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个人自主性作为多发性硬化症患者生活质量的预测指标

Personal Autonomy as Quality of Life Predictor for Multiple Sclerosis Patients.

作者信息

Padureanu Rodica, Albu Carmen Valeria, Pirici Ionica, Mititelu Radu Razvan, Subtirelu Mihaela Simona, Turcu-Stiolica Razvan Aurelian, Sintonen Harri, Padureanu Vlad, Turcu-Stiolica Adina

机构信息

Department of Biochemistry, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.

Department of Neurology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.

出版信息

J Clin Med. 2020 May 5;9(5):1349. doi: 10.3390/jcm9051349.

Abstract

Multiple sclerosis (MS) is a chronic, severe disease, characterized by a progressive alteration in neuronal transmission, which decreases personal independence and quality of life (QoL). This study aimed to investigate the relationship between QoL and personal autonomy in patients with MS, as well as its correlation with age, educational level, and diseases severity. Twenty-six MS patients were followed-up for six months. All patients completed the 15D questionnaire two times: at T0, when they started a new treatment, and at T1 after six months of treatment. At the end point, all patients completed the Personal Autonomy Questionnaire. The average patient age was 43 years (SD = 10), and 89% of them were female. The mean severity and duration of MS were 3.5 (SD = 1.75) and 9.5 (SD = 5.1), respectively. The average QoL of MS patients at T0 was 0.66 (SD = 0.18), and that at T1 was 0.71 (SD = 0.16). The scores of patients with different types of MS, i.e., relapsing-remitting MS (RRMS) or secondary progressive MS (SPMS), were compared. SPMS patients were older than RRMS patients (mean age 47.5 vs. 39.7 years; = 0.032), and more RRMS patients were working (0.014). SPMS patients described the same QoL and personal autonomy as RRMS patients. Results from bivariate correlation analyses showed a significant relationship between QoL and age, education, and severity of MS. Also, the analysis showed no significant correlation between QoL and personal autonomy.

摘要

多发性硬化症(MS)是一种慢性重症疾病,其特征为神经传递的渐进性改变,这会降低个人独立性和生活质量(QoL)。本研究旨在调查MS患者的生活质量与个人自主性之间的关系,以及其与年龄、教育水平和疾病严重程度的相关性。对26名MS患者进行了为期六个月的随访。所有患者在两个时间点完成了15D问卷:T0,即开始新治疗时;以及治疗六个月后的T1。在终点时,所有患者完成了个人自主性问卷。患者的平均年龄为43岁(标准差 = 10),其中89%为女性。MS的平均严重程度和病程分别为3.5(标准差 = 1.75)和9.5(标准差 = 5.1)。MS患者在T0时的平均生活质量为0.66(标准差 = 0.18),在T1时为0.71(标准差 = 0.16)。比较了不同类型MS患者的得分,即复发缓解型MS(RRMS)或继发进展型MS(SPMS)。SPMS患者比RRMS患者年龄更大(平均年龄47.5岁对39.7岁;P = 0.032),且有更多RRMS患者在工作(P = 0.014)。SPMS患者的生活质量和个人自主性与RRMS患者相当。双变量相关分析结果显示,生活质量与年龄、教育程度和MS严重程度之间存在显著关系。此外,分析表明生活质量与个人自主性之间无显著相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21c7/7290289/591d449475d9/jcm-09-01349-g001.jpg

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