine etkisinin incelenmesi amacıyla planlandı. Gereç ve Yöntem: Çalışmaya 10’u kadın 4’ü erkek olmak üzere 14 MS’li birey katıldı. Eğitim öncesi ve sonrası algılanan aktivite performans ve memnuniyet düzeyi Kanada Aktivite Performans Ölçümü (KAPÖ) ile değerlendirildi. KAPÖ’de belirtilen aktivitelere göre eğitim programı çizildi. Program, 6 Hafta, haftada 4 gün 45 dakika olacak şekilde 24 seanstan oluşmaktadır. Bulgular: Çalışmaya katılan MS’li bireylerin eğitim öncesi KAPÖ performans ortalaması 3,5±0,65 (min.2,5-maks.4,5), KAPÖ memnuniyet ortalaması 3,07±1,29 (min.1-maks.5,33) puandır. Eğitim sonrası KAPÖ performans ortalaması 7,34±0,7 (min.6,2-maks.8,33), KAPÖ memnuniyet ortalaması 7,7±0,98 (min.6-maks9,4) puan olmuştur. Eğitim öncesi ve sonrası KAPÖ performans ve memnuniyet skorlarında istatistiksel olarak anlamlı artış saptanmıştır (p<0,01). Aktivite dağılımları incelendiğinde; kendine bakım %55,17’sini, üretkenlik %24,13’ünü ve serbest zaman %20,68’ini oluşturduğu belirlenmiştir. Sonuç: MS’li bireylere yönelik kişi merkezli eğitimin bireylerin algılanan aktivite performansı ve memnuniyeti üzerinde olumlu etkileri olmuştur. MS’li bireylerin aktivite performanslarını ve memnuniyetlerini arttırmakta kişi merkezli eğitimlerin etkin bir şekilde kullanılabileceği düşünülmüştür.

Anahtar Kelimeler:

Multipl skleroz, Rehabilitasyon, Ergoterapi, Günlük yaşam aktiviteleri

Effectiveness of Client-Centered Training on Percieved Occupational Performance and Satisfaction in People with Multiple Sclerosis

Background: Individuals with Multiple Sclerosis (MS) experience problems in the level of perceived occupational performance and satisfaction in activities of daily living due to the negative effects of factors such as physical, cognitive, social and environmental. Aims: This study was planned to examine the effectiveness of the client-centered training for people with MS on perceived occupational performance and satisfaction. Methods: Fourteen MS individuals, 10 females and 4 males participated to the study. According to Canadian Occupational Performance Measure (COPM), a training program designed according to the occupations that indicated by participants. A training program consists of 24 sessions of 45 minutes, 4 days a week for 6 weeks. Results: The mean COPM performance of people with MS before the training was 3.5±0.65 (min.2.5-max.4.5), COPM satisfaction was 3.07±1.29 (min.1-max.5.33). After the training, COPM performance mean was 7.34±0.7 (min.6.2-max.8.33), and COPM satisfaction mean was 7.7±0.98 (min.6-max9.4) points. Before and after training COPM performance and COPM satisfaction statistically increased (p<0.01). The occupations distributions examined, it is determined that self-care 55.17%, productivity 24.13% and leisure 20.68%. Conclusions: Client-centered training for individuals with MS had positive effects on perceived occupational performance and satisfaction. It is thought that client-centered training can be used effectively to increase the occupational performance and satisfaction determined by individuals with MS.

Keywords:

Activities of daily living, Multiple Sclerosis, Occupational performance, Rehabilitation,

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