Multiple Sklerozlu Bireylerde Enerji Koruma ve Zaman Yönetimi Eğitiminin Yorgunluğa ve Okupasyonel Performansa Etkisi

Abstract

Amaç: Multiple Skleroz’da (MS) yorgunluk, bireyin rutin okupasyonlarını tamamlayamaması ile tanımlanan fiziksel ve mental enerji eksikliğidir. Bu çalışmanın amacı MS’de enerji koruma ve zaman yönetimi eğitiminin yorgunluğa ve oküpasyonel performansa etkisini incelemektir. Gereç ve Yöntem: Bireylere Yorgunluk Şiddet Ölçeği, Yorgunluk Etki Ölçeği (YEÖ), Kanada Aktivite Performansı Ölçümü uygulandı. Tüm bu değerlendirmeler eğitim öncesi ve sonrası olmak üzere 2 kez yapıldı. Bireylere toplam 10 seans enerji koruma ve zaman yönetimi eğitimi verildi. Sonuçlar: Çalışmaya yaş ortalaması 39,66±10,92 yıl olan 15 kişi dahil edildi. Eğitim öncesi ve sonrası bulgular karşılaştırıldığında bireylerin yorgunluk şiddeti (p=0.001) , yorgunluğun etkilediği bilişsel alan (p=0.001), sosyal alan (p=0.003), fiziksel alan (p=0.001) ve toplam YEÖ puanlarında (p=0.001) azalma görüldü. Bireylerin okupasyonel performans (p<0.001) ve memnuniyet (p<0.001) değerlerinde ise istatistiksel olarak anlamlı artış görüldü. Tartışma: Enerji koruma ve zaman yönetimi eğitiminin MS’li bireylerin yorgunluk, okupasyonel performans ve memnuniyet üzerine olumlu etkileri olduğu görülmüştür. Bu nedenle MS’de enerji koruma ve zaman yönetimi eğitiminin müdahale programlarına dahil edilmesi yararlı olacaktır. Daha büyük örneklem gruplarının dahil edildiği, kontrollü ve takipli çalışmalara ihtiyaç vardır.

Keywords

• Multipl Skleroz
• Zamanı Yönetme
• Yorgunluk
• Ergoterapi

Effects of Energy Conservation and Time Management Training on Fatigue and Occupational Performance in Individuals with Multiple Sclerosis

Abstract

Purpose: Fatigue in Multiple Sclerosis (MS) is the lack of physical and mental energy, defined by the individual's inability to complete routine activities. The purpose of this study is to examine the effect of energy conservation and time-management training on fatigue and occupational performance with MS. Material and Methods: Fatigue Severity Scale, Fatigue Impact Scale (FIS) and Canadian Occupational Performance Measure were done before and after the training. Individuals received 10 sessions of energy conservation and time-management training. Results: 15 individuals with a mean age of 39.66±10.92 years were included in the study. When the scores of before and after the training were compared, decreases were seen in terms of the fatigue severity (p=0.001), cognitive domain affected by fatigue (p=0.001), social area (p=0.003), physical area (p=0.001) and in total FIS (p=0.001). There was a significant increase in occupational performance (p<0.001) and satisfaction (p<0.001) of individuals. Discussion: Energy conservation and time-management training have been found to have positive effects on fatigue and occupational performance in individuals with MS. So, it would be beneficial to include energy conservation and time-management training in intervention programs for MS. There is a need for controlled follow-up studies with larger sample groups

Keywords

• Multiple sclerosis
• Time management
• Fatigue
• Occupational Therapy

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