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Selected problems in female patients with relapsing-remitting sclerosis multiplex


Authors: M. Miertová 1;  A. Pľutová 2;  A. Ovšonková 1;  J. Čáp 1
Authors‘ workplace: Univerzita Komenského v Bratislave Jesseniova lekárska fakulta v Martine Ústav ošetrovateľstva Vedúca ústavu: prof. Mgr. Katarína Žiaková, PhD. 1;  Nemocnica Snina, s. r. o. Interné oddelenie Vedúci oddelenia: MUDr. Daniel Bakši 2
Published in: Prakt. Lék. 2017; 97(5): 228-234
Category: Of different specialties

Overview

Aim:
The aim of the study was to describe, analyze and compare the variability of selected problems in the course of relapsing-remitting multiple sclerosis in female patients living at home and suggest the methods to solve them.

Methods:
A research strategy of a comparative multiple-case study design was chosen using both qualitative and quantitative methods. Three patients were included in the study.

Results:
All three patients experienced problems associated with the clinical signs of the disease and its progression, characterized by its interindividual variability. Walking difficulties, morning stiffness, urinary dysfunction, changes in sensitivity, fatigue, pain, sleep disorders, speech difficulties, disease-related concerns were reported as negatively perceived and troublesome.

Conclusion:
Since the onset of the disease, patients have been confronted with various problems which influence many areas of their life. With disease progression, various limitations in the functional state are present, and dependence on others is increasing. The identification of problems and their variability in subjective description by patients enables the healthcare staff to know and better understand the experience of the disease, which can contribute to individual approach to each patient, including the complex solution of his/her particular difficulties.

KEYWORDS:
relapsing-remitting multiple sclerosis – multiple-case study – interview – patients’ problems


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