engleski

Quality of life in ambulatory patients with multiple sclerosis.

Multiple sclerosis is the most common non- traumatic neurodegenerative disease found in adults. Most of the patients have physical and mental deficits which reflect the dissemination of the lesions in the central nervous system. Th e aim of this study is to compare the quality of life of ambulatory patients suff ering from multiple sclerosis. A study was performed using ambulatory patients with a relapsing remitting form of multiple sclerosis (McDonald’s criteria). Th e quality of life was assessed by the use of the SF-36 questionnaire. The severity of Multiple sclerosis was evaluated using the disease duration, EDSS and MSSS values. The patients were divided into groups according to gender and disease duration. Results were also compared with the results of study performed among Croatian citizens without multiple sclerosis. All together 62 patients were included in the study (Female/Male 40/20, mean age 35, 45±9, 3, mean EDSS 2, 48±0, 89 ; mean MSSS 5, 25±1, 91 ; mean disease duration (DD) 4, 05±4, 29 years). The mean scores were as follows: physical functioning (PF) 59, 92 (all), 58, 50 (female) ; 62, 50 (male) ; 59, 63 (DD<3y) ; 60, 45 (DD>3y), role-physical (RP) 36, 56 (all) ; 34, 17 (female) ; 40, 91 (male) ; 43, 33 (DD<3y) ; 24, 24 (DD>3y) ; bodily pain (BP) 64, 48 (all) ; 63, 00 (female) ; 67, 16 (male) ; 62, 44 (DD<3y) ; 68, 18 (DD>3y) , general health (GH) 48, 31 (all) ; 48, 50 (female) ; 47, 95 (male) ; 47, 50 (DD<3y) ; 68, 18 (DD>3y) ; vitality (VT) 48, 47 (all) ; 48, 00 (female) ; 49, 32 (male) ; 48, 75 (DD<3y) ; 47, 95 (DD>3y), social functioning (SF) 63, 91 (all) ; 64, 69 (female) ; 62, 50 (male) ; 61, 25 (DD<3y) ; 68, 75 (DD>3y), role-emotional (RE) 18, 28 (all) ; 18, 33 (female) ; 18, 18 (male) ; 23, 33 (DD<3y) ; 9, 09 (DD>3y), mental health (MH) 60, 39 (all) ; 59, 60 (female) ; 61, 82 (male) ; 59, 20 (DD<3y) ; 62, 55 (DD>3y) and health transition (HT) 43, 54 (all) ; 45, 00 (female) ; 40, 91 (male) ; 40, 00 (DD<3y) ; 50, 00 (DD>3y). Our preliminary results showed that the patients with multiple sclerosis have a lower quality of life in comparison to those Croatian citizens without multiple sclerosis. In general female patients have the lowest quality of life excluding social functioning. The quality of life was better among patients with longer disease duration (over 3 years) except when physical and emotional limitations were taken into account.

multiple sclerosis

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