Mathiowetz V, Matuska K M, Murphy M E
Department of Physical Medicine & Rehabilitation, University of Minnesota, Minneapolis, MN 55455, USA.
Arch Phys Med Rehabil. 2001 Apr;82(4):449-56. doi: 10.1053/apmr.2001.22192.
To evaluate the efficacy of an energy conservation course on fatigue impact, self-efficacy, and quality of life (QOL) for persons with multiple sclerosis (MS).
Repeated measures with control and experimental interventions conducted during a 19-week study.
Community-based treatment center.
A convenience sample of 54 individuals from 79 community-dwelling volunteers with fatigue secondary to MS.
A 6-session, 2-hr/wk energy conservation course taught by occupational therapists for groups of 8 to 10 participants.
Fatigue Impact Scale (self-report measure of fatigue impact on cognitive, physical, social functions), Self-Efficacy Gauge (self-report measure of confidence in ability to perform specific behaviors), and Medical Outcomes Study Short-Form Health Survey (QOL measure).
Participants reported, as predicted, significantly less fatigue impact, increased self-efficacy, and improved QOL (ie, 3 of 4 subscales expected to improve). There were no significant differences, as predicted, in any of the dependent variables after the control (ie, support group) and no intervention periods.
Results provide strong evidence for the efficacy of this energy conservation course for persons with MS.
评估节能课程对多发性硬化症（MS）患者疲劳影响、自我效能感和生活质量（QOL）的疗效。
在一项为期19周的研究中进行对照和实验干预的重复测量。
社区治疗中心。
从79名社区居住的患有MS继发疲劳的志愿者中便利抽样选取54人。
由职业治疗师为8至10名参与者组成的小组开设为期6节、每周2小时的节能课程。
疲劳影响量表（自我报告疲劳对认知、身体、社会功能影响的量表）、自我效能量表（自我报告对执行特定行为能力的信心量表）以及医学结局研究简短健康调查（生活质量测量量表）。
正如预期，参与者报告疲劳影响显著减轻、自我效能感增强且生活质量改善（即预期改善的4个分量表中的3个）。正如预期，在对照期（即支持组）和无干预期后，任何因变量均无显著差异。
结果为该节能课程对MS患者的疗效提供了有力证据。
