Clinical and Sociodemographic Variables and the Level of Social Support in People with Multiple Sclerosis

Joanna Dymecka
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引用次数: 1

Abstract

Introduction. Multiple sclerosis (MS) is a chronic progressive demyelinating disease of the central nervous system which leads to permanent disability. Social support is a resource that is particularly important in the situation of chronic illness. Aim. The aim of the study was to determine the relationship between clinical and sociodemographic variables and the level of social support in people with multiple sclerosis. Material and Methods. 137 people diagnosed with MS participated in the study. Extended Disability Status Scale (EDSS), Guy’s Neurological Disability Scale (GNDS) and Berlin Social Support Scales were used in the study. Results. Perceived social support is not related to clinical variables such as disability or disease symptoms. However, the relationship between the need for support and disability and some symptoms (i.a. cognitive impairment, mood disorders and intestinal problems) was demonstrated. Women, people married, having children and in better financial condition felt greater social support. Women also need more support and more often seek it. Conclusions. Perceived social support in people with multiple sclerosis is less associated with clinical variables, but more to variables such as gender, marital status or having children. Of the studied types of support, the need for support was most related to the features of the disease. People living with a disability or more severe symptoms need help in daily functioning as well as emotional support. This is also associated with the need for professional support from doctors, psychologists and nurses. (JNNN 2019;8(4):148–156) Key Words: Multiple sclerosis, social support, disability
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多发性硬化症患者的临床和社会人口学变量与社会支持水平
介绍。多发性硬化症(MS)是一种慢性进行性中枢神经系统脱髓鞘疾病,可导致永久性残疾。在患有慢性病的情况下,社会支持是一种特别重要的资源。的目标。该研究的目的是确定临床和社会人口学变量与多发性硬化症患者的社会支持水平之间的关系。材料与方法:137名被诊断为多发性硬化症的患者参与了这项研究。采用扩展残疾状态量表(EDSS)、盖伊神经功能障碍量表(GNDS)和柏林社会支持量表。结果。感知到的社会支持与诸如残疾或疾病症状等临床变量无关。然而,支持需求与残疾和某些症状(如认知障碍、情绪障碍和肠道问题)之间的关系已得到证实。妇女、已婚、有孩子和经济状况较好的人感受到更多的社会支持。女性也需要更多的支持,并且更经常地寻求支持。结论。多发性硬化症患者感知到的社会支持与临床变量的关系不大,而与性别、婚姻状况或是否有孩子等变量的关系更大。在研究的支持类型中,对支持的需求与疾病的特征最相关。患有残疾或症状更严重的人需要日常功能方面的帮助以及情感支持。这也与需要医生、心理学家和护士的专业支持有关。[JNNN 2019;8(4): 148-156
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