The Relationship Between The Perceived Fatigue and Occupational Competence in Multiple Sclerosis Patients

Abstract

Purpose: This study was conducted to investigate the relationship between fatigue and occupational competence and fatigue in Multiple Sclerosis (MS) patients.

Material and Methods: The study was carried out in Trakya University Hospital between February and June 2018 with 26 MS patients. Expanded Disability Status Scale (EDSS), Fatigue Severity Scale (FSS) and Occupational Self Assessment (OSA) applied to participants.

Results: Statistically significant relationship was found between FSS and EDSS scores and OSA competence scores (p <.05). No statistically significant relationship was found between FSS and EDSS scores with OSA value scores (p> .05).

Discussion: In this study, it was found that perceived fatigue in MS individuals is correlated with occupational competence. For this reason, we think that it is important that health professions who are working in occupational therapy field should make necessary evaluations about fatigue levels of MS individuals and apply occupational therapy interventions.

Keywords

• Occupational therapy; multiple sclerosis; fatigue

Multipl Skleroz Hastalarında Algılanan Yorgunluğun Aktivite-Rol Yeterliliği ile İlişkisi

Abstract

Amaç: Bu çalışma Multipl Skleroz (MS) hastalarında yorgunluk ile aktivite-rol yeterliliği ve önemi arasındaki ilişkiyi incelemek amacıyla gerçekleştirildi.

Gereç ve Yöntem: Çalışma, Trakya Üniversitesi Hastanesinde Şubat-Haziran 2018 tarihleri arasında 26 MS hastası ile gerçekleştirildi. Bireylere Genişletilmiş Özür Durum Anketi (EDSS), Yorgunluk Şiddet Ölçeği (FSS) ve Aktivite Öz-Değerlendirme Ölçeği (OSA) uygulandı.

Sonuçlar: FSS ve EDSS puanları ile OSA yeterlilik puanı arasında anlamlı düzeyde istatistiksel ilişki saptandı (p<.05). FSS ve EDSS puanları ile OSA önem puanı arasında istatistiksel olarak ilişki saptanmadı (p>.05).

Tartışma: Çalışmada MS’li bireylerde algılanan yorgunluk ile aktivite-rol yeterliliğinin ilişkili olduğu bulunmuştur. Bu nedenle ergoterapi alanında çalışmakta olan sağlık elemanlarının MS’li bireylerin yorgunluk düzeyleri ile ilgili gerekli değerlendirmeleri yaparken bireylerin aktivite-rol yeterliliği açısından da değerlendirilmesinin de önemli olduğunu düşünmekteyiz.

Keywords

• İş uğraşı terapisi; multipl skleroz; yorgunluk

References

1. Abdullah, E. J., Badr, H. E., & Manee, F. (2017). MS People’s Performance and satisfaction with daily occupations: Implications for occupational therapy. OTJR: Occupation, Participation and Health, 38(1), 28-37.
2. Armutlu, K., Korkmaz, N. C., Keser, I., Sumbuloglu, V., Akbiyik, D. I., Guney, Z., & Karabudak, R. (2007). The validity and reliability of the Fatigue Severity Scale in Turkish multiple sclerosis patients. International Journal of Rehabilitation Research, 30(1), 81-85.
3. Baron, K. (2006). Occupational Self Assessment Version 2.2. Model of Human Occupation Clearinghouse.
4. Ben Ari, E., Johansson, S., Ytterberg, C., Bergström, J., & Von Koch, L. (2014). How are cognitive impairment, fatigue and signs of depression related to participation in daily life among persons with multiple sclerosis? Disability and Rehabilitation, 36(23), 2012-2018.
5. Blikman, L. J., Huisstede, B. M., Kooijmans, H., Stam, H. J., Bussmann, J. B., & van Meeteren, J. (2013). Effectiveness of energy conservation treatment in reducing fatigue in multiple sclerosis: a systematic review and meta-analysis. Archives of Physical Medicine and Rehabilitation, 94(7), 1360-1376.
6. Braley, T. J., & Chervin, R. D. (2010). Fatigue in multiple sclerosis: mechanisms, evaluation, and treatment. Sleep, 33(8), 1061-1067.
7. Eraksoy M, Akman D.G. (2011). Merkezi sinir sisteminin myelin hastalıkları: Temel ve Klinik Bilimler Ders Kitapları, Nöroloji. İstanbul: Nobel Tıp Kitabevleri, 603-630.Fatma, E., & Mollaoğlu, M. (2011). Disability and activities of daily living in the patients with multiple sclerosis. Journal of Neurological Sciences (Turkish), 28(2), 190-203.
8. Fernández‐Muñoz, J., Morón‐Verdasco, A., Cigarán‐Méndez, M., Muñoz‐Hellín, E., Pérez‐de‐Heredia‐Torres, M., & Fernández‐de‐las‐Peñas, C. (2015). Disability, quality of life, personality, cognitive and psychological variables associated with fatigue in patients with multiple sclerosis. Acta Neurologica Scandinavica, 132(2), 118-124.

