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多发性硬化症患者的日常活动表现与满意度:对职业治疗的启示

MS People's Performance and Satisfaction With Daily Occupations: Implications for Occupational Therapy.

作者信息

Abdullah Eman J, Badr Hanan E, Manee Fahad

机构信息

1 Kuwait University, Kuwait.

出版信息

OTJR (Thorofare N J). 2018 Jan;38(1):28-37. doi: 10.1177/1539449217719867. Epub 2017 Aug 3.

Abstract

People with multiple sclerosis (MS) face difficulties in performing daily occupations. The objectives of this study were to assess the performance of and level of satisfaction with daily occupations among people with MS, and to explore factors associated with their performance and satisfaction. A cross-sectional study was conducted among 200 MS individuals. The Arabic version of Satisfaction With Daily Occupations (SDO) scale was used. Mann-Whitney U, Kruskal-Wallis, Chi-square tests, and binary logistic regression were used for data analysis. SDO performance and satisfaction median scores were 10/14 and 51/70, respectively. Multivariate analysis revealed that unemployment and cognitive symptoms were associated with poor occupational performance. Furthermore, unemployment, being married, visual problems, and low endurance were significant correlates of poor satisfaction with performing daily occupations. Social and clinical factors contributed to dissatisfaction with the poor performance of daily occupations among people with MS. Intervention studies are needed to investigate the role of occupational therapy in improving the performance of daily occupations in people with MS.

摘要

多发性硬化症(MS)患者在从事日常活动时面临困难。本研究的目的是评估MS患者日常活动的表现及满意度水平,并探索与其表现和满意度相关的因素。对200名MS患者进行了一项横断面研究。使用了日常活动满意度(SDO)量表的阿拉伯语版本。数据分析采用曼-惠特尼U检验、克鲁斯卡尔-沃利斯检验、卡方检验和二元逻辑回归。SDO表现和满意度的中位数分数分别为10/14和51/70。多变量分析显示,失业和认知症状与职业表现不佳有关。此外,失业、已婚、视觉问题和耐力低下是日常活动满意度低的显著相关因素。社会和临床因素导致了MS患者对日常活动表现不佳的不满。需要进行干预研究,以调查职业治疗在改善MS患者日常活动表现中的作用。

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