| Author/Editor | Koprivnik, Matej; Železnik, Danica; Hojs-Fabjan, Tanja | |
| Title | Nevrološka prizadetost kot dejavnik kakovosti življenja starejših pacientov z multiplo sklerozo | |
| Translated title | Neurological disability as a quality of life factor in elderly patients with multiple sclerosis | |
| Type | članek | |
| Vol. and No. | Letnik 55, št. 1 | |
| Publication year | 2021 | |
| Volume | str. 35-41 | |
| ISSN | 1318-2951 - Obzornik zdravstvene nege : strokovno glasilo Zveze društev medicinskih sester in zdravstvenih tehnikov Slovenije | |
| Language | slv | |
| Abstract | Uvod: Kakovost življenja predstavlja pomembno dimenzijo življenja pacientov z multiplo sklerozo, na katero vplivajo številni dejavniki.Namen raziskave je ugotoviti vpliv nevrološke prizadetosti na telesno in duševno z zdravjem povezano kakovost življenja pacientov z multiplo sklerozo, starih med 50 in 59 let ter starejših od 60 let. Metode: Presečna raziskava je bila izvedena na vzorcu 130 pacientov z multiplo sklerozo, starih med 50 in 73 let. Ocenjeni so bili z razširjeno lestvico stopnje nevrološke prizadetosti, vprašalnikom o kakovosti življenja pri multipli sklerozi (telesna in duševna z zdravjem povezana kakovost življenja) in vprašalnikom o značilnostih pacientov z multiplo sklerozo. Uporabljeni so bili opisna statistika, Kolmogorov-Smirnov test, Spearmanov koeficient korelacije rangov in linearna regresijska analiza.Rezultati: Nevrološka prizadetost pri pacientih z multiplo sklerozo, starih med 50 in 59 let, vpliva na telesno z zdravjem povezano kakovost življenja (R2 = 0,251, p < 0,001), pri pacientih, starih med 60 in 73 let, pa na telesno (R2 = 0,250, p < 0,001) in duševno z zdravjem povezano kakovost življenja (R2 = 0,063, p = 0,044).Diskusija in zaključek: Vpliv nevrološke prizadetosti se po 60. letu starosti s telesne razširi tudi na duševno raven življenja pacientov z multiplo sklerozo. Nevrološko prizadeti pacienti morajo biti z namenom ohranjanja kakovosti življenja med 50. in 59. letom spremljani na področju fizičnega zdravja, med 60. in 73. letom pa tudi na področju duševnega zdravja.Introduction: Quality of life is an important dimension of the lives of patients with multiple sclerosis, which is influenced by several factors. The purpose of the present study is to identify the impact of neurological impairment on the physical and mental health-related quality of life of patients with multiple sclerosis aged between 50 and 59 years, and over 60.Methods: A cross-sectional study was conducted on a sample of 130 patients with multiple sclerosis, aged between 50 and 73 years. They were assessed with the Expanded Disability Status Scale, Multiple Sclerosis Quality of Life-54 (Physical and Mental Health Composite Score) and a self-designed questionnaire on the characteristics of multiple sclerosis patients. Descriptive statistics, the Kolmogorov-Smirnov test, Spearman's rank correlation coefficient and Linear regression analysis were used.Results: Neurological impairmentin patients with multiple sclerosis aged between 50 and 59 years has an impact on the physical health-related quality of life (R2 = 0.251, p < 0.001), and on the physical (R2 = 0.250, p < 0.001) and mental (R2 = 0.063, p = 0.044) health-related quality of life in patients aged between 60 and 73 years. Discussion and conclusion: After the age of 60, the impact of neurological disability extends from the physical part to the mental part of the multiple sclerosis patient's life. In order to maintain their quality of life, the physical health of patients with neurological disability between the ages of 50 and 59 should be monitored, while in patients aged between 60 and 73, their physical and mental health should be monitored. | |
| Keywords | telesno zdravje duševno zdravje staranje physical health mental health ageing |