MULTİPLE SKLEROZ HASTALARININ YAŞAM KALİTESİ VE RUHSAL DURUMLARI
Life Quality And Depressıon in Patients With Multiple Sclerosis Receiving Treatment at Harran University
Yazar: Bulunmaz Güler, Sevgi; Ersin, Fatma
Dergi: Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, Vol. 21 No. 1, 2017
Anahtar kelimeler: Health Care Administration ; Sağlık Kurumları Yönetimi ; Multiple sclerosis,life quality,depression,nursing ; Multiple skleroz,yaşam kalitesi,mental durum,hemşirelik

ÖZETAmaç: Bu çalışma, bir araştırma ve uygulama hastanesi’ndetedavi görmekte olan Multiple Skleroz hastalarında yaşam kalitesi,  ruhsal durumları ve etkileyen faktörleribelirlemek amacı ile tanımlayıcı olarak yapılmıştır. Yöntem: Çalışmanın örneklemini bir Araştırma ve UygulamaHastanesi Nöroloji Hastalıkları Kliniğinde tedavi görmekte olan ve polikliniktetakip edilen MS tanısı olan çalışmaya katılmayı kabul eden 45 hastaoluşturmuştur. Veri toplama aracı olarak Kısa Form SF-36 ve Genel Sağlık Anketi- 12 kullanılmıştır. Verilerin analizinde tanımlayıcı istatistikler, bağımsızgruplarda t testi, Mann Whitney U testi yapılmıştır. Bulgular: Çalışmaya katılan hastaların %64.6’sı kadın, %64.4’üevli, %44.4’ü çalışmamaktadır. Hastaların %11.1’inin ailelerinde MS öyküsü olup%13.3’ü yardımcı alet kullanmaktadır. Çalışan hastaların yaşam kalitesi ölçeği fiziksel rolalt boyutu puan ortalaması ve çocuğu olmayanların fiziksel fonksiyon alt boyutupuan ortalaması anlamlı bir şekilde yüksek çıkmıştır (p<0.05). Hastaların %26.8’inin yüksekruhsal sorun yaşama riskine sahip oldukları saptanmıştır. Yardımcı alet kullanan hastaların Genel Sağlı Anketi-12ölçek puan ortalamaları anlamlı bir şekilde yüksek çıkmıştır  (p<0.05).Sonuç: Çalışmasonuçlarına göre MS hastalarının yaşam kalitesinin düşük olduğu, hastalarınyarıya yakınının ruhsal durumunun iyi olmadığı saptanmıştır. Anahtar Kelimeler: Multiple skleroz; yaşam kalitesi; mental durum;hemşirelik.             ABSTRACTLifeQuality and Mental States of Patients with Multiple Sclerosis Objective: This descriptive study was conducted for the purposeof determining the affecting factors and life quality, mental states inpatients with Multiple Sclerosis receiving treatment at a research and practicehospital. Methods: The study sample consisted of 45 patients diagnosedwith MS that were receiving treatment at Harran University Medical FacultyResearch and Application Hospital Neurological Diseases Clinic, were followedin polyclinics and accepted to participate in the study. The data were analyzedby using descriptive statistics, independent samples t-test and Mann Whitney Utest. Results: Among the patients whoparticipated in the study; 64.6% were women, 64.4% marriedand 44.4% unemployed. 11.1% of patients had MS history in their familiesand 13.3% used assistive devices. Employed patientsobtained significantly higher scores from the lower dimension of physicalrole of the Life Quality Scale and patients who had no children obtainedsignificantly higher scores from the lower dimension of physical function (p<0.05). It was determined that 26.8% ofpatients had a high risk of mental problems. It was observed that patientsusing assistive devices obtained significantly higher scores fromthe General Health Questionnaire-12 scales  (p<0.05).Conclusion: As a result of the study, it was determined that MS patients had alower life quality and almost half of patients had the symptoms of mentalproblems. Keywords: Multiple sclerosis; life quality; mental states;  nursing.

Objective: This descriptive study was conductedfor the purpose of determining the life quality and depression in patients withMultiple Sclerosis receiving treatment at Harran University. Methods: The study sample consisted of 45patients diagnosed with MS that were receiving treatment at Harran UniversityMedical Faculty Research and Application Hospital Neurological Diseases Clinic,were followed in polyclinics and accepted to participate in the study. The data were analyzed by using descriptive statistics, independentsamples t-test and Mann Whitney U test. Results: There was a significant difference between the score averagesin the lower dimension of physical role according to the working conditions ofpatients, the score averages in the lower dimension of physical functionaccording to the state of having children and the score averages in themental health (p < 0.05).Evaluating in terms of depression;it was determined that 42.2% of patients had the risk of depression. Besides,there was a significant difference between the score averages of the GSA-12Scale according to patients using and not using subsidiary tools(p˂0.05). Conclusion: As a result of the study, it wasdetermined that MS patients had a lower life quality and almost half ofpatients had the symptoms of mental problems.