9. Finlayson, M., Preissner, K., Cho, C., & Plow, M. (2011). Randomized trial of a teleconference-delivered fatigue management program for people with multiple sclerosis. Multiple Sclerosis Journal, 17(9), 1130-1140.
10. Fox, R. J., Bacon, T. E., Chamot, E., Salter, A. R., Cutter, G. R., Kalina, J. T., & Kister, I. (2015). Prevalence of multiple sclerosis symptoms across lifespan: data from the NARCOMS Registry. Neurodegenerative Disability Management, 5(6 Suppl), 3-10. Hatipoglu, H., Kabay, S. C., Hatipoglu, M. G., & Ozden, H. (2016). Expanded disability status scale-based disability and dental-periodontal conditions in patients with multiple sclerosis. Medical Principles and Practice, 25(1), 49-55.
11. Kitis, A., Altug, F., Cavlak, U., & Akdag, B. (2008). Comparison of the physical and non-physical functioning between the patients with multiple sclerosis and healthy. Neurosciences, 13(1), 29-36.
12. Kurtzke, J. F. (1983). Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology, 33(11), 1444-1444.
13. Langeskov-Christensen, D., Feys, P., Baert, I., Riemenschneider, M., Stenager, E., & Dalgas, U. (2017). Performed and perceived walking ability in relation to the Expanded Disability Status Scale in persons with multiple sclerosis. Journal of the Neurological Sciences, 382, 131-136.
14. Ma, E., Wu, N., Yeh, W., Jones, E., & Thomas, N. (2017). The Impact of Disability on Activities of Daily Living, Productivity and Independency in Patients with Multiple Sclerosis-Findings from a 2016 Study in Europe and the United States. Value in Health, 20(9), 727-727.
15. Pan, Z., Lu, H., & Cheng, Q. (2013). Activities of daily living and lesion position among multiple sclerosis patients by Bayes network. Neural Regeneration Research, 8(14), 1327-1336.
16. Pandit, L., & Kundapur, R. (2014). Prevalence and patterns of demyelinating central nervous system disorders in urban Mangalore, South India. Multiple Sclerosis Journal, 20(12), 1651-1653.
17. Papathanasiou, A., Messinis, L., Zampakis, P., Panagiotakis, G., Gourzis, P., Georgiou, V., & Papathanasopoulos, P. (2015). Thalamic atrophy predicts cognitive impairment in relapsing remitting multiple sclerosis. Effect on instrumental activities of daily living and employment status. Journal of the Neurological Sciences, 358(1), 236-242.
18. Pekçetin, S., Salar, S., İnal, Ö., & Kayıhan, H. (2018). Validity of the Turkish Occupational Self Assessment for Elderly Individuals. OTJR: Occupation, Participation and Health, 38(2), 105-112.
19. Pittion-Vouyovitch, S., Debouverie, M., Guillemin, F., Vandenberghe, N., Anxionnat, R., & Vespignani, H. (2006). Fatigue in multiple sclerosis is related to disability, depression and quality of life. Journal of the Neurological Sciences, 243(1), 39-45.
20. Rosenblum, S., & Weiss, P. L. T. (2010). Evaluating functional decline in patients with Multiple Sclerosis. Research in Developmental Disabilities, 31(2), 577-586. Seamans, J. (2013). Occupational therapy and multiple sclerosis a study to determine use and perceived need of services. Yüksek Lisans Tezi. Ithaca College, Ithaca.Tabrizi, F. M., & Radfar, M. (2015). Fatigue, sleep quality, and disability in relation to quality of life in multiple sclerosis. International Journal of MS Care, 17(6), 268-274.
21. Vanage, S. M., Gilbertson, K. K., & Mathiowetz, V. (2003). Effects of an energy conservation course on fatigue impact for persons with progressive multiple sclerosis. American Journal of Occupational Therapy, 57(3), 315-323.
22. Ward, M., & Robinson, K. (2008). Analysis of a fatigue management programme for people with multiple sclerosis using the canadian occupational performance measure as an outcome measure. Irish Journal of Occupational Therapy, 36(1), 4-11.